Years of inconclusive groin pain on right side. Maybe swelling? Maybe Hernia?
I am thankful for this forum and am seeking advice or opinions.
PROFILE: I am male, 30, 6′ 140lbs, somewhat sedentary. Married, very low STD risk. No health history, no surgery.
SYMPTOMS: Years of right sided groin pain that had a quick onset. Pain is mostly in the right side pubic mound area under the pubic hair, about an inch above and to the side of the start of the penis. Pain is sometimes in testicle and vas defrans and inner thigh area across from same testicle too. Pain is always one-sided, never on other side. Pain can change from a dull discomfort to sharp stab, sometimes it feels like a groin nerve is being pressed or agitated.
The attached picture shows where pain usually is focused, with the dark blue spot representing the primary spot of pain, and the blue outline showing the general pain area. To me it looks like I have a faint swelling under the pubic hair in the area of dark blue as well, but the faint swelling doesn’t move if I cough.
Pain is duller usually when I wake up in the morning and generally increases as the day goes on. Poking or pressing on that specific blue highlighted pubic area is like a hot-spot, it hurts like something deep under there is a problem. Bending over or sitting down sometimes hurts too, I assume because it maybe pressures that area. Bowel movements do not hurt directly but something about having a bowel movement can lead to increase in pain afterwards. Having a very full bladder, a lot of gas or constipation seems to often worsen the pain as well, I assume from internal pressure.
TREATMENT: 6 different antibiotics, abandoned idea of longterm course due to GI side effects. Prescription Advil lessens pain but it does not go away. Prescription Hydrocod reduces pain but I do not take it due to side effects.
RESULTS FROM TREATMENT: No change in symptoms, minor temporary relief from pain meds.
TESTS: CAT scan normal but mentioned of inconsequentially small fat stranding in right groin canal area. Urine and prostate test normal. Testicle ultrasound showed some possible inflammation. I have done the turn and cough test where they rest a finger in scrotum but the doctor did not feel anything. I did have another doctor with turn and cough put their finger up higher closer to the pain area and think they may be able to feel something but they couldn’t tell for sure.
CURRENT STATUS: I was told I probably do not have a hernia, but if I did have a hernia it would eventually break through and be obvious. Basically I was told to live with the pain and wait, or go to a pain clinic.
MY QUESTIONS: Due to the location of pain, I wonder if there is a hard to detect hernia? Is hernia surgery worth pursuing? Is it better to go into pain management than to try and see if there is a hernia to fix? Is freezing out the nerves a better option? Any thoughts or opinions?
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