instruction: hello doctor my left testicle has a dull ache when I stand for a period of time I can also see an enlarged vein on my testicle it goes away when I sit or lay down for a little bit I will attach a picture of the vein
output: hello I think it is a hernia kindly give some other details do it have cough impulse it means the swelling expands upon coughing it is said to have a cough impulse can you get over the swelling this means when swelling is there are you able to pinch your spermatic cord ignore if you are not able to understand do you do weight lifting diabetes or hypertension any medication