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Urology (Expert Forum)
hard lump and blood in semen
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
hard lump and blood in semen
by tyreas, Aug 01, 2003 12:00AM
I am a 20 yr old male in relativly good health. I have had a hard lump/bb thing on my left testicle for at least a year now. I never thought it to be anything until reading about testicular cancer. I have also had blood in my semen. The blood has been in my semen on and off for 2 years. I have heard it to be common and thought nothing of it. I have also noticed that if I ejaculate daily I almost never get blood in my semen, but if I hold off a week or two there is almost always blood in it. I also am experiencing blood with my bowel movements,while wiping afterwards, although I am certain that is a Hemorrhoid. I am not experiencing any pain or anything of that nature. Whats wrong with me?
-Anon
-Anon
Doctor's Answer
by Kevin Pho, MD, Aug 09, 2003 12:00AM
, Aug 09, 2003 12:00AM
Blood in the semen (known as hematospermia) can be caused by a variety of diseases. They include benign and malignant disorders of the prostate gland, seminal vesicles, spermatic cord, and ejaculatory duct system; urogenital infections; metastatic cancers; and vascular disorders. Most of the time, especially in the younger population, a clear cause cannot be found and it resolves on its own. A visit to a urologist would be helpful to for further evaluation.
Regarding the lump in the testicle, an ultrasound should be considered to rule out a mass, cyst or varicocele.
Regarding the blood in the stool - it is most likely a hemorrhoid (given your young age). A visit to a physician for a possible anoscopy (a small scope to make sure it is nothing worse than a hemorrhoid) should be considered.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
Regarding the lump in the testicle, an ultrasound should be considered to rule out a mass, cyst or varicocele.
Regarding the blood in the stool - it is most likely a hemorrhoid (given your young age). A visit to a physician for a possible anoscopy (a small scope to make sure it is nothing worse than a hemorrhoid) should be considered.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
Member Comments (1)
by kevinmd, Aug 03, 2003 12:00AM
To: Testicular Cancer
0
