instruction: hello doctor I am not feeling comfortable with my scrotum I feel it is squeezed and not free some time ago I had pain I am feeling this for two years also I visited a urologist who saw this and went through the sonography and urine test but he said I cannot find anything what might be the cause
output: hi this looks like chronic prostatitis long standing inflammation of the prostate it can be confirmed by a rectal exam sometimes enlarged prostate on sonography and in some cases positive urine or semen cultures in some cases diagnosis is clinical as all tests are negative treatment includes long term antibiotics anti inflammatory and medicines to soothe irritated nerves I would suggest a semen culture a post prostatic massage urine culture and sonography of prostate start tablet moxiflox moxifloxacin 400 my once daily for 10 days enzoflam paracetamol diclofenac and serratiopeptidase twice daily for seven days pantocid pantoprazole 40 my once daily for seven days and tryptomer amitriptyline 10 my once daily for 10 days moxiflox may cause joint pain or tendinitis tryptomer may cause sedation let me know the above reports and also how it goes