What's the reason for the dull pain in the right testicle?

Dull pain in the right testicle may be caused by varicocele, orchitis, epididymitis, testicular torsion, urinary system stones, etc., and can be relieved by drug treatment, physical therapy, surgical treatment, etc. It is recommended to seek medical treatment promptly to determine the cause of the disease to avoid delays in treatment.

1. Varicocele

Varicocele may be related to factors such as venous valve insufficiency or increased intra-abdominal pressure, and usually manifests as scrotal swelling, dull pain and other symptoms. Mild patients can use diosmin tablets, Maizhiling tablets and other drugs to improve venous return as directed by doctors, while severe patients may need laparoscopic high ligation of the spermatic vein. You should avoid standing and sitting for long periods of time and wear loose underwear.

2. Orchitis

Orchitis is mostly caused by bacterial or viral infection and is often accompanied by symptoms such as fever, redness, swelling, heat and pain in the scrotum. Bacterial orchitis requires the use of antibiotics such as cefixime dispersible tablets and levofloxacin tablets as directed by the doctor. For viral orchitis, Chinese patent medicines such as Pudilan Anti-inflammatory Oral Liquid can be used. In the acute phase, bed rest is required and a scrotal sling is used to reduce swelling.

3. Epididymitis

Epididymitis is usually associated with a urinary tract infection or sexually transmitted disease and manifests as enlargement and tenderness of the epididymis. You can use azithromycin granules, doxycycline hydrochloride enteric-coated capsules and other drugs as directed by your doctor, along with local hot compresses to relieve pain. During treatment, sexual life should be prohibited and spicy and stimulating foods should be avoided.

4. Testicular torsion

Testicular torsion is an emergency and is related to abnormal attachment of the testicular vaginal membrane. It causes sudden severe pain and may be accompanied by nausea and vomiting. It needs to be surgically reduced and fixed within 6 hours, otherwise testicular necrosis may occur. If you suspect torsion, you should seek emergency medical treatment immediately. Do not massage or apply heat on your own.

5. Urinary system stones

Radiating pain from lower ureteral stones may be mistaken for testicular pain, and is usually accompanied by hematuria and difficulty urinating. You can take Paishi granules, diclofenac sodium suppositories and other drugs as directed by your doctor, in conjunction with extracorporeal shock wave lithotripsy. Drink more than 2000 ml of water every day and reduce the intake of high-oxalate foods.

Daily care should be taken to keep the perineum clean and dry, and avoid strenuous exercise or trauma. Eat a light diet and limit alcohol and caffeine intake. If the pain lasts for more than 24 hours and is accompanied by fever or hematuria, you must see a urology department immediately. Regular physical examinations can help detect potential problems such as varicocele early, and testicular self-examination can be performed once a month.