instruction: hello doctor I have a painful medium size ball that I think is attached to my left testicle it hurts too much to check but it will not move away from my testicle so I assume it is attached I am not on any medications
output: hi medium sized painful ball attached to your tests can be inflammatory and painful I understand the situation and hope to work up towards the right diagnosis and treatment the different masses can be inflammation of epididymis which is above the tests or spermatocele which is a cyst containing sperms and it can be painful if infected abscess also can be near the tests and can cause pain hematoma blood collection beside tests results from trauma or injury other thing like torsion of tests means twist of tests and blockage of its blood supply is considered an emergency and needs an immediate operation ultrasound is diagnostic to confirm the mass and its type then we can decide about the treatment I prefer you to go to a clinic near you to check preferably if they have ultrasound there then can be diagnosed properly you can take painkillers like brufen tablets 400 my thrice daily with omeprazole 20 my at night to prevent gastric ulcer and in addition augmenting amoxicillin and clavulanic acid tablet 625 my thrice daily for a week ultrasound scrotum