Dr. Nikola.... I really don't see how you could say that pains in the testicles would be completely unrelated to constipation, when the two symptoms can EASILY be related. Let me explain- since med school probably did not do a good enough job. I have experienced this "phenomena" as well (as have others.. search google)... The veins in the anus are very close to the veins in the testicles and scrotum, in fact some of the veins that are in your testes are also in the anus (same general area). When you are constipated for extended periods of time, these veins can become engorged or swolen (normally due to straining.. which the patient usually CANT HELP to a certain extent.. as it occurs naturally when the body tries to expel the fecal matter), causing hemorrhoids,fissures or even abscesses if the tissue in the anus is infected (wouldn't be too hard.. considering it holds FECES!). When this happens to these veins (which are close to and sometimes connected to your scrotum and testes), you can experience a wide variety of symptoms including anal bleeding (or blood in stool), pulsating or aching pains in the anus, and yes even pain in the lower testes towards your anus. For those of you that don't know, the rectum is an 6-8 inch "tube" that holds feces until it is ready to be expelled through the anus. Your anus is the exterior hole that the feces exits out of (your butthole). The sad thing is.. I have never been to med school.. I am not a doctor. I am 21 years old... I have been to about 8 doctors in the past year.. suffering with gallbladder disease and severe constipation..(and yes occasional pulsating testicle pains as well).. would u believe that ONE out of 8 doctors found out what was wrong with me?!?! People.. our healthcare system is a crying shame right now.. doctors don't care about people enough to know what the hell is going on anymore! My advice to you would be to forget about conventional medicine and health care.. unless u r in need of emergency assistance of course.. otherwise it is a scam in big pharmas pocket.. u can keep going to the docs if u want. and they will continue to prescribe u meds and send you home after GLANCING AT YOU! Meds that by the way will only HIDE the symptoms while the underlying problem gets worse! ESPECIALLY LAXATIVES... OKAY DON'T BELIEVE ME!! KEEP TAKING THE LAXATIVES EVERY DAY! I BET YOU'LL BE SORRY WHEN YOU ARE TRYING TO PASS A SOLID KIDNEY STONE THROUGH THE CRACK OF YOUR.... ouch! Look... read the label on the laxative, it says - "for OCCASIONAL relief of constipation", even the makers will tell you that it will mess you up if used regularly! Doctors know all of this is true about ALL conventional meds! Why do you think many of them appear to be so cranky and depressed.. they KNOW their career is a farce and that there is nothing they can really do to actually CURE people.. they can only provide temporary relief (unless they do a surgery on you and take something out.. which they will tell you themselves is "a last resort" because you are REMOVING A PIECE OF YOUR BODY). Do yourself a favor and look up the benefits of UN-PATENTABLE HERBS and vitamins that are free of side effects! Every cure in the world can be found in nature.. granted conventional medicine has its place in EMERGENCY situations.. but avoid it at all costs and take natural supplements to get your body where it needs to be.. for constipation.. get flax seed.. eat it with EVERY MEAL.. drink a TON of apple juice.. prune juice.. and acai berry juice if you can get good quality (acai is a super-food ridiculously rich in anti-oxidants).. drink a LOT of water.. squeeze lemon into hot water in the morning and at night.. eat lots of cayenne pepper and garlic (both have antimicrobial properties and are blood cleansers which will help with infection of the colon)...take an acidophilus supplement (its the good bacteria in your intestines.. chances are you lack it because of the TOXIC diet that we americans are spoon fed from birth)... acidophilus can also be found in yogurt, but make sure it is the kind with ACTIVE CULTURES! Also take cascara sagrada (latin for sacred bark) you can find this in the vitamins section at wal-mart.. STOP eating allll fatty foods ESPECIALLY fast food! Take a multivitamin with traces of zinc... do a colon cleanse.. take a digestive multi-enzyme.. do all of this and tell me how you feel in two weeks! Remember.. if you get nothing else I just told you to get.. drink ridiculous amounts of apple juice, prune juice, acai juice or water.. just keep drinking it until you are urinating every ten minutes. If you do this with apple juice you will have diarrhea within 8-12 hours and it will ALL come out. Hmmmm, I wonder why your doctor doesn;t tell you all of this. Some of them don't even tell me to say "Ahhh" anymore.. it's just sad.. to all the doctors out there.. wake up and remember that you are supposed to be helping people.. not joking with nurses and other docs in the lounge.. we can hear you all the way from the patient rooms, joking with the lady at the information desk while we are in pain... how many times have you been through that! ..... EXACTLY... it's just sad.. oh and how about "be sure to follow up with your primary care doc".. in other words " I don't know enough to help you, and if I do, I really don't care because you don't have the enough insurance coverage... tsk tsk tsk