Men health

What Causes Swollen Testicles-Abdominal Pain? Symptoms & Treatment

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Swollen or enlarged testicle, like pain in your testicle, groin area and other parts of your body, can arise from an array of causes. 

Though some might be less serious, most of these causes constitute a medical emergency.

Testicular pain syndrome

Swelling can be felt when there is localized enlargement of the right or left testicle or an enlargement of the scrotum.

Discovering that one or both of your testicles are enlarged causing your scrotum to swelling can be a cause for concern for most men both young and old.

While this is often serious, most of the underlying conditions can effectively be treated once diagnosed.

This article offers an insight into:

  • What causes enlarged testicle and swollen scrotum
  • Common symptoms of enlarged testicles
  • One side and bilateral swelling
  • Pictures of a swollen scrotum and enlarged testicle
  • How to prevent the swelling
  • Effective natural remedies you can use to soothe the symptoms at home and
  • How to treat swollen testicle

Check out: 

Causes of an enlarged testicle

As mentioned, swelling of the scrotum or enlargement of the testicle can result from a number of conditions.

Depending on what the underlying cause of the swelling is, it may be one-sided or bilateral and may or may not be accompanied by pain.

Some possible causes of the enlarged testicle may include the following:

1. Testicular torsion

This condition is considered a medical emergency. It is a condition in which the testicle twists inside the scrotum, causing an interruption in the blood supply to the testicle.

Without proper treatment, the interruption of the blood supply can lead to tissue death of the affected testicle.

In most males, testicular torsion can occur due to an injury or as a result of congenitally loose attachment of the testicles to the scrotum. To restore blood flow and prevent testicular injury, emergency surgery is often recommended.

Though this condition can occur at any age, it is most common between the ages of 12- 18 years. it is also common in men with anomaly affecting the normal attachment of the testicles to the wall of the scrotum.

2. Orchitis

Orchitis is the inflammation of the testicle of epididymis as a result of an underlying condition. Orchitis is common in males between the ages of 14 and 35.

This infection is often caused by the same bacteria responsible for STIs such as chlamydia and gonorrhea.

With this condition, you are more likely to have a rapid onset of pain in one or both of your testicle that may spread to the groin. Other common symptoms according to WebMD will include the following:

  • Both or one of your testicle appear tender, red and swollen
  • A heavy feeling in the swollen testicle
  • Presence of blood in semen
  • Pain when urinating
  • Pain during intercourse
  • High fever, nausea, and vomiting

Over the counter, nonsteroidal anti-inflammatory drugs such as ibuprofen may help relieve the pain at home. Other ways to ease the pain may include elevating the scrotum and applying an Ice pack of a cold compress.

3. Infection

Infection that develops in the testis or in the epididymis can also be the underlying cause of the enlarged testicles.

According to a study published in the “British Journal of Urology International” infection with the mump virus can cause orchitis. This can lead to infertility when occurring in adult males.

4. Epididymitis

This is the inflammation of the epididymis. It often occurs as a result of an infection. Epididymitis is the most common cause of testicular pain in men older than 18 years.

In sexually active men, gonorrhea and chlamydia are the common cause of the inflammation.

When the cause is not an STI, the other possible cause might be an abnormality in the genitourinary system, enlargement of the prostate gland in older men is a common cause.

5. Testicular cancer

testicular cancer

testicular cancer

This type of cancer originates from one or both testicles. Though rare compared to other types of cancer, testicular cancer is the most common form of cancer in American males between 15 and 35 according to mayo clinic.

The condition is highly treatable even after cancer has spread beyond the testicle, deepening on the type and stage of cancer, doctors will often prescribe one or a combination of treatment options.

When the cause of the enlargement is testicular cancer, you may also notice the following symptoms:

  • Enlargement of either testicle
  • A dull ache in the abdomen
  • A feeling of heaviness in the scrotum
  • Fluid retention in your scrotum
  • Mild to severe pain in the testicle and scrotum
  • Back pain

According to Mayo Clinic, there is no way to effectively prevent testicular cancer.

