Hi Doctor,I m a 55 year old male in general good health,about a month ago I noticed one of my testicles was quite enlarged,it wasn t painful just uncomfortable,a close friends wife is an E.R Dr and I consulted with her about it,she pointed out that it was filled with fluid and wasn t the actual testicle that was enlarged,she suggested I went to see my primary if it didn t go down within a day or two,it did go down so I didn t follow up with my Dr,in the last week or so it s returned,it seems to be nearer normal size when I wake up and larger during the day when I m working and moving around,any thoughts on possible causes and what the treatment may be.thank you for reading this and this great website.Jerry
Hi, Thanks for posting in Chat Doctor. I understand your concern. Painful and swollen testis is as a result of infection of testis and epididymis called epididymo-orchitis. Kindly get a scrotal scan done and consult Surgeon for clinical evaluation and appropriate management. You would need a course of appropriate antibiotics along with analgesic medications. Kindly abstain from sexual activities during this period. Also, you need to give proper scrotal support till the symptoms subside completely. Hope the information provided would be helpful. All the best and wish you good health.  DE. Shakira. S., MBBS., MD.