Dear doctor;

I am a 32-year-old male. About a year ago, I experienced an aching sensation in my groin. I was worried, given the area in question, but a doctor assured that it was probably nothing more than a muscle strain.

The doctor also examined my testicles for any signs of abnormality but fortunately, found none. But the aching has returned and has now developed to the stage where I can sometimes feel a moderately painful lump at the join of my scrotum and groin area. I am worried I could be having hernia. JJ, Kiyovu.

Dear JJ,

An inguinal hernia occurs due to tissues or bowels pushing out from a weak spot in the muscles in inguinal region. This causes a bulge and can be painful. Pain can occur while walking due to tug on the hernia.

Most hernias in a young age can be due to some opening not closed properly at birth. It can occur due to excess weight lifting, obesity, excess cough, chronic constipation, among other conditions that can cause stress on the abdominal wall and weakening of muscle tone. Hernia can also occur after a surgery done on that area.

The risk with hernia is that the bowels may get trapped inside leading to severe pain and vomiting which can be a life threatening condition. If the hernia is mild and not causing much pain, it can be strapped and reduced manually by tying a thick cloth over it while standing or walking. Specific belts are also available for that purpose.

Avoid lifting or pushing heavy weights, constipation or cough, that is, any condition putting strain on the hernia. If pain is severe or persistent or there is associated nausea or vomiting, consult a surgeon for operation.