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Warning-sign checks

Testicle lump: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Go to an emergency department now if you have:

    • Sudden, severe testicle pain or swelling
    • Testicle pain with nausea, vomiting, or abdominal pain
    • A testicle that suddenly sits higher or at an unusual angle
    • A painful groin or scrotal bulge that becomes hard or cannot be pushed back
    • Severe pain or rapidly increasing swelling after an injury

    These symptoms may require treatment within hours.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Do not wait to see whether they improve.

    Seek same-day medical advice if swelling or pain is accompanied by fever, red or hot skin, pain when urinating, or discharge from the penis.

    Infection may need prompt treatment.

  3. 3

    Does any of this apply?

    Book an appointment

    Book an appointment soon for any new lump, enlargement, change in firmness, or persistent ache, even if it is painless.

    A painless lump is not usually an emergency, but it should not be left until a routine check months later.

    And for anyone, someone who:

    • has noticed a lump, a mole that has changed, or unexplained weight loss

Every sign above is quoted from the sofidex article on Testicle lump. If you are not sure, err upward — it is always reasonable to be checked.