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Why Does Getting Hit in the Testicles Hurt So Much?

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More than any other bodily injury, getting hit in the testicles is probably what every man dreads most. Of all the soft, fleshy spots on the human body, none register the same kind of incapacitating, end-of-the-world pain as the family jewels.

What causes such inconceivable pain? Well, for starters, a shot to the balls is just like any other physical strike to the body: because of nerves, it’s gonna hurt. Unlike most other parts of your body, though, your scrotum lacks protection in the form of bones, large muscle mass, and fat. The testes are just wee little glands, and they’re going to absorb the whole force of the blow all on their own.

Another thing that makes a ball shot so painful is the same thing that makes almost every other sensation down there so much fun. Your groin has a ridiculously high number of sensory nerve endings, and such generous innervation makes good and bad touches alike very noticeable sensations.

And the pain doesn’t just stay down there in the scrotum. It insists on radiating throughout the groin and up into the abdomen (and, psychically, out to every other dude standing within a few feet), leading to a weird stomach ache. This is the work of a phenomenon known as referred pain, which is when a sensation originating at one spot travels along a nerve root to other parts of the body and is perceived as happening there, too. It’s the same thing that’s going when you get an ice cream headache. In this case, the pain starts in your balls and travels up the perineal and pudendal nerves and the spermatic plexus, which cover real estate in the groin and abdomen, around the spine and even a little ways down into the anus, to make it feel like death has come for most of your lower body.

Location, Location, Location

Why is such a sensitive and delicate body part just hanging there in the open? The placement of the testicles is inconvenient, but absolutely necessary. The testes’ job is to produce sperm, and sperm are very fragile. They’re extremely sensitive to high and low temperatures, and must be kept away from the rest of the body and relatively exposed to maintain the right climate. They can handle human body temps for only one to four hours, or the average amount of time it takes them to travel through the female reproductive tract and fertilize an egg. Internal testes or any type of significant shielding for them would heat them up too much, too early and make them drop out of the race well before reaching the egg, rendering them useless.

The scrotum isn’t just a dumb sack swaying in the breeze, though. In deference to our genetic interests, our bodies subconsciously thermoregulate our balls by flexing the cremasteric muscle and drawing the scrotum up closer to the body when it gets too cold and dropping it when it’s hot. This optimized, on-the-fly sperm storage is precise enough that each testicle can be repositioned independent of its twin in order to get the temperature just right, explaining their sometimes asymmetrical dangle.

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Big Questions
Why Do Baseball Managers Wear Uniforms?
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Basketball and hockey coaches wear business suits on the sidelines. Football coaches wear team-branded shirts and jackets and often ill-fitting pleated khakis. Why are baseball managers the only guys who wear the same outfit as their players?

According to John Thorn, the official historian of Major League Baseball since 2011, it goes back to the earliest days of the game. Back then, the person known as the manager was the business manager: the guy who kept the books in order and the road trips on schedule. Meanwhile, the guy we call the manager today, the one who arranges the roster and decides when to pull a pitcher, was known as the captain. In addition to managing the team on the field, he was usually also on the team as a player. For many years, the “manager” wore a player’s uniform simply because he was a player. There were also a few captains who didn’t play for the team and stuck to making decisions in the dugout, and they usually wore suits.

With the passing of time, it became less common for the captain to play, and on most teams they took on strictly managerial roles. Instead of suits proliferating throughout America’s dugouts, though, non-playing captains largely hung on to the tradition of wearing a player's uniform. By the early to mid 20th century, wearing the uniform was the norm for managers, with a few notable exceptions. The Philadelphia Athletics’s Connie Mack and the Brooklyn Dodgers’s Burt Shotton continued to wear suits and ties to games long after it fell out of favor (though Shotton sometimes liked to layer a team jacket on top of his street clothes). Once those two retired, it’s been uniforms as far as the eye can see.

The adherence to the uniform among managers in the second half of the 20th century leads some people to think that MLB mandates it, but a look through the official major league rules [PDF] doesn’t turn up much on a manager’s dress. Rule 1.11(a) (1) says that “All players on a team shall wear uniforms identical in color, trim and style, and all players’ uniforms shall include minimal six-inch numbers on their backs" and rule 2.00 states that a coach is a "team member in uniform appointed by the manager to perform such duties as the manager may designate, such as but not limited to acting as base coach."

While Rule 2.00 gives a rundown of the manager’s role and some rules that apply to them, it doesn’t specify that they’re uniformed. Further down, Rule 3.15 says that "No person shall be allowed on the playing field during a game except players and coaches in uniform, managers, news photographers authorized by the home team, umpires, officers of the law in uniform and watchmen or other employees of the home club." Again, nothing about the managers being uniformed.

All that said, Rule 2.00 defines the bench or dugout as “the seating facilities reserved for players, substitutes and other team members in uniform when they are not actively engaged on the playing field," and makes no exceptions for managers or anyone else. While the managers’ duds are never addressed anywhere else, this definition does seem to necessitate, in a roundabout way, that managers wear a uniform—at least if they want to have access to the dugout. And, really, where else would they sit?

Have you got a Big Question you'd like us to answer? If so, let us know by emailing us at bigquestions@mentalfloss.com.

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Big Questions
How Long Could a Person Survive With an Unlimited Supply of Water, But No Food at All?
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How long could a person survive if he had unlimited supply of water, but no food at all?

Richard Lee Fulgham:

I happen to know the answer because I have studied starvation, its course, and its utility in committing a painless suicide. (No, I’m not suicidal.)

A healthy human being can live approximately 45 to 65 days without food of any kind, so long as he or she keeps hydrated.

You could survive without any severe symptoms [for] about 30 to 35 days, but after that you would probably experience skin rashes, diarrhea, and of course substantial weight loss.

The body—as you must know—begins eating itself, beginning with adipose tissue (i.e. fat) and next the muscle tissue.

Google Mahatma Gandhi, who starved himself almost to death during 14 voluntary hunger strikes to bring attention to India’s independence movement.

Strangely, there is much evidence that starvation is a painless way to die. In fact, you experience a wonderful euphoria when the body realizes it is about to die. Whether this is a divine gift or merely secretions of the brain is not known.

Of course, the picture is not so pretty for all reports. Some victims of starvation have experienced extreme irritability, unbearably itchy skin rashes, unceasing diarrhea, painful swallowing, and edema.

In most cases, death comes when the organs begin to shut down after six to nine weeks. Usually the heart simply stops.

(Here is a detailed medical report of the longest known fast: 382 days.)

This post originally appeared on Quora. Click here to view.

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