Conversation: The conversation between human and AI assistant.
[|Human|] Hi, Aproximately 14 months ago i injured myself at work, im a motor mechanic. The injury happened while i was leaning and resting my body over the front of the car, the front part of the car i was leaning/resting on was against my lower abdomen. I was really straining to undo something using my hands and kept going till i felt something like a little balloon getting blown up in my lower abdomen around the groin area. I have been in and out of hospital and seen general surgeons, orthapedic surgeons, nerve and mascular specialists and also physio therapist, theyve found a hernia but said that its small. 2 months ago as it has been going on till now but not as bad, the pain was unbareable, the put in a scope and found that i had alot of adhesions, so they cleared all that up. Now im waiting for a hernia surgery but the pain is extremely sharp and this travels all the way to my left testicle and also makes the vain in the shaft of the penis, the pain gets that bad that those areas can not be touched and takes about 3-4 days to start to become bareable, when the pain is there im unable to put too much pressure on my left leg, walking short distances, sitting on flat and hard seats, sitting in car seats all aggrevate this and make the pain unbareable. The doctors and specialists are unable to find what the cause of all this is. Im desperate. I need to work this out and get my health back, i want the pain ive been suffering for 14months gone, i want to get back to work and support my family, i want my life back. Please help.
[|AI|]  Hi! Good afternoon. I am Chat Doctor 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 undergarments.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, Bag, 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 Chat Doctor.  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 Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.