The testicles are found within the scrotum which is a loose sac of skin hanging down behind the penis.  The function of the testicles is to produce sperm and the male sex hormone testosterone.  Most of the time any lumps or swelling within the testicles are benign but it is natural for people to worry when they have found a lump.

Testicular torsion results in swelling of the testicles if the testicle has become twisted.  This interrupts blood flow and causes a large tender distension.  It often happens in developing boys who are experiencing puberty but has also been know to happen in men in their 20’s although it is quite rare.  Testicular torsion is a medical emergency due to the fact that it needs to be rectified by surgery within 6 hours or there is a risk that the testicle will be lost.

Symptoms of testicular torsion include nausea; vomiting; swelling of the scrotum; fever; abdominal pain; the need to urinate often; and, excruciating pain in one testicle.  The cause of testicular torsion results from a spermatic cord that is too long.  The spermatic cord is where the testicles hang from and in some boys this cord is too long leading to increased movement of the testicle which means the cord becoming twisted.  If it twists too much it will cut off the blood supply and the testicle will die.  Testicular torsion can sometimes just happen for no reason at all or it can be the result of strenuous exercise or other physical activity.

An ultrasound scan can be done to confirm suspicion of testicular torsion. Surgery needs to take place almost immediately to save the testicle.  The surgeon will have to cut the scrotum and untwist the cord.  He will then sew the cord to the scrotum to prevent this happening again.

Testicular Torsion

Rotavirus infection affects the stomach and intestines in children with symptoms including diarrhea and vomiting. Most cases of the rotavirus infection are mild and usually clear up without medical intervention within a few days but some children, especially toddlers under the age of two, can be at risk of dehydration so it is essential to keep them hydrated with plenty of fluids.

The rotavirus infection is spread by infected people who haven’t washed their hands properly after going to the toilet. This can cause tiny amounts of infected feces being passed on to the child.  Small amounts of these infected feces can also be carried in the air resulting in the child inhaling them. Most children will have contracted the rotavirus infection by the age of five.  The rotavirus infection is more common during the winter and spring and it is usually common for the first virus to be the worst as after that the child will have built up some immunity.  It is for this reason that the rotavirus is rare in adults.

Rotavirus Infection

The rotavirus is extremely contagious in children and can even infect children who have already had the infection due to full immunity not being built up.  It is a good idea to isolate an infected child for a period of at least 48 hours after they have stopped having diarrhea and vomiting.

Symptoms of the rotavirus infection include rapid onset of diarrhea and vomiting and also occasionally a high temperature of 38C or above however it is important to recognize the signs of dehydration as this can occur if not enough fluids are taken.  Signs of dehydration include weakness, rapid breathing, little or no urine, or dry mouth and eyes.

The most important thing to do for a child with the rotavirus infection is to keep them hydrated and the infection will usually pass within a few days.

People with personality disorders may have conditions such as not being able to live with others, not being able to maintain relationships with other people, finding it difficult to control emotions or upsetting other people when distressed.

Causes of personality disorders can include genetic makeup, mental or emotional state or brain problems. There are three types of personality disorder: suspicious, emotional and impulsive, and anxious.

Suspicious personality disorders are where the sufferer is often paranoid of other people, and finds it difficult to interact with others, preferring their own company instead.  The person with a suspicious personality disorder is often seen by others as strange or peculiar.

Emotional and impulsive personality disorders are where the sufferer is indifferent to other people’s feelings and can be quite aggressive.  They often find it difficult to control emotions and will do this spontaneously without thinking about the consequences.  Sufferers will also self harm if they feel really bad about themselves.

Anxious personality disorders are where the sufferer worries about everything.  They are very indecisive and worry constantly about doing the wrong thing.  Anxious sufferers are overly sensitive to criticism and can often feel worthless or incompetent.

There are therapies which can help such as psychotherapy or cognitive behavioral therapy.  There is also medication available to help with the different groups of personality disorders.  Antipsychotic drugs can help those in the suspicious group while antidepressants can help to relieve the symptoms of those in the emotional group.  There are also some antidepressants which have been shown to help those in the anxious group such as serotonin reuptake inhibitors (SSRI).

Personality Disorders