I need some help and guidance all, particularly surrounding nausea without vomiting. I can’t seem to find any information about nausea post vasectomy short of torsion. Any advice would be appreciated.
Here’s my story. I’m a young and healthy guy with no major medical concerns. I get a vasectomy in early April that went well, or so I thought. First and second days of recovery are spent with ice and legs elevated, avoiding all activity. After 2 days, doctor’s advice is no heavy lifting, but otherwise “take it easy.” I did that, or so I thought, but after day three of mild straining (I guess in retrospect), I started getting pretty severe pain on my left side primarily (I’m left handed if that matters) accompanied by nausea. I call my urologist who has me come in and I get a week of Ketorolac (beefy NSAID) and Doxycycline (antibiotic to kill any possible infection). Nausea gets unbearable, so I go back to the urologist later that week and he does and ultrasound, showing two healthy testicles (presumably ruling out torsion). Nausea improves a couple days after I finish the antibiotic and I thought I was in the clear since nausea is a side effect of the antibiotic. I’m under strict guidance to eliminate all physical activity. I have a desk job, so I commit to lifting no more than a gallon of milk and limiting activity drastically.
6 weeks post, I don’t feel much if any real change despite dropping all activity. Pain is still present in the left testicle or what feels like behind it and nausea some days is unbearable. Nausea does increase with testicle pain increases after playing catch with my son for 5 minutes and hangs around for 2-3 days. I lost 10 pounds in the first three weeks post vasectomy because I can’t tolerate eating. I’ve never had anything like this before. The urologist tells me nausea is unrelated to the vasectomy so he doesn’t want to hear about it at all. Really?!? OK, so I go to my PCP who takes my history and runs every lab she can think of that would find an alternate cause for nausea and my labs come back completely clear. I have had unremarkable physical examinations from both doctors, so apparently there is nothing wrong at inspection. Oddly, what I have noticed is that the left testicle tends to ride higher and forward from where it was pre-vasectomy and though I can relax it to fall to the normal level, it tends to always sit significantly higher (not fully sucked up though).
Does anyone have and advice for nausea and testicle pain (or pain behind the testicle) on a testicle that rides about half way up the scrotum?