Testicle Problem

Patient : I get a pain in my right testicle and it runs all the way up my right side to my abdomen. the pain occurs after orgasm only and its so bad that I can't sleep. another symptom is that I fel like I have to take a bowel movement but I sit and sit and don't have a movement. I am really worried and plan on going to the Dr. but afraid of what he will tell me. please help
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