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Pain in testicles

I have currently had pain in my testicles for over a month.  I also have started havin pain when I urinate at the head of my penis.  I have had blood work and ct scans done.  I have no white blood cells so there is no infections, but I do have red blood cells.  I also have blood and protein in my urine which can only be seen through a microscope.  The doctor said my right kidney is a little bigger then my left and there is no kidney stones.  I am currently in Cuba so medical help isnt to great.  Please help me.  My testicles are in constant pain and have been for over a month.
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I went back to the doctor this morning and the exact location of the main pain source in my testicle wa located.  He believes I may have an epididymitis.  He said it may not also show up on an STD test.  He believes treatment for it would to be to take antibiotics for for 30 days since it may be chronic.  The dr also told me it may be a cysc. There is an internal medicine dr coming in tomorrow and he wants to see what he says first.  I will show him what you have posted.  I really appreciate the help!  
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351246 tn?1379682132
MEDICAL PROFESSIONAL
Hi
Thanks for the post!
“Common causes of testicle pain include:
1. Injury
2. Infection or inflammation
3. Testicular torsion -- most common in young men between 10 and 20 years old
4. Possible infections include:
• Epididymitis -- inflammation of the ducts through which sperm leaves the testicle. This is often caused by bacteria like chlamydia, a sexually transmitted disease.
• Orchitis -- inflammation of one or both testicles, which may be caused by bacteria or a virus like mumps. Orchitis can occur at the same time as epididymitis or prostatitis (inflammation of the prostate gland).
5. Fluid in the testicles often causes painless swelling, but may cause mild discomfort.  There are several main types of fluid collection:
• Varicocele -- enlarged veins in the scrotum that carry blood away from the testicles.
• Spermatocele -- fluid in the epididymis that forms a cyst and often contains dead sperm cells.
• Hydrocele -- fluid in the area inside the scrotum, surrounding the testicle; common in newborns.
6. Pain may also be caused by a hernia or an unrelieved erection.”

In your case it looks like a combination of orchitis, epididymitis and prostatitis (inflammation of the prostate gland). Also cancer of the upper urinary tract like kidney and bladder should be explored, so also glomerulonephritis. You must get your blood pressure and blood sugar checked. Kidney function tests should be done. Ideally, you should consult a good urologist, may be get a referral in your case to nearest proper medical centre. You could however discuss these possibilities with your current doctor. Ideally you should get your semen tested for infection and get an IVP (intravenous pyelogram) done.

Hope this helps. Please let me know if there is any thing else and do keep me posted. Take care!
Refer: http://www.nlm.nih.gov/medlineplus/ency/article/003160.htm

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