What causes pain inside the testicles?

Aug 31, 2024 Source: Cainiu Health
Dr. Cao Zhiqiang
Introduction
In general, pain inside the testicles may be caused by excessive exercise, local pressure, orchitis, testicular torsion, varicocele, or other factors. It is recommended to seek medical attention promptly, identify the underlying cause, and receive appropriate treatment under the guidance of a qualified physician. In daily life, avoid spicy, greasy, raw, or cold foods, as these irritants may worsen pain or discomfort.

In general, pain inside the testicles may be caused by excessive exercise, local pressure, orchitis, testicular torsion, varicocele, and other factors. It is recommended to seek medical attention promptly, identify the underlying cause, and receive symptomatic treatment under the guidance of a qualified physician. Specific analyses are as follows:

1. Excessive Exercise

Intense or excessive physical activity may overstretch or injure the testicles, leading to pain. Avoid strenuous exercise; instead, opt for mild activities such as walking or yoga to help relieve discomfort.

2. Local Pressure

Prolonged improper sitting posture, wearing tight pants, or cycling may compress the testicular area, impairing blood circulation and causing pain. Avoid overexertion and prolonged sitting, and maintain healthy lifestyle habits and regular作息 (daily routines) to alleviate symptoms.

3. Orchitis

Orchitis may result from bacterial or viral infections. When bacteria or viruses invade the testicles, they trigger an inflammatory response, causing swelling, congestion, and pain in the testicular tissue. Symptoms may include fever, chills, redness, and swelling of the scrotum. Treatment may include medications such as cefuroxime axetil tablets, levofloxacin hydrochloride tablets, or amoxicillin capsules, as prescribed by a doctor.

4. Testicular Torsion

Testicular torsion may be caused by genetic factors or external stimuli. When the testicle and spermatic cord twist, blood flow to the testicle becomes obstructed, resulting in severe pain, often accompanied by nausea and vomiting. Immediate surgical intervention at a reputable hospital is required, such as detorsion and fixation of the testicle.

5. Varicocele

Varicocele may arise from venous valve insufficiency. The dilation of veins in the spermatic cord impedes venous blood return from the testicle, leading to congestion and hypoxia, which can cause internal testicular pain. Patients may experience sensations of heaviness or dampness in the scrotum. Under medical supervision, medications such as sodium aescinate tablets, citrus flavonoid tablets, or sildenafil citrate tablets may be used to alleviate symptoms.

Avoid spicy, greasy, raw, or cold irritating foods in daily life, as they may worsen pain or discomfort. Additionally, wash the testicular area with warm water daily and maintain good genital hygiene to help prevent infection and other complications.

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