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My right hurts in to my stomach down my leg hurnea:-(

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My right nut hurts in...
My right nut hurts in to my stomach down my leg hurnea:-(
Submitted: 2 years ago.Category: Health
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Answered in 6 minutes by:
3/4/2016
Health Professional: Dr. Arun Phophalia, Doctor (MD) replied 2 years ago
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 39,120
Experience: MBBS, MS (General Surgery), Fellowship in Sports Medicine
Verified

Hello,

I am Dr. Arun and will be helping you today.

I am sorry that your question was unanswered for long.

Following are the common causes of your symptoms;

a) Recurrent torsion tests

b) Inflammation or infection of testes and/or epididymis.

c) Radiation pain due to ureter or bladder stone.

An ultrasound and x-ray are the best investigations to assess the cause apart from physical exam.

Chronic scrotal pain is usually related to noninflammatory conditions but chronic infections also should be considered. Because the testes arise embryologically in close proximity to the kidneys, pain arising in the kidneys or retroperitoneum (back of the abdomen) may also be referred to the testes. So an abdominal ultrasound, intravenous pyelography and a CT scan of the abdomen also should be done to evaluate testicular pain.

A urine and sperm culture for pyogenic organisms and mycobacterium should be done. This should be able to point towards the chronic infection and give the guidelines for the further management.

Following causes to be considered for the pain are;

1) Recurrent torsion

2) Torsion or inflammation of the appendix of the testes

3) Infectious epididymitis

4) Noninfectious epididymitis; occur due to reflux of urine through the ejaculatory ducts and vas into the epididymis, producing a "chemical" inflammation

5) Referred pain - the genitofemoral, ilioinguinal, or posterior scrotal nerves CAN CAUSE REFERRED PAIN. Other causes of referred pain are abdominal aortic aneurysm, ureteric stone, lower lumbar or sacral nerve root impingement, retrocecal appendicitis, retroperitoneal tumor, hernia.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

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Health Professional: Dr. Arun Phophalia, Doctor (MD) replied 2 years ago

Thank you for the opportunity to answer completely your Question. Please make sure to rate me because that is how I am credited for my work.

Now, I will provide an Additional Service offer so that you have this option available on your question list to get a hold of me directly in the future.

This additional service offer can be used for

- if you would like to schedule a new, private email session or to ask me directly a new question. It's up to you.

Thank you.

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Health Professional: Dr. Arun Phophalia, Doctor (MD) replied 2 years ago

Best wishes,
It was my pleasure to help you.
If I have answered all your questions, Please rate my response Excellent (click on the 5th star).
Please bookmark my profile for fast, reliable authentic answers!
This is the link to my profile:

http://www.justanswer.com/medical/expert-drarunphophalia/

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Health Professional: Dr. Arun Phophalia, Doctor (MD) replied 2 years ago

Hope you are doing good.

Please let me know if I can help you further.

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