Though as mentioned, this type of cancer is rare, factors that may increase your chances of developing cancer may include:

  • Abnormal testicle development
  • An undescended testicle, a condition known as cryptorchidism
  • Having a family history of testicular cancer
  • Age

6. Varicocele

Varicocele is the enlargement of the veins in the scrotum. With this condition, your scrotum may appear swollen and painful.

Medical expert says a varicocele for when the valves inside the veins in the cord prevent blood from flowing properly. The resulting backup is what causes the veins to dilate or widen.

In men, varicocele is a common cause of low sperm production and decreased sperm quality. This is a common cause of infertility. The good news is that most varicoceles can easily be diagnosed and often requires no treatment.

Varicocele can be very uncomfortable, causing pain that occurs with long periods of standing or sitting. Lying down can help relieve this type of pain.

7. Hydrocele

Hydrocele according to Mayo Clinic is a type of swelling in the stratum that occurs when fluid collects in the thin sheath surrounding a testicle.

Common in newborns, it often disappears without treatment by age 1. In older men, hydrocele will often develop due to an injury or inflammation within the scrotum.

Unless accompanied by scrotal swelling, a hydrocele is often painless and considered harmless, no treatment is therefore required.

Often times, the painless swelling of one or both testicles is the only indication of a hydrocele. Other times, affected people will experience discomfort from the heaviness of a swollen scrotum.

Pain will generally increase with the size of the inflammation.

8. Mumps

Pain and swelling of the testicle is a common complication in men who get mumps after puberty. In most of the cases, the swelling is sudden and affects one testicle either the right or left testicle, not both.

According to NHS, the swelling of the testicle in affected boys and men will often begin 4 to 8 days after the swelling of the parotid gland.

The pain can be eased with over the counter pain relievers but if it persists, you may need to see your GP.

9. Spermatocele

Also known as a spermatic cyst or epididymal cyst, this is a painless, benign (noncancerous) fluid-filled sac in the scrotum often above the testicle.

10. Other causes of a swollen scrotum

Other possible of a swollen scrotum or enlarged testicle may include: an Inguinal hernia and Hematocele

Swollen testicle and pain in lower abdomen

With swollen testicle, one is also likely to experience pain in the lower abdomen.

The pain can be attributed to shared nerves that carry pain sensation from the lower abdomen and your scrotum. For this reason, pain originating for either location can be felt in both areas.

Abnormalities affecting structures in either location can also be the underlying cause of the pain. If not treated properly, some of this abnormalities may lead to permanent testicular damage.

For accurate diagnosis and treatment of what might be causing swollen testicle and pain in lower abdomen, it is important to see your doctor as soon as possible.

Some common causes of swollen testicle and pain in lower abdomen may include:

  • Testicular trauma can be anything that causes pain through physical contact a good example is a blow to the scrotum
  • Testicular torsion describes the twisting of the spermatic cord within the scrotum
  • A groin hernia describes the protrusion of abdominal contents through a weak area in the groin region of the abdominal wall
  • Epididymitis is the inflammation of the epididymis. Bacterial infections are common causes of inflammation
  • Orchitis which is an infection of the testicle With this condition, the pain progresses over days along with scrotal tenderness and swelling

Small hard lump on testicle

Small hard lump on testicle is what is commonly known as a testicular lump.  A testicular lump is an abnormal mass that forms in your testicles.

According to Mayo Clinic, this is a fairly common condition that can have many different causes.

Small hard lump on testicle can occur in man at any age. The lumps may be located on one or both testicles. Generally, the lump is often a sign of a problem with your testicles.

Note that, not all hard lumps on testicles indicate the presence of testicular cancer. Most lumps are benign and require no treatment.

