6 Y.O. male with enlarged right testicle (2-3 times bigger than left testicle) without pain, occasional night time leg pain and occasional vomiting, what is going on?
Is this new that the testicle is larger than the other? Has it been checked by the doctor?It is a good sign that it is not painful as that can be an emergency?It can be an inguinal hernia (which is not emergent unless it is trapped) - if it is a hernia - it should get larger or smaller by simply pressing the contents of the testicle upwards towards his abdomen. This needs to be repaired surgically - but not emergently. It can be a hydrocele - which is fluid inside the testicle. this should be evaluated by a urologist.This should be seen by his pediatrician as soon as possible and emergently if any pain/discoloration occurs.Please reply with any further questions.If I have answered all of your questions, please click ACCEPT.Bonuses and feedback are always appreciated.
No he has not been seen by his dr for this matter and they have not checked his genitles out for more than a year (last well child check they did not feel it necessary). I don't know exactly how recent it is since he decided to do all his bathing and dressing on his own (he has always been modest, not like most other kids, liking to run naked, even as a baby) which was about 10 months ago and at that time there was nothing unusual. I only noticed it because he droped his towel by accedent tonight after his bath and it was very obvious that his right testicle was much larger than his left. The right testicle fills his scrotum on that side while the left does not. Upon palpataion the testicle it self feels enlarged, soft and smooth. It did not feel like there was anything out of the ordinary. Should I be worried about the pain that wakes him from a dead sleep screaming in his legs or the occasional vomiting or do they have nothing to do with this?
The occasional vomiting has nothing to do with this. The pain in his legs while sleeping is most likely growing pains.This sounds like a hydrocele (or possible inguinal hernia). I would take him for a nonurgent appointment on Tuesday. It is not necessary to rush in over the weekend unless it becomes painful in the testicle and then to the ER emergently.I would not be "worried", I would just look into it more carefully and not ignore it.Please reply with any further questions