Health & Nutrition - - POUND WISE - Dr. Rupin Shah, An­drol­o­gist, an­swers

I am a regular reader of your mag­a­zine Health & Nu­tri­tion. I com­mute in the lo­cal train daily from home to of­fice to home, one hour each way. Dur­ing this pe­riod if I get a place to sit, I keep my bag on my lap for safety. Now I am experiencing pain in my tes­tic­u­lar re­gion. Some­times it is in the left tes­ti­cle, some­times in the right or some­times both sides. It comes and goes and some­times it is there in the morn­ing when I wake up. If I pick up a bucket of wa­ter the area hurts. I am a di­a­betes and high blood pres­sure pa­tient for which I am on med­i­ca­tion. Could this pain be due to di­a­betes or due to keep­ing the bag on my lap? Please clar­ify and also pro­vide a so­lu­tion.

Pratap Ku­mar, Mumbai I t is hard to say what is the rea­son for your tes­tic­u­lar pain with­out ac­tu­ally ex­am­in­ing you. Some of the causes of pain in the tes­ti­cle area in­clude tes­ti­cle in­flam­ma­tion (epi­didymi­tis), hy­dro­cele (fluid buildup that leads to swelling of the scro­tum), in­guinal her­nia, tes­tic­u­lar tor­sion (twisted tes­ti­cle), uri­nary tract in­fec­tion, and di­a­betic neu­ropa­thy (nerve dam­age caused by di­a­betes). Some­times, what seems to be tes­ti­cle pain is caused by a prob­lem that starts some­where else – for e.g., kid­ney stones. For starters stop keep­ing your bag on your lap. See if that helps you. Con­sult a doc­tor if the pain con­tin­ues.

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