Ronald B. Keys, JD, PhD
Free Initial Consultation Call: (954) 448-1515 E-mail: rkeysphd@brainlink.com |
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Free Initial Consultation - Call Now (954) 448-1515 Subject: Testicular/Scrotal Pain: 59 Year Old Male On the Radio Here; This gentleman, should be seen either in an emergency room or by a urologist as soon as possible; possible causes are many and varied. It might be simple. It might be complex. There is no substitute for history taking and a physical examination as soon as possible. Pain is a message to you that you need help, here. Don't ignore it. Go to a licensed physician ASAP or call 911 if it is severe. Testicular Pain Causes Testicular pain has many causes, some of which are emergencies that require immediate medical attention. Trauma: Trauma to the testicles often produces extreme pain. A direct blow to the scrotum, while very painful, causes only temporary pain. It may result in a bruise. Occasionally, trauma may cause a more significant injury that often requires emergency surgery. A hematocele - A collection of blood that surrounds the testicle Rupture of the testicle Testicular torsion (THIS IS AN EMERGENCY): This occurs when a testicle twists around inside your scrotum. When a testicle twists, the blood vessels contained within the spermatic cord also twist. If the blood vessels twist around enough times, they close off, blocking the flow of blood to or from the testicle. Because blood contains oxygen, and testicles need oxygen to stay alive, the twisting may result in the "death" of a testicle. Thus, testicular torsion requires emergency surgery to save the testicle. Torsion may occur at any age but is most common in the first few months of life for newborns and for boys between ages 12-18 years. Torsion often occurs in men who have an abnormal attachment of the epididymis to the wall of the scrotum. Many of these men also have the same abnormal attachment in both testicles. Epididymitis: An inflammation of the epididymis is usually due to an infection. It is the most common cause of testicular pain in men older than 18 years. In sexually active men, the most common cause of an infection of the epididymis is a sexually transmitted disease such as gonorrhea or chlamydia. Older and younger men may also get epididymitis, often because of an abnormality in the genitourinary system such as enlargement of the prostate. Torsion of a testicular appendage: This is a common cause of testicular pain in younger boys. Almost all cases occur between the ages of 3-14 years. A testicular appendage is a basically functionless structure that sits in a groove between the testicle and the epididymis. Like a testicle, this structure can lose blood flow due to twisting, leading to varying amounts of pain. Other, less common causes of testicular pain include the following: Hernia: Part of your intestine intrudes into the scrotum. This may cause pain if it threatens your blood supply. Orchitis: This condition can cause infection and inflammation of the testicle. This is sometimes found along with epididymitis, especially when epididymitis has gone untreated for days. Orchitis also may occur with a viral infection, particularly mumps. Testicular tumor: A tumor rarely causes pain but can cause swelling. Conduct regular self-examinations to locate lumps at an early, highly treatable stage. Infections or bleeding in the abdomen: This rarely causes testicular pain. Free Initial Consultation - Call Now (954) 448-1515 RONALD B. KEYS, JD, PhD CLINICAL & OPERATIONS DIRECTOR Ronald B. Keys, JD, PhD 4047 Peters Road Plantation, Florida, 33317-4537 USA 954-448-1515 primary email: rkeysphd@brainlink.com secondary email: rkeysphd@gmail.com secondary email: rkeysphd@yahoo.com by pre-arrangements for voice/text chat: Mostly, Dr. Keys works as a Consulting PhD Doctor, usually from a distance, with and through a proper local anchor physician to order blood work. Advanced treatment protocols may develop from the advanced blood chemistries he requests. If you have no local doctor, Dr. Keys finds one through an affiliate physician network. His work is global, oftetimes involving patients from other countries as well as all over the continental USA. There are many tests and treatments to help people; Oftentimes, anchor physicians are not familiar or comfortable with them. Dr. Keys teaches and helps to direct individual patients AND their physicians with laboratory-work for these treatment options. This is measured work and clinical biochemistry. Opinion evidence standards are not employed here since this is a measured and laboratory-based or empirical study of the patient. Numbers are sought from the results of these tests that, usually, "...jump up and grab you..." that dictate what is needed and how much. Patient-advocacy is frequently involved to get advanced and necessary clinical biochemistries ordered and to help interpret them in filed reports..Chat room capabilities in voice or text, besides email, may be employed. This may include conference calls online. In a perfect world, if your physician knew everything, people like Dr. Keys would not exist. Physicians themselves are caught frequently in the traps of their own standards of care that may be very limited in many cases. Methods used by Dr. Keys are rational, scientific and disciplined. IMPORTANT DISCLAIMER Ronald B. Keys, JD, PhD is not a Florida mental health counselor nor a physican. Dr. Keys is an actively licensed attorney in Michigan and New York. Dr. Keys was ordained by the Church of Spiritual Humanism under ordination registry number 174197, on 10/13/07. Additionally, he graduated from The Interfaith Seminary in Cooper, Texas after completion and testing for a Basic Minisitry Course For The Church Of Seven Planes, and was formally ordained as an interfaith minister by this church on 11/19/07 under ordination registry number 200706176. He served as an officiating Senior Reverend for the BLESSED ASSURANCE PRAYER MINISTRY INTERNATIONAL CHURCH and gave/published sermons, some of which may be forwarded, if deemed relevant. He has also organized and heads in Hollywood, Florida, the HOLLYWOOD TAOISM CENTER (HTC), which to date, has had 65 meetings and reports a membership of 100 people. This Center was created in October, 2007, for adults, family and children and is available for anyone to see on the internet. Besides this, in addition to all of this, he acts here, when hired, only as a consulting PhD. Any information offered on this site is intended for your uplifting spiritually, personal cultivation and development, prevention and education. While Dr Keys has served as a scientific director,including teaching and training physicians, for two separate private companies, dealing with laboratory administration, blood and urine testing, it is and remains the responsibility of your anchor doctor or chosen physician to diagnose and treat diseases through their medical licenses. By using this web site you agree that you will seek professional medical advice from your doctor before using any of the information presented on this web site. All tests are ordered through your physician, only, and not Dr. Keys. Most jurisdictions require that an attending physician is required by law to take patient and family history, conduct a physical examination of the patient and to order tests appropriate and necessary. As an online consultant, he cannot do these things required together, as a whole, as a practice of medicine. Any emergencies should only be handled in a hospital emergency room or by your physician. |