Conversation: The conversation between human and AI assistant.
[|Human|] My 13 year old son was at home just about 45 mins ago and was fine he ate a quick bite and then he and his father left to go to his basketball game. On the way approximately twenty mins of riding his testicals started swelling and he is in a lot of pain my husband is route to an ER in the town of the game. I m super worried what caused this?
[|AI|]  Hello, Thank you for posting your question at Chat Doctor Sudden swelling and pain in testis can be due to these reasons1. Epididymo-orchitis - caused by bacterial/viral infection of a tube at back of testis2. Testicular torsion - Caused by twisting of testis3. Trauma - Unlikely in your son due to lack of history of traumaEpididymo-orchitis and testicular torsion is distinguished by physical examination Further investigations like urine microscopy and culture, urethral swab culture and Doppler scan to assess blood flow to testis may be warranted depending on the clinical assessment. Epididymo-orchitis treated with antibacterials, NSAIDs , cold pack, testicular elevation and bed rest. Testicular torsion require immediate surgery to restore blood flow to testis Hope I answered your questionLekshmi