What medicine should I take for right testicular pain?

The male testicles are a very fragile area like the penis. If you don't pay attention to the protection of the testicles, it is easy to cause testicular pain. However, some male testicular pain is not caused by external forces, but by diseases inside the testicles. And the male testicles are mainly divided into left and right sides. Some men have pain in the right testicles and no pain in the left testicles. So what medicine should be taken for right testicular pain?

Testicular pain is common in orchitis and testicular injury. Orchitis is mostly caused by pathogen infection. In addition to bloodstream infection, it is more common for bacteria to retrograde through the urethra to the epididymis and testicles, causing epididymitis and orchitis. Clinically, epididymis and testicular swelling and pain can be seen. Testicular injury usually has a history of trauma and local swelling and bruising. Vigorous exercise or sexual intercourse and violence can sometimes cause strong contraction of the levator testis muscle, causing the testicle with an overly long frenulum to twist and cause severe testicular pain. In chronic pain, the condition can last for a long time. The pain is usually mild and generalized, and can have radiating pain.

Causes and common diseases

1. Inflammatory orchitis is a common cause of testicular pain. There are many causes of orchitis. For example, patients with mumps may suffer from orchitis, testicular pain and swelling. Gonorrhea is a sexually transmitted disease with a high incidence rate. In severe cases, it can cause orchitis, testicular pain and swelling. Chronic prostatitis can also cause testicular pain, which manifests as unilateral pain, mostly dull pain or pulling pain, which is persistent. Microscopic examination of prostatic fluid can show a large number of white blood cells. Most patients are young and strong, and it is rare in the elderly.

2. Testicular torsion Testicular torsion is one of the common acute diseases in the scrotum. It can occur in newborns to 70-year-olds, and 65% occur between 12 and 19 years old. Generally, there is vigorous activity a few hours before the onset of the disease, or the testicles have been subjected to external force. Sudden severe testicular pain during sleep or rest is the first symptom of this disease and is also one of the main diagnostic bases. Some cases are accompanied by nausea and vomiting, scrotal swelling, and obvious tenderness.

3. Injury The testicles are more mobile in the scrotum and are protected by a tough white membrane, so the chance of closure injury is low. Testicular injury is mostly related to violence, car accidents, etc. After injury, the testicles are severely painful with nausea, vomiting, and even fainting or shock. During physical examination, there are swollen testicles, unclear contours or scrotal congestion, and obvious tenderness. B-ultrasound and CT are not only helpful for the diagnosis of this disease, but also can clarify the location and range of testicular injury.

4. Ischemic testicular ischemic pain is more common in the elderly. The pain is more severe, aggravated by activity, and relieved by rest. Prostatic fluid microscopy is normal, often due to stenosis of the testicular artery. Testicular artery atherosclerosis is often a local manifestation of systemic vascular disease, mostly unilateral lesions, more common on the left side than on the right side.

Treatment principles

On the basis of determining the cause, etiological treatment can be carried out; if the cause cannot be found for the time being, symptomatic treatment such as sedation and analgesia can be carried out. If necessary, local treatment such as spermatic cord procaine closure can be used.

1. General treatment: rest in bed, apply local hot compress, elevate the scrotum, do levator ani, etc., and increase physical exercise appropriately.

2. Drug treatment: Antibiotics are ineffective for viral orchitis, but they can prevent secondary infection. Patients with bacterial orchitis can take fluazifop or tadalafil or intravenous penicillin. Those who are allergic to penicillin can use intravenous cyclofloxacin lactate injection or intramuscular injection of gentamicin.