A lump caused by testicular cancer is likely to produce the following symptoms:

  • A dull ache around the abdomen
  • Heaviness in your scrotum
  • Tenderness and swelling
  • Pain
  • A sudden retention of fluids in your scrotum

Types and causes of testicular lumps

As mentioned, there are multiple causes of testicular lumps. This ranges from injuries, birth defects to infections. Common types, however, include the following:

  • Testicular cancer: a hard lump on testicle may indicate the growth of testicular cancer. This should only be confirmed by a doctor
  • A hernia: occurs when a part of your bowel pokes through your groin
  • Varicocele: is the most common type of testicular lump. It is caused by enlarged veins in your testicles and is more noticeable after puberty
  • Hydrocele: results from a buildup of fluid in the testicle common in premature babies
  • Epididymal cyst: occurs when the epididymis becomes filled with fluid that can’t drain. It is known as a spermatocele if it contains sperm
  • Testicular torsion: occurs when your testicles become twisted as a result of an injury
  • Epididymitis: the inflammation of the epididymis due to a bacterial infection

Scrotal swelling symptoms

Pain is often the common and the most noticeable symptom of scrotal swelling. Though there are other symptoms, often time they may vary from person to person depending on what the underlying cause of the enlargement is.

Other common symptoms of scrotal swelling may include the following:

  • Lumps or bumps in the testicle
  • Mild to severe pain in the scrotum
  • Swollen scrotum and enlarged testicles
  • Sudden and severe pain in one or both of your testicles
  • Nausea and vomiting
  • Lower abdominal pain
  • Tenderness and redness of the testicles and scrotum
  • Painful urination
  • Pain with sexual intercourse
  • Blood in urine

Swollen left testicle with pain

Orchitis is likely to be the cause of the swollen left testicle that is causing you pain. As already mentioned, orchitis is the inflammation of one, either the right or left testicle or both testicles.

Mumps and chlamydia are the common cause of this inflammation. The other possible cause of swollen right or left testicle with pain is testicular cancer.

Though testicular cancer is a rare form of cancer, it is the most common type of cancer in American males between 15 and 35 years.

Though the actual cause of testicular cancer is unknown, doctors believe that it occurs when healthy cells in the testicle become altered. Research shows that nearly all testicular cancers begin in the germ cells – the cells in the testicles that produce immature sperm.

Mumps a contagious viral disease that often results in painful swelling of the parotid gland might also be the cause of the painful swelling of the left testicle.

With mumps, swelling or enlargement of the testicle often begin 4 to 8 days after the swelling of the parotid glands.

Swollen right testicle no pain

Swelling or enlargement of the testicle can occur in either the right or the left or both your testicles. The accompanying symptoms might be used to diagnose the most likely cause of the swelling.

Swollen right testicle with no pain is likely to be a sign of hydrocele. This is a type of swelling in the scrotum that occurs when fluid collects in the thin sheath that surrounds the right and left testicles.

Though common in newborns, it can also occur in adult boys and older men. As mentioned, a hydrocele can develop as a result of an injury or an inflammation within the scrotum.

It is typically not dangerous and does not alter fertility. In rare cases, hydrocele might be associated with an underlying testicular condition that might cause a serious complication.

Swollen testicle and pain in lower abdomen

An enlarged or swollen testicle is a common symptom of injury, inflammation or infection. Some of the common causes of the swelling may result from:

  • Swelling of the soft tissues
  • A lump or cyst within the testicle or
  • An injury or testicular trauma
  • A groin hernia
  • Testicular torsion
  • Orchitis which is an infection of the testis and
  • Epididymitis an inflammation of the epididymis, the track that transport sperm

Depending on what the underlying cause of the swelling is, one is likely to experience other symptoms such as pain in lower abdomen.

As a result of shared nerves carry pain sensation from the lower abdomen and scrotum, pain originating in either the scrotum or the lower abdomen can be felt in both the areas.

Generally, the pain felt can be due to abnormalities affecting structures in either location.

Many conditions that cause swollen testicle and pain in the lower abdomen can lead to permanent testicular damage if not properly and quickly treated.

For this reason, we recommend you seek proper medical diagnosis and treatment once you notice enlarge testicle and pain in your lower abdomen.

