Hi,Dear,Thanks for your query to HCM. Dear I read facts of your query and reviewed it in context to your health issues submitted in your query. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is- Your current health issues seem to be due to -Long Standing and Advanced Varicose Veins of the Scrotum-which was not noticed / or was not cared unkwoingly. This needs to be verified with other causes of large Scrotum-which could be due to accompanied- Inguino-scrotal hernia/ or accompanied Filarial Scrotal enlargement. The Cause of this in your case needs to be investigated. Other causes need to be verified,as discussed above.For this you need to consult Surgeon and Urologist from Surgical Department. Remedy- Do s in your case- Check With Doctor- Rest-for few days-4-5 days- with head low would help you to strenghten the Varicose rupture site and would avoid recurrence in time to come.u You need to Urgently plan Micro-Vascular Surgery for correcting the varicose veins in Varicocele which many need ELVT-endoscopic laser ablation of the engorged communicating vessels and Foam sclerotherapy to reduce the engorged mass,as your case is advanced Varicocele. Bleeding from the Scrotal Varicose Veins - is not a normal process, and indicates long standing Varicose veins with thinned out skin over it, with minimal trauma causing bleeding -as happened in your case Reduce on obesity by strict dieting plans from nutritionist and family Gp. Check Testosterone / LH/ FSH and thyroid and blood sugar levels,which could be low due to long standing Varicose Veins of the Scrotum-Varicocele and fix if diabetes/hypothyroidism is the cause of obesity in your case. Get physical check with Urologist who do USG and Color doppler studies to asses the severity of Varicocele / with accompanied testes atrophy -if its there. There are many causes which need to be verified amongst the causes discussed above before planning specific surgical remedy in your case. High protein low Calories/low fat / high fiber diet to built up body muscle mass and loose obesity. Proper Gyming and walking exercises would help you a lot but under guidance of Physician-as to avoid more ruptures due to uncontrolled exercises,due to increased abdominal and venous pressure. Vit B12 and Folic Acid- to stabilize aid BMR rise and reduction of obesity. Thus You should consult Urologist and Physician. This would resolve the complaints of your s. Constant follow-up with local family or specialist Urologist and Physician for long term would give you long remissions of such pains in time to come,which would depend on meticulous follow-up treatment of your health concerns. Just don t worry and be patient and co-operate with your doctors,till you verify with your attending doctors. For early recovery-please follow above do s which would resolve your complex health issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard to following link- http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Wishing Good Healthy Life!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS