What causes testicular pain while treating diabetes, CVD and Alzheimer s disease?
Patient: My father, age 80, has type 2 diabetes (treated with Novolog and Lantus), plus cardio vascular disease (Lipitor and he had open heart surgery app. 14 years ago), neuropathy in legs (Neurontin), Alzheimer s (Aracept), and dizzy spells, has just come to live with us. He takes a very long time to urinate (10 to 15 minutes), and now says he has worsening pain in his right testicle, which is spreading up into his back. Doctor: Hello,   He is a duabetic so there's is a possibility of neuropathic pain that radiation to back from testicles. Other possibilities like infections like orchitis or epididimitis due to mums or other bacterial Infections in diabetic. It is a immunosupressed condition.  Torsion or hydrocele or hernia may present like this. Until examination is done at the local site it is difficult to say what it is.  Please consult your physician/surgeon he will examine the area and do ultrasound scrotum if any queries then treate you accordingly.  Hope I have answered your query. Let me know if I can assist you further.   Take care   Regards,  Dr. Penchila Prasad Kandikattu , Internal Medicine Specialist