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Dr. David
Dr. David, Doctor (MD)
Category: Oncology
Satisfied Customers: 45590
Experience:  Experienced Oncology Physician trained in New York City. I'm ready to help.
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Before I write anything, I have a doctor’s

Customer Question

Before I write anything, I have a doctor’s appointment first thing Monday morning so this will be diagnosed but I’m curious what your thoughts may be here.

For the last few months I’ve had a dull pain in the area of my right testicle. This may sound silly but I say area because it’s hard to exactly say where the pain is. It’s maybe behind my scrotum inside my body. Sometimes the pain goes away sometimes it can get quite sharp, but it’s obviously not going to correct itself.

I can’t feel anything unusual like lumps etc. I’m 62 years old and I do tend to urinate once or twice in the night but I just put that down to normal aging. I had a vasectomy about thirty years ago and haven’t had any problems with that. I am generally in good health other than this problem.

I had a general and fairly through blood screening about three months ago at a health fair, and nothing unusual was discovered.

What do you think may be going on here and what do you think the doctor may require with regard to tests or treatment?

Blood Screening results...





























































































































































































































































































































































































































































Test Name09/04/0810/15/0901/19/1208/11/15Reference Range
Bone and Electrolytes
Calcium
 

9.5


 

9.4


 

10.2


 

9.0

8.6-10.2 mg/dL
Chloride
 

108


 

104


 

102


 

103

97-108 mmol/L
Magnesium
 

2.0


 

2.1


 

2.1


 

2.1

1.6-2.6 mg/dL
Phosphorous, Inorganic
 

3.0


 

2.6


L

2.3


 

2.8

2.5-4.5 mg/dL
Potassium
 

4.1


 

4.2


 

4.9


 

4.3

3.5-5.2 mmol/L
Sodium, Serum
 

139


 

141


 

141


 

138

134-144 mmol/L
Heart and Kidney Functions
Blood Urea Nitrogen (BUN)
 

11


 

13


 

15


 

16

8-27 mg/dL
Creatinine
 

1.16


 

1.07


 

1.08


 

0.94

0.76-1.27 mg/dL
GFR, Est
 

>60


 

>59


 

75


 

87

>59 mL/min/1.73
GFR, If African-American
 

>60


 

>59


 

87


 

101

>59 mL/min/1.73
LDH
 

191


 

168


 

187


 

177

121-224 IU/L
Lipids (Fats)
CHD Risk, Estimated
 

0.7


 

0.7


 

0.7


 

0.7

0.0-1.0 times avg.
Cholesterol, Total (TC)
H

204


 

180


 

181


 

197

100-199 mg/dL
Cholesterol/HDL Ratio
 

4.0


 

4.0


 

4.0


 

4.0

0.0-5.0 ratio units
HDL ("Good" Cholesterol)
 

51


 

45


 

45


 

49

>39 mg/dL
LDL ("Bad" Cholesterol)
H

129


H

105


 

98


H

118

0-99 mg/dL
Triglycerides
 

122


 

149


H

188


 

148

0-149 mg/dL
VLDL
 

24


 

30


 

38


 

30

5-40 mg/dL
Liver Functions
ALT (SGPT)
 

51


 

40


 

31


 

36

0-44 IU/L
AST (SGOT)
 

31


 

23


 

23


 

28

0-40 IU/L
Alkaline Phosphatase
 

74


 

75


 

78


 

67

39-117 IU/L
Bilirubin, Total
 

0.6


 

0.5


 

0.4


 

0.5

0.0-1.2 mg/dL
Gamma GT
 

21


 

23


 

17


 

18

0-65 IU/L
Protein
A/G Ratio
 

1.5


 

1.6


 

1.7


 

1.8

1.1-2.5
Albumin
 

4.2


 

4.4


 

4.7


 

4.4

3.6-4.8 g/dL
Globulin
 

2.8


 

2.8


 

2.8


 

2.4

1.5-4.5 g/dL
Protein, Total
 

7.0


 

7.2


 

7.5


 

6.8

6.0-8.5 g/dL
Thyroid and Other
FTI
 

1.9

1.2-4.9
Glucose (Blood Sugar)
H

102


 

95


 

95


H

106

65-99 mg/dL
T3 Uptake
 

30

24-39 %
T4
 

6.4

4.5-12.0 ug/dL
Thyroid Stimulating Hormone (TSH)
 

0.864


 

0.536


 

0.903


 

0.635

0.450-4.500uIU/mL
Uric Acid
 

6.4


 

5.6


 

5.4


 

5.0

3.7-8.6 mg/dL
Iron
Iron Binding Capacity
 

260


 

252


 

272


L

223

250-450 ug/dL
Iron, Total
 

121


 

128


 

129


 

133

40-155 ug/dL
Transferrin Saturation
 

47


 

51


 

47


H

60

15-55 %
Unbound IBC
L

139


L

124


L

143


L

90

150-375 ug/dL
Complete Blood Count (CBC)
Hematocrit
 

48.0


 

50.4


 

47.6


 

48.4

37.5-51.0 %
Hemoglobin
 

16.1


 

16.8


 

16.8


 

15.9

12.6-17.7 g/dL
MCH
 

31.5


 

31.6


 

32.0


 

30.9

26.6-33.0 pg
MCHC
 

33.6


 

33.3


 

35.3


 

32.9

31.5-35.7 g/dL
Mean Corpuscual Volume (MCV)
 

94


 

95


 

91


 

94

79-97 fL
Platelets
 

179


 

183


 

210


 

188

150-379 x10E3/uL
RDW
 

14.8


 

14.1


 

13.7


 

14.0

12.3-15.4 %
Red Blood Count
 

5.13


 

5.30


 

5.25


 

5.14

4.14-5.80x10E6/uL
White Blood Count
 

5.8


 

4.6


 

5.6


 

5.3

3.4-10.8 x10E3/uL
Other
C-Reactive Protein (Cardiac Specific)
 

1.38

0.00-3.00 mg/L
Ferritin, Serum
H

369

22-322 ng/mL
Hemoglobin A1C
 

6.0

<7.0 %
Lead
 

3

0-19 ug/dL
Prostate Specific Antigen
 

0.5


 

0.6


 

0.5

0.0-4.0 ng/mL
Testosterone
 

420

348-1197 ng/dL
Vitamin B12
 

372

211-946 pg/mL
Vitamin D
L

28.0


L

18.2


L

26.2

30.0-100.0 ng/mL

Thank you...

Submitted: 1 year ago.
Category: Oncology
Expert:  Dr. David replied 1 year ago.

This is Dr David

prostate cancer doesn't cause pain in the testicles.

dull pain in the testicles usually is due to epididymitis inflammation or a testicular cyst or hydrocele

a scrotal ultrasound can check for problems in the testicle.

you should get PSA blood test and a finger digital rectal exam to feel your prostate once a year.

I am not worried about cancer causing your symptoms

let me know if you have questions.