Conversation: The conversation between human and AI assistant.
[|Human|] I have had lower abdominal pains for a few days after a CT and Urinalysis, I have no stones or apendicitis. During this time I have a swollen left testical and I feel that it could be the source of my groin pain. I also had blood in my urine a few nights ago and now my semen is brown. What could this be?
[|AI|]  Hi ! Good evening. I am Chat Doctor answering your query. From your history, it seems that you had a urinary tract infection with a possible spread of infection to your prostate gland and testis. The blood in the urine and the brown discoloration of the semen could have been due to these infections. If I were your doctor, I would advise you for a urine routine, microscopic, culture sensitivity test, a bacteriologic analysis of prostatic fluid or semen as the case may be, and then start a broad spectrum antibiotics with an option to change the antibiotic as per the culture/sensitivity report. Special test like a serum PSA would do no harm as a precaution. Apart from this I would also advise you for a good scrotal support with advice for rest for a few days till the testicular problem resolves. A Doppler ultrasound of both the testes, and a plain ultrasound of the abdomen could be a good supportive investigative procedures in the diagnosis. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor.