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Urology (Expert Forum)
slight nagging intermitting pain in lower scrotum....
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
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.
slight nagging intermitting pain in lower scrotum....
by 577703628, Nov 28, 2006 12:00AM
I am a 54 year old male who have recent (in the past couple of months) has been engaging in a sexual relation with a much younger woman. Be that, I had been sexually inactive for serveral months. with the assistance of viagra I had been ejacutating quite strongly. Also, during oral sex she was so effective that I probably strain myself even more.
Anyway, this pain, never severe but nagging has been bugging me for about a 5 weeks. My last physical was about a year ago (everything from my psa to my hdl check out wonderful-though my tryglysirides where high--Ive been taking folic acid daily for that) and I have been taking pretty good care of myself. I have a daily regiment of taking sawpalmetto, milk thisle, as well as, varous other natural suppliments. Again this nagging but slight pain comes and goes. Did I strain myself that much? And what is the probability that this will eventually go away. I have not had sex in 2 weeks. I think I can best describe the frequency of this nagging sensation as on and off every couple of hours or so.
Finally, I also have been a scotch and soda drinker (about 4 drinks every evening) for quite some time. Due to a recent bout with a stomach virus that has been going around in my house I having drink since thanks giving night.
Please advise me,
Vincent
Ps. ALso, I pretty careful about what I eat--red meats, salty foods, polyunsaturates, etc. Again, the pain has never gotten severe, just nagging. Especially so since I having been drinking alcohol.
Anyway, this pain, never severe but nagging has been bugging me for about a 5 weeks. My last physical was about a year ago (everything from my psa to my hdl check out wonderful-though my tryglysirides where high--Ive been taking folic acid daily for that) and I have been taking pretty good care of myself. I have a daily regiment of taking sawpalmetto, milk thisle, as well as, varous other natural suppliments. Again this nagging but slight pain comes and goes. Did I strain myself that much? And what is the probability that this will eventually go away. I have not had sex in 2 weeks. I think I can best describe the frequency of this nagging sensation as on and off every couple of hours or so.
Finally, I also have been a scotch and soda drinker (about 4 drinks every evening) for quite some time. Due to a recent bout with a stomach virus that has been going around in my house I having drink since thanks giving night.
Please advise me,
Vincent
Ps. ALso, I pretty careful about what I eat--red meats, salty foods, polyunsaturates, etc. Again, the pain has never gotten severe, just nagging. Especially so since I having been drinking alcohol.
Doctor's Answer
by Kevin Pho, MD, Nov 28, 2006 12:00AM
, Nov 28, 2006 12:00AM
Imaging the scrotum should be done with an ultrasound to rule out a mass, cyst, or cancer.
Infections can also lead to this symptom - and can be evaluated with a urine test, urethral swab, rectal exam to evaluate the prostate, or a transrectal ultrasound.
If the tests continue to be negative, a musculoskeletal cause can be considered and treated appropriately.
A urology referral can be considered for further evaluation.
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.
kevinmd_
Infections can also lead to this symptom - and can be evaluated with a urine test, urethral swab, rectal exam to evaluate the prostate, or a transrectal ultrasound.
If the tests continue to be negative, a musculoskeletal cause can be considered and treated appropriately.
A urology referral can be considered for further evaluation.
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.
kevinmd_
