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As a rule, prostatitis in men leads to pain in the lower abdomen, in the perineum and scrotum. If you cure acute inflammation of the prostate gland or achieve a period of remission in case of chronic prostatitis - pain, problems with urination and potency will either disappear altogether or become less pronounced. However, in some cases, discomfort appears for other reasons and signals danger.
Therefore, it is necessary to be able to distinguish between pain in prostatitis and other diseases. Only a doctor can find a reliable cause and make a diagnosis after a thorough examination, history taking and obtaining the results of clinical studies. It is highly undesirable to independently diagnose and treat yourself - this can cause complications.
As a rule, prostatitis pain has its own characteristics and is difficult to confuse with another pathology. It is mild, aching in nature, localized in the perineum, genital organs (including the right and left testicles), lower abdomen and lower back. The main differences in pain with inflammation of the prostate gland in men:
Tenderness is usually symmetrical, that is, it appears in both the left and right testicles. In this case, no deformation of the scrotum is observed. In acute prostatitis, the temperature may rise and very severe and sharp pain may appear in the pelvic area and testicles.
Important! A characteristic sign of prostatitis is that not only the scrotum or penis hurts. Unpleasant sensations spread to other places - in the back, hips, abdomen, in the rectum. Often there is pain during or after the act of defecation.
Sometimes pain occurs in men with chlamydia, mycoplasmosis, gonorrhea, or other diseases that are predominantly sexually transmitted. The characteristic symptoms of STDs are discharge with an unusual color and an unpleasant odor, but they do not always appear.
Often, these diseases cause the same symptoms as inflammation of the prostate gland: frequent urge and cramps during urination, sexual dysfunction. Sometimes the testicles and scrotum hurt. Because of the similar clinical picture, men sometimes confuse these diseases with prostatitis. If left untreated, prostatitis, orchitis, cystitis, urethritis, or other complications may develop.
Fact! Men under 40 are most likely to develop acute prostatitis. Often its pathogens are trichomonas or chlamydia. Therefore, this group of men should be tested for STIs at the first symptoms of prostatitis.
In addition to inflammation of the prostate gland, the testicles can hurt for many other reasons. Especially dangerous is the appearance of pain in any one testicle - right or left. Most often this indicates such diseases:
Hydrocele (dropsy) - accumulation of fluid, leading to deformation of the scrotum. It increases in size, can interfere with walking and engaging in habitual activities. In this situation, pain is mild or absent. Dropsy appears in the right or left testis, but both are more often affected. Testicular torsion leads to compression of blood vessels and nerves. Tissue ischemia develops rapidly, and in the absence of timely medical intervention, a zone of necrosis (dead cells) may form. In this condition, there is a strong sharp pain, which is localized specifically in the left or right testicle. An oblique inguinal hernia often descends into the scrotum, causing its deformation. This is a dangerous pathology that requires surgical intervention. Due to a hernia, a tumor-like formation may appear in the right or left testis in men. Varicocele - expansion of the veins extending from the scrotum. Severe soreness, enlargement and blueness usually occurs in the left testicle. Pathology also requires surgical treatment, so it is impossible to delay a visit to the hospital in any case. Orchitis or epididymitis - inflammation of the testicle or its epididymis. They develop independently or as a result of infection from neighboring organs. The pathological process with the same frequency develops both in the right and in the left testis.An asymmetric lesion is also possible with injuries, impaired innervation or blood supply to the genital organs. Men over 60 years of age may develop a benign neoplasm or a malignant tumor - cancer.
Advice! Situations when the pathological process is localized in one of the testicles (in the right or left) are especially dangerous. In this case, you need to go to the hospital as soon as possible - it is quite possible that the man will need emergency care.
If a slight soreness in the groin often indicates chronic prostatitis and does not cause strong concerns, then in some situations, pain in the right or left testicle requires urgent admission to the hospital. The following symptoms are especially dangerous:
Naturally, you need to go to the hospital in any case, even if discomfort and pain in the testicles occur periodically and do not affect the usual way of life. If alarming symptoms appear, you should immediately consult a doctor!
Of course, many men have a natural desire to take painkillers. However, they will eliminate the pain only for a short time. When the effect of the drug is over, unpleasant symptoms will again make themselves felt. To prevent this from happening, it is necessary to diagnose and treat the underlying disease.
If the soreness in the scrotum appeared due to inflammation in the prostate gland, the doctor, after the necessary examinations, will prescribe the most appropriate drugs. For a bacterial infection in men, antibiotics are prescribed. If the disease is caused by an STI, several different drugs are usually prescribed.