How to treat enlarged testicle

Treatment options for an enlarged testicle will often vary depending on what the underlying cause of the swelling is. Therefore, in order to successfully treat swollen testicle, it is important you known what the actual underlying cause is.

how to treat enlarged testicle

A physical examination may be required to identify the actual cause before your doctor can prescribe the right medication or treatment option.

Most cases of the enlarged testicle can, however, be treated with antibiotics. This can often be done at home with a minimum of 10 days.

When the swelling is accompanied by pain, over-the-counter pain medication and prescription medication for severe pain can be used.

For cases such as testicular cancer, American Cancer Society recommends the following treatment options which depend on the type and stage of cancer and other factors:

  • Surgery
  • Radiation therapy
  • Chemotherapy and
  • Stem cell transplant

Home remedies for testicular pain

Apart from treating the underlying cause of enlarged testicle, there are some effective home remedies you can use to soothe and relieve pain, irritation, inflammation among other symptoms that accompany the swelling.

Here are some of the most effective natural ways to relieve testicular pain:

a) A warm bath

With a painfully swollen testicle, taking a warm bath can be soothing as it increases blood circulation, this can be an easy way to relieve testicular pain.

Also, applying a gentle warm compress on your swollen scrotum can help relieve the inflammation. If you don’t have a bathtub, you can try a sitz bath.

sitz bath

b) Rest

Taking a rest and avoiding strenuous activities is the other easiest way to relieve testicular pain especially if the underlying cause of the swelling is testicular torsion. All you have to do is:

  • Lie down on your back
  • And just relax
  • Do that for at least 30 minutes

c) Ice pack

Unlike a warm compress that increases blood flow to the affected area, applying an ice pack or a cold compress works by relieving the swelling which then stops the pain.

To avoid numbing your scrotal skin, ensure that you do not place the ice directly on your skin for so long.

d) Elevate your scrotum

To relieve the pain, you may need to support your scrotum when in a sleeping position. Also, do this when walking to reduce the friction between your thighs and testicles to get relief from the pain.

e) Over-the-counter pain relievers

In most of the cases, over the counter pain relievers can help ease the pain and reduce the discomfort that might be causing your lack of sleep. For severe pain, your health care provider might prescribe a stronger pain reliever.

How to enlarge testicle

Testicle enlargement exercise

Testicular exercises are very important for a healthy and well-functioning penis especially for those undergoing testicular enlargement.

Testicle treat is one of the testicle exercises that will help maintain the health of your testicles and also increase the amount of your sperm.

Testicle Treats

What you will need for this exercise:

  • A hand towel
  • A bowl of warm water
  • Lubricant

How to do the exercise:

  • Immerse the hand towel in warm water
  • Squeeze to get rid of excess water
  • Place the damp towel on your testicles and hold it there for 5 minutes when the testicles become more flexible and the skin softer
  • Gently remove the towel and lubricate your scrotum
  • Now perform the following pull movements: straight down, to the left, to the right, and back between your legs, all this is to give your testicles more room
  • The exercise is to be completed within 2 minutes once every day
  • To complete the technique, apply gentle pressure to your testicles for at most 5 minutes

Testicle enlargement surgery cost

Generally, due to congenital malformation or pathological shrinkage, testicles can remain in or sometimes assume a size that is too small and disproportionate in relation to an existing penis size.

This problem can be solved by testicular enlargement procedure. What is the cost of a testicle enlargement surgery?

The truth is that the cost of a testicular enlargement surgery will often vary from one hospital to the other.

There is no fixed cost, to get the best deal, we recommend you shop around to compare the prices and different packages offered.

The testicular implant procedure is often performed on an outpatient basis often taking less than an hour.

Read More:

  1. What causes swelling of scrotum?
  2. Inflammation of the testicle (orchitis)
  3. Causes of testicular pain, discomfort and swelling:
  4. Treating testicular cancer:
  5. Testicular enlargement surgery:
  6. Testicular exercises:


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