Conversation: The conversation between human and AI assistant.
[|Human|] Hi Dr Prasad. An old sciatic issue has risen its head recently which causes a mild pain/irritation in my right testicle. I ve also got a tightness in my right buttock. Think it s recurred because I do a lot of sitting (due to a sedentary job) and think I may have been sitting awkwardly (slightly twisted to my left). I have some old exercises that I m doing from the physio from last time. But wondering if there s anything else I can be doing...
[|AI|]  Hi, Dear,Thanks for your query to Chat Doctor. Dear I read facts of your query and reviewed it in context to your query health issues. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is-Could be from PID at T11 / L1 levels, wherefrom the testes and groin gets the supply. Get it checked from your Family Physician. If need have Second opinion from Orthopedic Surgeon and investigate if need be. But in the absence of other information, I would suggest you to go for Orthopedic Consults. As the facts could be different from what you submitted. So looking into the sensitive complaint of yours, I would suggest you to rule out PID/New Inguinal hernia in progress/ or Varicocele- possibility by Consulting and investigating with Surgeon and Urologist doctor. It would be prudent to have physical Check from Consulting Physician before planning further investigations and treatment for it. Other causes need to be ruled out in any case. Dos -suggested for your case-Check with Family Physician and thereafter with Orthopedic Surgeon if you need beget CT spine and nerve Conduction to understand and fix the cause of it.Don't miss to have checks for neck and arm by EMG and Nerve Conduction tests if needed, to rule out any causes related to Spine Compression. Tab-Motrin-400 mg x 3 times a day x 5-10days Muscle Relaxants locally Erosion fort-1 x 3 times a day x 5-10 days, to relieve nerve compresssionHot fomentation locally. Just don't worry and be patient and co-operate with your doctors, till you verify with your attending doctors. Need to Check with family Physician and Orthopedic-specialist if need be, if things don't recover.-Other causes need to be verified with your family GP doctor and Orthopedic-Specialist doctors, as the facts may be different what you submitted.-For this Second opinion from PCP-or GP doctor and if need be with Orthopedic specialist-is needed who would do proper investigation after proper physical assessment to resolve your health issues.-for early recovery-please follow above dos which would resolve your complex health issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard. Good Day!!  Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS