Seeking Guidance on Groin Discomfort and Anxiety Concerns
I’m a 31-year-old male weighing 100kg, currently taking Ecitalopram (an SSRI) at a dosage of 2.5mg every other day. Recently, I have been experiencing discomfort in my groin area, which extends towards my right scrotum and sometimes affects my legs. Notably, I have not engaged in any unprotected sexual activities, with my last encounter occurring on July 19th. On August 3rd, I went on a trip with friends, during which we visited a spa that included towel provision for baths, but there was no sexual contact. A couple of days later, upon returning home, I noticed unusual discoloration on the rear side of my penis. I consulted my general practitioner, who recommended the use of Flutibact cream. After applying the cream, I began to experience intermittent stinging sensations in my penis, which were alongside persistent pain in my scrotum and legs that felt weak. Additionally, I have been having sporadic fever episodes: hot flashes at night, followed by an overall feeling of improved health in the mornings. I scheduled an appointment with a urologist, who ordered an ultrasound and a routine urine test. The ultrasound revealed a kidney stone measuring 5.6mm that remains stationary, identical to its position in my test from March. The urine analysis returned normal results. When I inquired about the source of my pain, the urologist did not provide clarity. Seeking further advice, I consulted another urologist, who attributed the discomfort solely to my anxiety after hearing my history. I'm feeling uncertain about my next steps and would greatly appreciate any assistance or guidance on this matter. Thank you.
Answers (1)
8/14/2025, 7:31:25 AM
OpenHealth AI
It sounds like you're experiencing a combination of physical symptoms and anxiety that are quite distressing for you. Given your history of groin discomfort, the recent ultrasound findings of a kidney stone, and the intermittent fever, I want to help you navigate this situation with some clarity.
Main Points
- Groin Discomfort & Kidney Stone: The 5.6mm kidney stone may contribute to your groin pain and potentially cause referred pain to your legs.
- Anxiety Factors: Anxiety can amplify the perception of pain and discomfort, which may explain the urologist's perspective.
- Unusual Symptoms: Discoloration and stinging sensations could relate to irritation rather than an infection, especially with a recent change in topical treatments.
Explanation
The discomfort in your groin that extends to your scrotum and legs may indeed stem from multiple factors:
- Kidney Stone: Stones can cause pain in the lower abdomen, groin, and back, as they can irritate the urinary tract. Since your stone is stationary, it's less likely to be the direct cause of new pain but should still be monitored.
- Anxiety: Mental health can influence how your body reacts to physical sensations, and ongoing symptoms can create anxiety, leading to a cycle of discomfort and worry.
- Other Causes: The discoloration and stinging may result from irritation from the cream used or a mild skin reaction rather than a severe infection.
Next Steps
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Monitor Symptoms: Keep a detailed symptom diary. Note when the pain occurs, its intensity, any correlating activities or foods, and any psychological stressors. This may help in future consultations.
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Follow Up on Anxiety: Since anxiety was mentioned by your second urologist, consider integrating relaxation techniques such as mindfulness, meditation, or gentle exercise into your routine. They may help to manage anxiety levels.
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Hydration: Ensure you are well-hydrated, especially with a kidney stone. This may help prevent further complications and manage discomfort.
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Contemplate the Cream: If the stinging continues or worsens, stop using the Flutibact cream. The discoloration and irritation might require a gentle approach, like avoiding harsh skincare products in that area.
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Prepare for Future Consultations: Be prepared for your next urology appointment with specific questions about your symptoms or potential further tests. You might want to inquire whether a neurological cause (like nerve involvement) could be contributing to your discomfort.
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Emergency Signs: Watch for symptoms that require urgent medical attention, such as persistent high fever, severe pain, or changes in urination.
If you have any updates from your healthcare appointments or new symptoms, please feel free to share. It's essential to stay engaged with your care and seek clarity on any medical advice you receive.
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