Answer:

First of all, thank you for whatever it is you do it in the Navy. I am always honored to provide care in any way I can to those in the military.

Chances are, from what you describe, you have a mild case of epididymitis, which is a mild inflammation of the epididymis. This is where the sperm mature and are held until ejaculation. If there is any swelling or inflammation, such as seen with injury or a type of a chemical burn with urine backwashing into the delicate tubules during heavy lifting and straining, then men can experience fairly significant testicular pain. There are a number of conservative treatments that may help. Because of your pain, it might be a good idea to ask for a testicular ultrasound.

Assuming that you have not had a vasectomy, you should always be sure to have an empty bladder when doing any heavy lifting or straining. You should also avoid straining with a bowel movement, as you would have with significant constipation. It's probably also a good idea to empty your bladder before sex. When you do get a flare-up, I suggest wearing very tight underwear or an athletic supporter outside of your underwear, 24/7 for 10 to 14 days. During this time you should avoid strenuous activity.

Most men also find significant improvement when they take anti-inflammatory medications, such as ibuprofen, 600 to 800 mg, three times a day. You should talk to your doctors about this, as this can cause irritated stomach lining or even stomach ulcers. It's best taken with food, and should not be taken if you have a history of stomach problems. If you have any questions, always ask your doctors. Most men take the anti-inflammatory medications for approximately two weeks. You don't want to stop these as the pain goes away because the inflammation is still there. If you stop it too soon, the pain will usually come back.

Hopefully this will help. Let me know if you have any continued problems.