I blow my groin and after two weeks in got some unserious pain in my right testicle and have been taking some antibiotics but not change and a lump developed in the hit area

Professional Assessment: Given the history of groin trauma followed by testicular pain and development of a lump, primary differential diagnoses include testicular contusion, epididymitis, testicular torsion, or potential inguinal hernia, with particular concern for post-traumatic hematoma or hydrocele formation. The pathophysiological mechanism likely involves direct trauma leading to potential vascular compromise, inflammatory response, or disruption of anatomical structures in the inguinal-scrotal region, which is particularly relevant in young adult males where testicular pathology requires urgent evaluation. Given the patient's age and gender, specific risk factors include high activity levels and sports participation, while the lack of response to antibiotics suggests this may not be primarily infectious in nature. Immediate ultrasound imaging of the scrotum and inguinal region is strongly indicated to rule out serious conditions like testicular torsion or hematoma, along with urological consultation, as delayed diagnosis could lead to significant complications in a young male of reproductive age.

Apply ice packs to the affected area for 15-20 minutes every 2-3 hours to reduce swelling and inflammation, combined with complete rest from physical activity for at least 2 weeks. Take over-the-counter anti-inflammatory medication like ibuprofen (400-600mg every 6-8 hours) to manage pain and reduce inflammation. Use a supportive athletic cup or compression shorts during daily activities, and perform gentle stretching exercises once acute pain subsides. For additional treatment recommendations, ask in the chat.