stomach and groin pain

I have to apologize for the length of this message.  I have to give the history before I can ask the question.  I am a 47 male. On February 26, 2007 I had surgery on my right testicle called an Epididymectomy.  I had a very painful  infection that was not going away with antibiotics.  The urologist recommended surgery and I agreed.  The surgery went well and took care of the pain/infection. On Monday April 2, 2007 while sitting at my desk I got a strong pain in my right abdominen next to my appendix scar.  When I stood up, the pain went away.  This pain seemed to go away later that day and did not think about it again until the next day when I sat down the pain came back.  But this time when I stood up it did not go away.  So since April 3, 2007 I have had a chronic and sometime severe pain in my right abdominen and right groin sometimes right testicle.  I have had a CAT scan, ultrasounds, gall bladder test, Colonoscopy and Endiscopy.  All test came back normal.  The pain in my abdominen, groin and scrotom is still there.  I need your help.  The pain in always there, it is worse when I sit and goes away when I lay down on my left side. Pain is on the right side.  The pains gets worse after a bowel movement.  The pain will also go away when I am running or lifting weights and will return 30 mins after I am done working out.  None of the Doctors I have gone to know what it is they know what it isn't.  The CAT scan should no hernias and thge surgeon did not feel one either. I can not think that the Epididdymectomy has something to do with this.  

[Kevin Pho, MD]

I agree with the workup thus far, and the comprehensive testing that has been done would have ruled out many of the major medical disorders leading to the symptoms.  

Scar tissue from prior surgery can be considered and discussed with your surgeon.

The upper and lower endoscopies would rule out many of the major bowel conditions that would lead to the symptoms.

An MRI of the affected area can be considered, as this would provide more detail than the studies you have had.  

If the workup continues to be non-revealing, a referral to a pain clinic can be considered to help manage the discomfort.

These options can be discussed with your personal physician.

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.

Kevin, M.D.
www.kevinmd.com