Hi,Dear,Thanks for your query to HCM.
Dear I read your query and reviewed it with context to your query facts.
I understood your health concerns and feel Concerned about them.
Based on the facts of your query, you seem to suffer from-
?Varicolcel / ?Inguinoscrotal hernia.
Out of this mostly you have
Varicocele.You need to have clinical assessment of your case from Surgeon nearby.
-USG is negative for any
hydrocele and cant detect the Varicosities of early stage.
-Color Doppler USG Scan would fix the Varicosity of the pampiniform plexus.
History of huge Swelling by evening with regression by morning needs assessment of your
spermatic cord and
inguinal canal,which could only be done after physical examination.
Cough impulse with Swelling in the
scrotum would fix Varicocele.
Your swelling does not seem to be hydrocele as it does not regress overnight after resting.
Hope this would help you to reduce worry with your problem.
Take care and wish you to recover fast and Live healthy.
Hope this reply would help you to plan further treatment with your family and specialist doctors there.
Welcome for any further query in this regard.
Good Day!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS