Discussions By Condition: I cannot get a diagnosis.

Have been mis-diagnosed many times to no avail

Posted In: I cannot get a diagnosis. 2 Replies
  • Posted By: Anonymous
  • October 1, 2008
  • 07:55 PM

Hello, everyone I am a 23 year old healthy male. For the past 4-6 months i have been having constant intense pain on my left inguinal as well as sometimes having pain in my left testicle. I was first diagnosed with a Ulcer which i went through the meds and the diet and it changed nothing. So then they said it must be a hernia and told me to relax and not carry anything and put me on some pain meds. That proved to be wrong also. So i was sent to see an urologist and he said that it must be a vericocele. They did all of the tests for it and had me get a ultrasound of my groin. I went back last week and he said all of the tests came back normal and he does not know what to do now. So he put me on a different antibiotic and told me to come back in a month. I tried to explain to him that the pain keeps me up at night and i have found nothing to releave the pain. He said to drink lots of fluids and to try to ejaculate as much as i can. i explained to him it hurts to have intercourse and when i do ejaculate it is painfull but he said to keep doing it. Im no doctor or anything but there has to be some type of test or something they can do to figure out what the cause is. I have also 1 month ago started taking antidepressents so with that i can not take any high dose painkillers. The only pain killer i can take is regular tylenol. Someone anyone if you have any tips advice anything let me know. Thank you

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2 Replies:

  • Just want to mention that if this would be varicocele, laying down should at least partly relieve the pain. And yes, sex would probably increase the pain, since blood is then directed to the area, which causes congestion. Also, usually it is difficult to discover deficient valves higher up (at the level just below the kidneys), you need phlebography to exemine that part. I hope you'll get help finding out what is wrong. Don't give up.
    Felsen 510 Replies
    • October 1, 2008
    • 10:44 PM
    • 0
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  • Okay, well you can stop masturbating and drinking fluids for the purpose of therapeutic gain and frankly, whatever physician gave such a directive needs to be examined. My questions at this point would be whether you have a positive lymph node at the left inguinal region and whether on examination, there is any change in the shape of the left testicle, particularly more round and spherical than oblong. Did they perform a CT scan of the testicle as well? This is certainly not an ulcer and far to low into the bowel region for it to be ulcer disease, which also does not typically refer pain to the lower left inguinal region. While a variocele is capable of causing this type of discomfort, it is readily palpable under such circumstances and I doubt it's the cause of your pain. A condition that is actually quite common is nephrolithiasis (kidney stone), with a calculus stone lodged about mid-ureter can cause the type of pain you are experiencing and might be difficult to assess by mere ultrasound. Best regards, J Cottle, MD
    JCottleMD 580 Replies
    • October 1, 2008
    • 11:30 PM
    • 0
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