Hi! Good afternoon. I am Dr Shareef answering your query.
Discomfort in the testis could be due to ignored repeated trivial trauma (specially in your case due to your job profile), which causes inflammation causing pain/discomfort in the same. Testis being an intra-abdominal organ embryo-logically, brings the
nerve supply to it from above, and so the pain in the testis is frequently radiated/felt as a discomfort in the abdomen/pelvis area.
If I were your doctor, after a thorough physical examination I would advise you for the following:
1) Support your testes with properly fitting under garments.
2) Avoid standing for prolonged period, and avoid lifting heavy weight if you do.
3) Advise you for a routine blood tests like a CBC, AEC, HbsAG,
HIV test and a urine routine/microscopic examination followed by a culture and sensitivity report if need be.
4) Avoid indulgence in any sexual activity if you are active sexually which would prevent further trivial trauma if any to the testes, apart from precipitating any kind of infection if present.
5) Prescribe a broad spectrum antibiotic along with an anti inflammatory drug, and a
proton pump inhibitor. The antibiotic could change after the report of the culture sensitivity test of urine.
Hernia is a separate entity and has to be dealt with separately by your surgeon. However, a ureteric stone has to be ruled out with the help of an abdominal scan which also gives rise to
abdominal pain radiating to the penis and testis on that particular side.
I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.
Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.