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

### input:
hi, 2 mos ago, i was diagnosed with epididymal head cyst (thru scortal ultrasound), but before that i experienced groin pain & at my lower back, i undergone urinalysis, and i have hematuria, so the doctor prescribed me with ciprofloxacin 500 mg for 7 days, and the groin & lower back pain disappeared for a week, then it came back again, then i made a physical check up with my srotum and i discovered that i have a lump on my both testicles, then i go to the doctor then, he by feeling it he said this is only a cyst, just to be sure he requested for an scrotal ultrasound, it is an epididymal cyst, but until now im experiencing lowerback pain and occasional groin pain, does it related to my scrotal cyst? btw, my scrotal ultrasound was on july 3 2014, and until now im experiencing the low backpain. please help

### output:

Dear patient Back pain is not caused by scrotal or epididymis cyst and both conditions are not related.  Epididymis cyst us usually asymptomatic and diagnosed incidentally. Your back pain might be due to other causes like 1. Trauma 2. Weight lifting 3.  Infection at the back. So I would recommend a visit to back pain specialist and radiograph of lumbosacral spine anteroposterior and lateral views to rule out bony abnormalities. If its normal start tab diclofenac plus thiocolchicoside combination twice a day for 5 days.  Do back strengthening and back extension exercise. All the best.