Dull pain in left testicle connected to left lower abdomen

Dull pain in the left testicle connected to the left lower abdomen may be related to factors such as varicocele, epididymitis, testicular torsion, urinary system stones, or inguinal hernia. It is recommended to seek medical treatment promptly for a clear diagnosis to avoid delays in treatment.

1. Varicocele

Varicocele is an abnormal dilation of the venous plexus within the scrotum, which is more common on the left side. Symptoms worsen after standing for a long time or after exertion, and may be accompanied by a feeling of bloating in the scrotum. Mild cases can be relieved by scrotal support, while moderate to severe cases require laparoscopic high spermatic vein ligation. Commonly used drugs include Maizhiling tablets, diosmin tablets and other intravenous active drugs.

2. Epididymitis

Epididymal inflammation caused by bacterial infection often manifests as testicular swelling and pain radiating to the groin, which may be accompanied by fever. Antibiotic treatment is required, such as levofloxacin tablets and cefixime dispersible tablets, and bed rest should be performed in the acute stage. Epididymectomy may be required in patients with chronic recurrent disease.

3. Testicular torsion

Sudden severe testicular pain accompanied by nausea and vomiting requires vigilance for testicular torsion, which is a urological emergency. It can be reduced manually within 6 hours of onset, and orchiopexy is required if it exceeds 6 hours. Delay in treatment may result in testicular necrosis requiring removal.

4. Urinary system stones

Lower ureteral stones can cause radiating pain to the testicular area, often accompanied by hematuria. Stones below 5 mm can be treated with stone-clearing granules combined with drinking water and exercise. Larger stones require extracorporeal shock wave lithotripsy or ureteroscopic lithotomy.

5. Inguinal hernia

Compression of the spermatic cord by the contents of the hernia may cause referred pain. The mass is obvious when standing but disappears when lying down. Infants and young children can try hernia band compression, while adults need tension-free hernia repair. Emergency surgery is required when incarceration occurs.

If persistent pain occurs, strenuous exercise should be avoided and loose underwear should be worn to reduce local compression. Record the time and triggers of pain onset, and provide a detailed medical history when seeking medical treatment. It is forbidden to take painkillers by yourself to mask symptoms. Ultrasound of the urinary system is a routine examination method. Pay attention to supplementing vitamin C in your diet to enhance immunity, and limit the intake of spicy and irritating foods.