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Asking For Self, Male 38, Karachi
I am feeling pain in my lower abdomen on lower rightside and in right testis. The right testis often get twisted and moved towards abdomen and this condition is very painful this happen during excessive exercise but it become normal if I take rest for 2 to 3 minutes. the stretching of right testis is very painful. I have ultrasound reports
I am sorry to hear you are going through this. Based on your description, this requires immediate medical evaluation by a urologist.
While I cannot provide a diagnosis, your symptoms point toward a few specific possibilities that need to be ruled out by a professional:
Potential Causes
Intermittent Testicular Torsion: This occurs when the spermatic cord twists and then untwists on its own. It causes sudden, severe pain and can move the testis higher toward the abdomen. Even if the pain goes away with rest, it is a serious condition because it can lead to permanent damage if the blood supply is cut off completely.
Inguinal Hernia: A hernia occurs when tissue (like part of the intestine) pushes through a weak spot in the abdominal muscles. This can cause pain in the lower abdomen and groin that worsens during exercise or straining.
Hyperactive Cremasteric Reflex: In some cases, the muscle that pulls the testis toward the body (cremaster muscle) overreacts during physical activity, causing the testis to retract painfully.
Immediate Next Steps
See a Urologist: Since you have ultrasound reports, you should take them to a urologist immediately. They may need to perform a physical exam or a Doppler Ultrasound while you are symptomatic to check for blood flow issues.
Avoid Strenuous Activity: Until you have been cleared by a doctor, avoid heavy lifting or high-intensity exercise, as this seems to trigger your symptoms.
Emergency Warning: If you experience sudden, agonizing pain that does not go away within a few minutes, go to the Emergency Room immediately. Testicular torsion is a surgical emergency where every hour counts to save the testis.
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