Hello,
Yes, you are absolutely right in asking your friend to go to a doctor. The most probable conditions that would fit your friend's diagnosis are inguinal hernia, hydrocele,
varicocele, scrotal edema, testicular tumor, and epidydimal cyst.
He needs to go to a surgeon for thorough clinical examination and if necessary few tests for a specific diagnosis and appropriate treatment. The complications that may arise if not treated are intestinal strangulation and ischemia if hernia goes untreated,
testicular torsion, infection, pyocele,
hematocele, atrophy of testes,
infertility (resulting from the
spermatogenesis halt due to increased pressure on the blood supply on the testis from edema), rupture, and hernia of hydrocele.
Please explain about the above mentioned complications to your friend and persuade him to go to a surgeon.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Pallavi M., Anesthesiologist