Why is the left testicle sore?

Acidity in the left testicle may be caused by varicocele, orchitis, epididymitis, urinary system infection, scrotal trauma, etc. It can be relieved by drug treatment, physical therapy, surgical treatment, etc. It is recommended to seek medical treatment promptly to determine the cause.

1. Varicocele

Varicocele may be related to venous valve insufficiency, prolonged standing and sitting, and other factors. It usually presents with symptoms such as scrotal swelling and testicular pain. Mild patients can use diosmin tablets, Maizhiling tablets and other drugs to improve venous return as directed by the doctor. Severe patients need to consider laparoscopic high spermatic vein ligation. Avoid standing for long periods of time and wear loose underwear to help reduce symptoms.

2. Orchitis

Orchitis is mostly caused by bacterial or viral infection and is often accompanied by symptoms such as testicular swelling and fever. Bacterial orchitis requires the use of antibiotics such as ceftriaxone sodium for injection and levofloxacin tablets. Viral orchitis can be treated with proprietary Chinese medicines such as Pudilan Anti-inflammatory Oral Liquid. In the acute stage, you should rest in bed and use a scrotal support to elevate the scrotum, and apply ice to relieve pain.

3. Epididymitis

Epididymitis is usually caused by the spread of a urinary tract infection and presents with symptoms such as epididymal induration and painful ejaculation. You can take tamsulosin hydrochloride sustained-release capsules as directed by your doctor to relieve urinary discomfort, and use hot compresses to promote the absorption of inflammation. Patients with chronic epididymitis can try microwave physiotherapy. If an abscess forms, epididymal incision and drainage are required.

4. Urinary system infection

Prostatitis or urethritis may radiate to the testicular area, causing soreness and urinary frequency and urgency. Medications such as Qianlieshutong capsules and Sanjin tablets can be used, and at the same time, drinking water of more than 2000 ml per day is required. Avoid alcohol and spicy food, and empty your bladder regularly to reduce urine reflux.

5. Scrotal trauma

Sports impacts or riding injuries may cause testicular tissue contusion, causing persistent soreness and pain. Cold compresses should be used to stop bleeding within 48 hours after injury, and hot compresses should be used later to promote hematoma absorption. If severe pain occurs or the scrotal hematoma increases, ultrasound is required to rule out testicular rupture and prompt surgical repair is required.

Daily attention should be paid to keeping the perineum clean and dry, and avoid long-term riding or sitting for long periods of time. Choose breathable cotton underwear and wash your scrotum with warm water every day. Eat more citrus fruits rich in vitamin C and limit caffeine intake. If symptoms last for more than 3 days or are accompanied by fever, hematuria, etc., you must immediately go to the urology department for a complete scrotal ultrasound examination. It is recommended to wear special protective gear during exercise to prevent testicular impact and avoid lifting heavy objects to increase abdominal pressure.