[48M] With groin lump and associated pain

What might be happening

Based on your symptoms, the following conditions might be considered:

• Inguinal Hernia: This is a condition where part of the intestine or fat from the abdomen bulges through a weak spot in the lower abdominal muscles, often appearing as a lump in the groin area. This condition can cause discomfort or sharp pain, especially when coughing, bending over, or lifting heavy objects. In some cases, it can cause pain in the testicle if the hernia descends into the scrotum.

  • Treatment typically involves surgery to repair the hernia and strengthen the abdominal wall.

• Testicular Torsion: This is a serious condition caused by the twisting of the spermatic cord, which cuts off the blood supply to the testicle. It often presents with severe testicular pain and swelling, and may be associated with a lump in the scrotum. However, this condition usually develops suddenly and is extremely painful, which seems less consistent with your symptoms.

  • Treatment involves immediate surgery to untwist the cord and save the testicle.

• Epididymitis: This is an inflammation of the epididymis, the tube located at the back of the testicle that stores and carries sperm. Epididymitis is most often caused by a bacterial infection, including sexually transmitted infections (STIs). Symptoms can include a swollen, red or warm scrotum, testicle pain and tenderness (usually on one side), painful urination or an urgent or frequent need to urinate, and a lump on the testicle.

  • Treatment typically involves antibiotics, pain relievers, and rest.

• Sciatica: This condition occurs when the sciatic nerve, which runs from your lower back through your hips and buttocks and down each leg, becomes pinched or irritated. This can cause pain in the lower back and hip area, often radiating down the leg. It can be caused by a herniated disk in your spine or by an overgrowth of bone (bone spur) on your vertebrae.

  • Treatment typically involves physical therapy, pain relievers, and in some cases, surgery.

What you can do

Given the severity and duration of your symptoms, it's important to seek medical attention as soon as possible. In the meantime, try to rest and avoid any activities that worsen your pain.

What you should look out for

Seek immediate medical attention if:

• Your pain becomes unbearable
• You develop a fever
• You experience nausea or vomiting
• You notice blood in your urine
• You have difficulty urinating

Please remember that while I strive to provide accurate information, I am not a doctor. It's important to consult with a healthcare professional who can evaluate your symptoms and condition in person.