Pain in right testies

Professional Assessment: Primary differential diagnoses for testicular pain in a 22-year-old male include epididymitis, testicular torsion, orchitis, trauma, varicocele, and less commonly testicular tumors - with testicular torsion requiring immediate emergency evaluation due to its time-sensitive nature. The pathophysiological mechanisms typically involve inflammatory processes (in epididymitis/orchitis), vascular compromise (in torsion), or mechanical stress/injury, with young adult males being particularly susceptible to these conditions due to their anatomical and hormonal characteristics. Given the patient's age demographic, key risk factors include high-risk sexual activity (for epididymitis), recent trauma/sports activities, and anatomical predisposition to torsion, which is most common in males under 25 years. Immediate diagnostic workup should include urinalysis, scrotal ultrasound with Doppler flow studies, STI screening, and physical examination including Prehn's sign and cremasteric reflex testing to differentiate between urgent surgical conditions versus medical management scenarios.

For testicular pain relief, apply a cold compress for 15-20 minutes every 2-3 hours and wear supportive underwear or athletic supporter to minimize movement and reduce discomfort. Take over-the-counter pain relievers like ibuprofen (400-600mg every 6 hours) to help manage both pain and potential inflammation. If pain persists for more than 24 hours or is accompanied by severe swelling, immediate medical attention is required as it could indicate a more serious condition requiring urgent intervention. For additional treatment recommendations, ask in the chat.