Why my right ball is hurting from 3 days
Reading File
Finding Sources
Finding Sources
Searching the Web
right testicular pain 3 days causes diagnosis treatment
Reading File
Reading File
Here is a thorough answer based on urology and emergency medicine textbooks:
Right Testicular Pain for 3 Days - Possible Causes
Testicular (scrotal) pain lasting 3 days has several important causes, ranging from treatable infections to surgical emergencies. Here are the most likely ones:
1. Epididymitis (Most Common in Adults)
Pain + swelling in the back of the testicle, often gradual in onset.
- Caused by bacterial infection - usually sexually transmitted (Chlamydia, Gonorrhea) in sexually active men under 35, or urinary tract bacteria (E. coli) in older men
- Symptoms: pain, swelling starting at the bottom/back of the testis, sometimes fever, burning during urination
- 96% of cases are on one side only
- Treatment: Antibiotics (ceftriaxone + doxycycline if STI suspected; levofloxacin for enteric bacteria), scrotal support, anti-inflammatories (NSAIDs), rest
2. Testicular Torsion (EMERGENCY - Rule Out First)
Twisting of the testis cuts off its blood supply.
- Usually sudden, severe pain - but can be intermittent or subacute
- Most common at puberty and in young men
- Associated with nausea/vomiting, swelling, high-riding testis
- This is a surgical emergency. If not treated within 6 hours, the testis can die. After 24 hours, salvage rate drops dramatically.
- If you have severe pain, sudden onset, or the testicle looks higher or at an unusual angle - go to the ER immediately.
3. Torsion of Testicular Appendage
- Small tissue tag (appendix testis) twists, causing localized pain
- More common in boys/adolescents
- Usually self-limiting over 1-2 weeks
4. Orchitis (Testicular Inflammation)
- Can follow epididymitis (epididymo-orchitis) or occur from viral infections (mumps virus is a classic cause)
- Painful, swollen testis, sometimes with fever
5. Other Causes to Consider
| Cause | Clue |
|---|---|
| Varicocele | Dull ache, "bag of worms" feeling, worse when standing |
| Inguinal hernia | Groin bulge, pain radiating to testis |
| Kidney stone | Colicky flank/lower back pain radiating to groin |
| Testicular tumor | Painless or dull ache, firm lump in testis |
| Trauma | Recent injury |
What You Should Do NOW
3 days of unresolved testicular pain requires a doctor visit - do not wait.
Red flags requiring IMMEDIATE ER visit:
- Sudden severe worsening of pain
- Nausea or vomiting with the pain
- Testis appears swollen, hard, or at a higher/unusual position
- Skin of scrotum turning red or dark
What a doctor will do:
- Physical exam (feel for swelling, tenderness location, cremasteric reflex)
- Scrotal ultrasound with Doppler - checks blood flow (rules out torsion) and looks for infection/inflammation
- Urine test and STI screening
- Blood tests if infection suspected
Important disclaimer: This information is educational only. Testicular torsion is a time-sensitive emergency that can result in permanent loss of the testicle if not treated quickly. Please see a doctor or go to an emergency department today - 3 days of testicular pain must be evaluated in person.
(Sources: Campbell-Walsh-Wein Urology; Tintinalli's Emergency Medicine)
This is a shared conversation. Sign in to Orris to start your own chat.