### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, I was trimming my testicles with a pair of small scissors. I accidentally pricked the skin of my scrotum which caused a tiny amount of blood to surface. The cut is tiny and unnoticeable unless looking for it. Shortly after I noticed the back of my left testicle had got larger. It feels quite lumpy and strange. I can not feel the lumps when sitting but when I stand they appear again. There is a dull ache coming from this testicle now. Thanks.

### output:

Hi ! Good evening. I am Chat Doctor answering your query. From your history, it seems to me that the cut on the skin of your scrotum and the lumpy feeling of your testis on the left side might be two different entities. Possibly you might be having varicocele (varicose testicular veins), which is common on the left side. The varicocele would also increase on standing due to gravitational backflow of blood in the vein, and it would become less prominent on sitting or lying down. These would feel lumpy (like a bag of worms), and would cause dull aching pain of the testis on the side involved. The management of this condition is by a good testicular support, and if the symptoms increase, then surgery of the varicose veins. However, before this, it has to be confirmed with a Doppler ultrasound of both testes. Till then, you could go for an anti-inflammatory along with a proton pump inhibitor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.