Symptomatic treatment is also indicated - analgesics, alpha-blockers, herbal remedies. Microclysters, water procedures, prostate massage help well. However, some of these methods are categorically contraindicated in acute inflammation. Therefore, you can start treatment only after consulting a doctor
There will always be pain in the inflammatory process in the prostate gland, this is the most common symptom, during examination it occurs in 97% of cases. A man on his own at home can understand that there is a problem in the pelvic region that needs to be treated. In addition to the extensive symptoms characteristic of prostatitis, there is pain - it significantly disrupts the quality of life, sleep, interferes with work and brings great discomfort.
Before relieving a symptom in acute or chronic prostatitis, it is important to understand why this happens. Prostatitis is characterized by pains that have diffuse localization, when discomfort is felt both in the side and in the anus, it can be in the right testicle or in both testicles at the same time, the lower abdomen or lower back also hurts.
What are the most common pains in inflammation of the prostate gland:
With acute prostatitis, men often feel sharp, stabbing pains, short-term and sudden. Pain in chronic prostatitis is permanent, they are aching, exhausting, aggravated by sexual intercourse or physical activity, sometimes radiating to the testicle (one or both).
Before prescribing analgesic suppositories for prostatitis or other forms of medicines, a specialist based on anamnesis will establish the type of disease. This can be done based on typical symptoms, as well as the nature of the pain:
Specific pain in prostatitis often occurs in men with a chronic form of the disease during its exacerbation. Periodically recurring symptoms, each time "twisting" more and more, finally force the stubborn patient to visit the clinic, where the doctor diagnoses an advanced form of prostatitis.
Pain in the testicle during palpation can be a symptom of various diseases, including prostatitis.
Minor pains in the prostate gland or in the testicles, as a rule, are stopped by the man on his own, the first strongest painkillers that come to hand are used, which "clog" the characteristic symptoms for a short time. Sometimes the sufferer trusts his health to drugs invented by monks, scientists from the Middle Kingdom and others like them.Whether this can help and which of them will eliminate pain in men in the right side, in the anus, testicles, or if pelvic pain syndrome is present, is a moot point.
Why do pains of various localization appear, sometimes in organs very distant from the prostate gland? Experts explain this fact by the fact that all pains in prostatitis are radiating in nature, it is not the organs themselves that are located in the right side that hurt, but the nerve endings that stretch to them from the inflamed prostate gland. The prostate itself cannot hurt, it is an organ devoid of nerve endings, although nerves stretch through it, heading to the organs of the genitourinary system.
Also, pain in prostatitis is explained by the presence of an inflammatory process, when the inner layer of cells exfoliates, mixes with leukocytes, this substance forms plugs in the ducts. In turn, they squeeze the blood vessels, and there is a noticeable discomfort.
When a man starts to hurt in his right side, anus, giving to the lower abdomen, localized in the right testicle (or both testicles) or there is a pelvic pain syndrome, he suffers with only one thought - which pills are effective and will help relieve pain at once. Painkillers have a quick effect, but their constant use is not justified - by "clogging" the symptom, men exacerbate the inflammatory process in the prostate gland, and each subsequent exacerbation will be stronger than the previous one.
What hurts in men with inflammation in the prostate gland, consider the most typical complaints.
The pains are sharp, can be short-term, but the general discomfort can be aching and long-lasting. Confusing the symptoms, men swallow pills for sciatica, which significantly affects the timing of treatment. The sign indicates that the inflammation has left the prostate gland and moved to the nerve endings in the region of the sacral and lumbar vertebrae. The manifestation of the disease indicates chronic prostatitis or prostate adenoma.
Back pain often speaks not of osteochondrosis at all, but of prostatitis.
When discomfort affects the lower abdomen or is localized in the testicle (s), the doctor can make an unambiguous diagnosis - an inflammatory process in the prostate gland. Swelling of the prostate and blockage of the ducts provoke sharp pain outbreaks that illuminate the lower abdomen and smoothly flow into aching pain in the testicles.
The danger of localizing pain in this particular place is obvious - a symptom may indicate problems with the liver and kidneys. Possible appendicitis, violation of the outflow of urine, overflow of the bladder and its inflammation. In the lower abdomen in the right side, pulling pain indicates an acute form of inflammation in the prostate gland. In any case, you don’t need to try to relieve discomfort on your own and drink pills all in a row; in a hospital, an acute attack will be competently removed with the help of injections, suppositories or powders.
Pain in the anus (sometimes radiating to the testicles) gives a man a lot of problems not only with movement and simply being on the "fifth point", but also during the act of defecation. The pain can be aching, shooting, burning - it is removed more often with the help of anesthetic suppositories.
The head is anatomically located at the other end of the man's body, and it seems that they have nothing in common, but the network of nerve endings sequentially passes from one organ to another, and pain during inflammation of the prostate can "hit" in the head. Headache due to an inflammatory process in the prostate gland is a classic symptom, painkillers and a period of rest are effective in it.
