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Severe pain in scrotal area

i do not yet know what it is. Hello, I have had piles and anal fissure problems since close to a 6 years now (since discovery). I had problems thrice in this time.
A week back, I had severe pain in a point between the base of my scrotum and anus where the left leg seems to join the torso. I have taken this up with all the docs known to me but not been able to find any respite.
The pain is so severe that I'm only able to lie down, that too in one position (straight on my back, face up with a fluffy pillow under my upper-thighs). Occassionally, I can lift my thighs slightly by bending my knees. I cannot walk for more than a few metres, stand for a few moments or even sit at all.
An allopathic doc friend (an orthopaedition), over phone, said he's quite sure its not a fissure or piles related direct problem but possibly an internal boil near some nerve. The pain aggravates many times during muscle contractions while peeing or passing stool. Though there is no direct pain in the anus or any bleeding whatsoever, passing stool in the morning is a fearsome experience.
He also mentioned that this could be prostate related; though usually it happens in late 40s. I'm 36 now.
One more thing. every evening, since last5 days or so i get severe ache all across, pin-pricking pains around the scrotum and shivering that lasts more than 1/2 hr.

The pain, when it comes, radiates throughout my left butt, thigh, penis and scrotum.
Please help
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360568 tn?1209595560
When I had terrible testicular pain-- it was an iguinal hernia...surgery made the pain go away-- It developed shortly after I had the thirst of 3 TURP or transurethral operations in only 4 months in 2006.
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Avatar universal
Hi,

Even men who are deemed high-risk, are usually advised regarding prostate cancer screening at age 45, so the issue of prostate cancer doesn’t sound likely. The pain associated with prostate cancer would largely be in cases with advanced metastatic disease. The odds that you have early prostate cancer is remote. So the odds that you have advanced disease would be even more remote.
Perhaps the way to go is to have an evaluation for the pain first. Should there be suspicion that some bone areas are demonstrated to be involved, then another discussion on the possibility of having prostate cancer would need to be discussed.
Stay positive.
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Avatar universal
Thanks very much Dr.Heinrik,
Pl pardon for my assuming you are a doc if you're not; - assumed from the MD in you name and the focused language.
Yes, you could be right about the nerve problem as I have had prolapsed discs - L5,L6 - (diagnosed around eight years back); I usually had dull aches in the left leg apart from the very occasional severe back aches that almost nullify my movements.  recent MRI scan shows disintegration.
After 60 days of medication, i'd just started level 1 therapeutic exercises under the supervision of a very senior physiotherapist. The medicines I referred to earlier are: meganeuron capsules (methylcobalamin-750mcg, folic acid i.p. - 1.5 mg, Alpha Lipoic Acid - 100 mg), Ocid20 capsules (omeprazole ip 20 mg) and dolonex (piroxicam ip 20 mg).
But this pain seems different. I've had an identical incident a couple of years back. they'd diagnosed it as internal fissure.
however, going through info on the net, prostate related problems seem to have very similar symptoms. But, Is it possible that i could contract such problems at this age (36).
Could it be an infection of the urinary tract. If so what could be done. I'm taking painkillers to control the pain
I'm also open to trying homeopathic remedies if better.
please advise.
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Avatar universal
Hi,
If the pain is really severe and is persistent, it may be important to consider a nerve root problem (the nerves are injured close where they exit the spine). The pain from the piles and fissures are due to external conditions and hence the pain is pretty much confined to the area involved, though occasionally, you may feel throbbing pain around its anatomic neighbors. If you are having problems with erection, more so would you need to consider the nerve root injury.  The fact that lying down seems to be best, raises the possibility that the nerves get compressed by gravity, pulling on the weight of your upper body. It would be best to have yourself examined again and consider taking some imaging tests on the lower back and pelvis. Nerves are difficult to salvage if the injury gets severe that you start having problems walking.  
Are you on medication? What seems to work?
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