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I have been feeling alot of discomfort in the testical area lately.they have been very sensitive for years but more lately.There are no lumps but a little heavyness and not feeling to well at times.I sometimes think it could be a hernia of some type but arent sure.I am in the process of getting insuranse to go get it checked but am very concerned.

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Male , Age: 32

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Thanks for your question.

So there are no lumps, and both testicles are the same size? You mention "heavyness", is this pain or tenderness? If so, where exactly? Any problems urinating, ejaculating, etc.? Any other symptoms?

Let me know, and I'll get right back to you.

Dr. Fay

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Reply to Jonathan Fay, M.D.'s Post: yes there is alot of tenderness and some pain but no problem urinating or ejaculating.and no lumps.I have been feeling the tenderness and pain in the testicle area sometimes moving into my upper thigh or lower adomonal area.Having somewhat of an upset stomach lately also.Something like what I felt when I had a umbilcal hernia.So I am really hoping its just a hernia from some previous job that has just gooten worse or maybe torn tissue.

Thanks for the additional information.

I think there are a few potential things going on here, but I think also that you need to have this evaluated soon, if not immediately.

Testicular pain or "heaviness" like you describe can most certainly be a symptom of testicular cancer, and this is why you need to have this evaluated immediately. Sometimes a mass is palpable, but not always, so this really needs to be exluded first and foremost.

A hernia is a possibility, but if there is no mass present, and no other physical abnormality that you can feel, then this might be less likely. Hernias can involve the protrusion of intestine into the scrotum. Since you can't feel anything, however, this might be lower down the list of possibilities.

Other causes of scrotal pain/discomfort include abnormal blood vessels in the area, and even abnormal collections of urine. Infections of the epididymis (the small structure adjacent to the testicle) and testicle can also be involved.

But first, and foremost, tesicular cancer has to be ruled out as a potential cause. So you should get into see someone as soon as is possible. Don't wait.

I hope this helps. Please let me know if you have any further questions - I'm more than happy to help.

Take care - Dr. Fay

Edited by jcfay on October 13 2006 at 11:29 AM

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