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What causes chronic scrotal and pelvic pain in men?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

For two years, I have been having pelvic pain, scrotal pain (scrotal veins) and the penis has become visibly smaller. There is erectile dysfunction, loose skin above the penis and between the scrotum and anus, diarrhea, mood swings, muscle spasm, joint issues, GERD, hormonal changes (level of free testosterone is that of a man aged 70, while I am 33), headaches and ringing in the ears.

What is the reason here for scrotal pain, pelvic tissues deformation, enlarged veins and gastric issues? Do I have rectal cancer?

Kindly help.
Answered by Dr. Chitrangada Jitendra

Hi,

Welcome to icliniq.com.

All your symptoms fit into changes concerned with the liver parenchymal disease with associated varices and enzyme deficiencies rather than rectal cancer. However, on observing your MRI (attachment removed to protect patient identity), I could deduce-

  1. There is no rectal or bowel wall thickening in the visualized bowel.
  2. No lymph nodes to deduce any metastatic disease.
  3. Right tunica vaginalis hydrocele with right varicocele is present.

I would request you to get your liver function tests, enzymes panel done, and a routine abdominal ultrasound to evaluate liver echotexture. The preventive measure that you can take is to prohibit alcohol and other alcoholic beverages.

I hope this information helps you.

Feel free to reach out in case of further queries.

Thank you.

Patient's Query

Hello doctor,

Just one more question about a hydrocele in the scrotum. I understand it needs urological treatment, is that right? Can you determine whether there is an inguinal hernia on the right side based on the MRI to provide my urologist with more background information?

Please help.

Answered by Dr. Chitrangada Jitendra

Hi,

Welcome back to icliniq.com.

There was no hernia on either side in both the MRI (magnetic resonance imaging) that you had uploaded.

I hope this information helps you.

Thank you.

Answered byDr. Chitrangada Jitendra

Medically reviewed byiCliniq medical review team

Published At February 26, 2018
Reviewed AtFebruary 17, 2026

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Chitrangada Jitendra
Dr. Chitrangada Jitendra

Radiology

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