I'm really worried because my blood creatinine level is 5.91mgdl and I've been told that both my kidneys have shrunk in size. I've got normal blood pressure and sugar levels, and I don't have any major diseases, but I've been feeling a lot of bone pain. The doctor mentioned that my kidney function is down to about 50% and gave me some medication to try for a month before deciding if I'll need dialysis. I'm really frustrated with all of this and would love some advice on what I should do next or if there's anything else I can try.

Dr Ibrahim Salah

General Practitioner

• MBBS
• 2+ Yrs

Consult Now

Testicular Lump and Scrotal Symptoms

Symptoms:

1. Painless lump: A mass or lump under your testicles, usually painless.
2. Dull ache: Pain in the testicles during physical activity or masturbation.
3. Worm-like structure: The lump feels like a worm or a soft, movable mass.
4. Scrotal heaviness: Your scrotum becomes heavy and hangs loose on one side.

Possible causes:

1. Varicocele: A swelling of the veins in the scrotum, which can cause a worm-like structure.
2. Hydrocele: A fluid-filled sac in the scrotum, which can cause swelling and heaviness.
3. Spermatocele: A cyst that forms in the epididymis, which can cause a painless lump.
4. Epididymitis: Inflammation of the epididymis, which can cause pain, swelling, and heaviness.

Next steps:

1. Consult a urologist: Schedule an appointment with a urologist for a thorough examination and diagnosis.
2. Get a physical examination: A urologist will perform a physical examination to assess the lump and scrotal symptoms.
3. Imaging tests: Your doctor may recommend imaging tests, such as an ultrasound, to confirm the diagnosis.

Answered 04/07/2025