Medical Questions > Mens Health > Testicles Forum

Diagnosing and treating chronic epididymitis

User Profile
I was diagnosed with Epididymitis back in August 2009. I was prescribed various antibiotics in the first few months and had a general ultrasound scan on both testicles. (This showed acceptable levels of fluid behind both)

My GP says I now have Chronic Epididymitis for which I am now taking anti inflammatories for.

My symptoms are real tender / sore pain behind my left testicle. This is really painful if I do not sit on a cushion. Within the last few months this has spread to my lower abdomen, and especially the middle of my tummy directly below my rib cage. My main question is whether this is normal??????

I am slightly concerned the pain is not getting better and has now spread.

Any further advice would be much appriciated.

Did you find this post helpful?

User Profile
replied February 15th, 2010
Testicles Answer A10052

Given the symptoms you provided (tender/sore pain behind left testicle, pain that spreads to lower abdomen) you may have experienced chronic epididymitis.

The epididymis is a curved structure located on the posterior edge of the testicle. Its primary function is storage and maturation of the spermatozoids. Epididymitis is an inflammation of the epididymis. It is usually caused by bacterial infection that is spread from the rest of the genital tract. The swelling of the tissue causes the pain in the scrotum that you described.

The nerves responsible for conducting the painful sensation are responsible for conducting the sensation from the pelvis as well. Thus, the brain might misinterpret that the pain radiates in the lower abdomen. But, this pain is not supposed to spread higher than the waist.

If you feel pain that is higher than your waist, you might want to visit a family doctor for a routine physical examination and laboratory tests. You might be referred to a specialist for digestive disorders for examination of the intestines and an ultrasound scan of the abdominal organs. The treatment would depend on the underlying cause.

If nothing is detected, then the pain is likely caused by the chronic epididymitis. A sperm culture might determine the exact bacteria that causes the inflammation as well as the most effective antibiotic.

Did you find this post helpful?
Must Read
Mumps is still common in many parts of the world. But what is the mumps? And what parts of the body can it affect? Basic facts on mumps here....
Although children are most at risk of getting the mumps, other groups are also at risk. Learn more about the mumps virus and risk factors for mumps here....
Swollen salivary glands are the first sign that you might have the mumps. But what other symptoms can you identify? And when should you seek medical help?...
DISCLAIMER: "Ask a Doctor" questions are answered by certified physicians and other medical professionals. For more information about experts participating in the "Ask a Doctor" Network, please visit our medical experts page. You may also visit our Testicles , for moderated patient to patient support and information.

The information provided on eHealth Forum is designed to improve, not replace, the relationship between a patient and his/her own physician. Personal consultation(s) with a qualified medical professional is the proper means for diagnosing any medical condition.