I've noticed a lump under my testicles for the past few days. It's not really painful, but if I play or masturbate, I start feeling a dull ache in my testicles. When I touch it, the lump doesn't feel very hard, more like a worm-like structure. Also, sometimes my scrotum feels heavy and looks like it's hanging lower on one side. What could this be?

Dr Mubarak Parveez B

General Practitioner

• MBBS
• 2+ Yrs

Consult Now

Tongue Ulcer and Concerns about Oral Cancer

Symptoms:

1. Ulcer on the right side of the lower tongue
2. Minimal pain, unless touched
3. No improvement with Zytee gel application for 3 days

Concerns about oral cancer:

1. Unlikely to be oral cancer: Most oral cancers are painful, grow rapidly, and are associated with other symptoms like difficulty swallowing, numbness, or bleeding.
2. More likely a traumatic or infectious ulcer: Given the location and your history of broken teeth and dental issues, the ulcer might be caused by trauma (e.g., biting your tongue) or infection.

Recommended steps:

1. Consult a dentist or oral surgeon: Schedule an appointment to evaluate the ulcer and your dental issues.
2. Biopsy (if necessary): If the dentist suspects something unusual, they might recommend a biopsy to rule out oral cancer.
3. Treatment for the ulcer: Your dentist might prescribe antibiotics or antifungal medications, depending on the cause of the ulcer.
4. Address dental issues: Get your broken teeth and dental issues treated to prevent further complications.

Oral cancer screening:

1. Regular dental check-ups: Visit your dentist regularly for oral cancer screenings, especially if you have a history of tobacco use, heavy drinking, or a family history of oral cancer.

Answered 04/07/2025