As painkillers for prostatitis, drugs that relieve discomfort are used, but it is better to use antispasmodic drugs rather than analgesics. No-shpa, Papaverine, Platifilin are perfect.
What drugs will be most effective - in each case, the doctor decides, it is not recommended to swallow painkillers on your own, this is not a complete treatment, but only relieves a symptom that torments a man. Painkillers help relieve discomfort if there is a pelvic pain syndrome, pain is felt in the right hypochondrium or in the lower abdomen.
Indomethacin relieves inflammation and anesthetizes. For prostatitis, it is used in the form of suppositories.
Most men repeat the classic mistake of swallowing painkillers and not going to the doctor. As a result, the disease turns from an acute form into a chronic one, periodically tormented by exacerbations that constantly require a portion of new painkillers.
Oral administration is effective, but sometimes relieves pain for a short time, the use of microclysters or rectal suppositories is more preferable for prostatitis. In the chronic form, painkillers based on ibuprofen are recommended.
Table 1. List of drugs that are effective against pain with inflammation in the prostate gland.
Inflammation of the prostate gland is accompanied by unpleasant symptoms: it happens that with prostatitis, the testicle or the entire scrotum hurts. If you are faced with a similar phenomenon, then do not hesitate to visit a doctor, but try to figure out the situation yourself.
When an organ becomes inflamed, its ducts become clogged with mucus and pus, which prevents the secretion from being removed, and the substance that the gland produces begins to put pressure on the walls. The prostate itself, located in the pelvic area, cannot hurt: it is devoid of nerve endings. But the organ is connected with the genitourinary system, so radiating pain is often transmitted to the testicles.
Complaints may occur unexpectedly, but some factors provoke an attack or exacerbate existing symptoms:
Discomfort in the genitals does not mean that you are dealing with symptoms that manifest themselves in prostatitis: similar complaints are also characteristic of STDs, injuries, orchitis.
To determine the disease, it is necessary to take into account the manifestations in the complex, because in case of violations in the work of the prostate gland, the pain also covers the following areas:
The intensity varies depending on the form, and for acute, discomfort in the lower back is also characteristic. True, it will not be possible to diagnose and carry out treatment on this basis alone, so the doctor will prescribe additional tests.
The occurrence of soreness in the testicles is considered a common occurrence in chronic prostatitis. It is also accompanied by cystitis, since the focus of inflammation in the gland becomes a reservoir for bacteria that affect the genitourinary tract. Patients have the following complaints:
Unpleasant sensations in the testicles are often constant, but not sharp, so a person delays a visit to the doctor. During a rectal examination, he also has pain in the head of the penis and lower abdomen, although in some cases there is no increase in manifestations.
When prostatitis aggravates, the pain becomes pronounced. It covers:
In acute prostatitis, the disturbing symptoms in the testicles become unbearable, and high fever, weakness, and difficulty urinating are added to them.
Pain in the testicles worries patients with congestive prostatitis. Among the factors causing this phenomenon are:
At first, a person complains only of discomfort in the groin area, but soon notices that his lower abdomen and anus hurt. Later, symptoms appear in the testicles and even the urethra, there is a burning sensation during a trip to the toilet, potency is weakened.
If you have pain in the scrotum, pay attention to whether it is accompanied by hemorrhoids or varicose veins on the legs. These phenomena together indicate difficulties in the blood supply to the small pelvis, but contacting a specialist will allow you to make a diagnosis and start the necessary treatment on time.
Complaints about discomfort in the testicles are not uncommon, because they occur with various problems. How to distinguish the signs that are disturbing with prostatitis from the manifestations of other diseases?
A consultation with a doctor is necessary for all of the listed diseases, because they lead to impotence and infertility. In order for the doctor to prescribe an effective treatment, do not delay the visit.
When contacting a specialist, the approach should be comprehensive:
But even complex treatment will be effective only with timely treatment. To save yourself from an unpleasant prospect, do not ignore the disturbing sensations in the scrotum - this will allow you to do without prostate surgery.
When your testicles hurt, you can temporarily solve the problem with the help of oral medications:
The remedy is also contraindicated in case of depression of hematopoiesis, malfunctions of the kidneys or liver, asthma, and a reduction in the lifespan of red blood cells. In other cases, you can resort to an effective method and relieve pain.
Painkillers provide temporary relief, and the treatment will be effective only in the case of an integrated approach. Soreness in the scrotum is a signal of a malfunction of the prostate gland, so measures should include both relief of the symptom and elimination of the main problem.
The restless sensations in the testicles that occur with prostatitis will go away after adequately taken measures. But so that the disease does not bother in the future, review the diet:
The focus should be on products that are easy to digest and do not irritate the prostate gland. With the normal functioning of the organ, the pain will go away, and you will return to a full-fledged lifestyle.