system
What causes blood in semen with pain and swelling in penis?
human
on a normal day in good, normal health, i masturbated using poppers (nitrates -- yes, i realize this is a bad idea and per this incident have decided not to use them anymore. live and learn) upon reaching climax, i spotted blood in my semen and the ejaculation seemed to have been 'cut short' because i panicked. there was no pain involved, and a urination shortly after seemed very normal, and showed no signs of blood being present. i went to bed, and the next morning about 12 hours after the initial occurance i masturbated again and there was still blood present. perhaps this was residual. it has been several days now. on the second day after the initial 'bloody semen' incident, i noticed swelling and tenderness. i will estimate the size of the swelling to roughly 150% the normal size of the testicle. now,  three days in the running, the swelling and tenderness seem to be maintaining. pain sometimes radiates throughout the extreme low abdomen beneath the pelvic bone and the "wiring" for the testicle seems most sensitive. swelling and tenderness are only present in the right testicle, (which was operated on and "fastened" to my scrotum by my urologist when i was 14 and had a cyst removed surgically). the left testicle is in a normal state, urination and bowel movement seem normal and uninhibited. my point in seeking advice is that i am recently relocated, i have no job, no money, and am hoping this is something i can wait out to go away on its own. several forums and blurbs i've researched and the advice of a friend's doctor father tell me i should wait a couple weeks, but if the swelling and pain seems abnormal, i would like to get it taken care of soon before it's somehow too late. hopefully all i have going on is some broken capillaries. i like to think it could be a simple bruise that will work itself out with rest and patience. thank you so much for your time. brian
gpt
Hello,The blood in semen is called hematospermia. It cannot be due to bruise. The seminal vesiculitis, prostate inflammation or some testis inflammation are the common cause.You can take chymotrypsin and serratiopeptidase containing medicine for seven days. Brufen or paracetamol also can be prescribed. If pain and swelling persist with blood in semen than investigate with ultrasonography of testis, pelvis and abdomen for further work up. You can revert back with reports once done Hope I have answered your question. Let me know if I can assist you further Regards, Dr. Parth Goswami, General & Family Physician