<s>[INST] I have had right testicle pain for about 4 weeks now, my doctor checked me and I had a urinalysis.  He dismissed my dull pain to probably a small tear.  Is it possible an infection or something like that would not show up on a urinalysis?  I also have slight lower abdominal pain/tightness.  What are your thoughts? [/INST] Hellman in testis may be due to many causes like infection(epididymo-orchitis), mass,fluid accumulation etc. You may need proper clinical examination and investigations. Investigations include routine hologram, ultrasound and color Doppler of scrotum, urine RE/ME. Ultrasound can exclude many conditions like orchids, torsion,fluid accumulation etc. Treatment depend upon findings. Antibiotics may be needed if infection is suspected. You should consult surgeon for proper evaluation. Get well soon. Take Care Chat Doctor.  </s>