Part Two of the Material Because many medical conditions can cause pain in the testicles, symptoms and signs vary. At the same time, the same symptom appears in different diseases, which determines the difficulty in making a diagnosis and even the risk of receiving timely medical help in dangerous cases. Regardless, the recommendations of the specialists are that in the presence of pain in the testicles, the affected person should immediately consult an experienced specialist. Torsion of the testicles When the testicles are twisted, a sudden, severe pain is experienced, usually localized in one testicle. The condition is accompanied by some of the following signs: nausea and vomiting, soreness, discomfort, severe sensitivity in the groin, swelling and redness of part or all of the scrotum, pain in the lower abdomen, presence of high temperature, mobility of the affected testicle in the scrotum, horizontal position of the affected testicle in the scrotum, lack of reflex in the affected part of the scrotum – in a normal state, the testicle moves up a short distance during muscle tension. Epididymitis The pain in epididymitis appears gradually. Its strength is moderate to strong, usually localized in one of the testicles. The condition is accompanied by some of the following signs: nausea and vomiting, discomfort in the testicle or scrotum, usually localized in the area of ​​the epididymis, as the disease progresses, the pain spreads, swelling and redness of the scrotum, abdominal pain, unpleasant sensations when urinating, burning, frequent urges to urinate with a feeling of impossibility of retention. Torsion of the vas deferens Pain can appear suddenly or gradually, be moderately tolerable to severe. Most patients do not describe symptoms that indicate the condition, such as nausea, vomiting and high fever. Differentiating signs: absence of swelling and redness of the scrotum, tenderness is usually experienced in the upper part of the testicle, in 20% of cases there is a small blue dot near the tip of the affected testicle, the normal vertical position of the affected testicle is maintained in scrotum, as well as the normal reflexes in this part of the body. Trauma In most cases, men consult a doctor in time for trauma in the groin area. In some cases, the injury to the area is minor. In serious cases, the following signs are observed: discomfort in the testicle or scrotum, swelling, bruising of the scrotum or perineum, the area between the scrotum and the anus, nausea and vomiting. Inguinal hernia An inguinal hernia sometimes leads to discomfort in the scrotum or testicles. Observed: swelling in the scrotum or groin, which is more noticeable when coughing or sneezing, the presence of dull pain or burning in the scrotum. Orchitis Since orchitis occurs with infection, the typical signs of this process are also observed. The pain ranges from tolerable to severe. The following symptoms are also experienced: discomfort in the testicles and scrotum, swelling and redness, high temperature and fever, headache,body aches, nausea, fatigue, mumps (mumps) disease and rash. Kidney stones It happens that kidney stones also cause pain in the testicles. The condition of the scrotum is normal – there is no swelling, redness and other disturbing external signs. There is pain and warmth in the lower back, there is pain in the abdomen, nausea and vomiting, the presence of blood in the urine, discomfort during urination, frequent urges. Tumor Tumors usually do not cause pain, but in very rare cases this is possible. Other signs and symptoms: lump or enlargement of the scrotum, change in the size of the testicle, dull pain in the lower abdomen, lower back or groin, heaviness in the scrotum.