Is the discoloration of urine serious with severe testicular pain?

Patient's question:

Hello, I started noticing darker urine color last year, and sometimes I have intermittent pain in my testicles. During my annual health check-up, my bilirubin levels were high, but since there were no other discomforts, I didn't pay much attention. Now I want to ask if these symptoms are serious?

Doctor's answer:

The color of the urine is darker, sometimes there is pain in the testicles, and the health check shows elevated bilirubin. The dark urine color, without pain during urination, is related to the type of diet and less water intake. The occasional pain in the testicles may be considered inflammation, elevated bilirubin is mostly caused by liver and gallbladder diseases. You can undergo scrotal ultrasound and liver/gallbladder ultrasound examinations. Seek timely treatment if there are any issues. The testicles can be stabilized, but the treatment process is generally slow, and there is a high risk of recurrence after treatment. Therefore, it is crucial to actively cooperate with the doctor's medication plan during treatment. Patients should avoid prolonged sitting or riding and pay close attention to personal hygiene.

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