Hi. In case of hernia
you should observe some swelling in the inguinal region on that side and also if you cough it might be aggravated. However in Epididymitis
physical examination shows a red, tender, and sometimes swollen lump (mass) on the affected side of the scrotum
. Tenderness is usually in a small area of the testicle where the epididymis
is attached. There may be enlarged lymph nodes in the groin area (inguinal nodes), and a discharge from the penis. Please consult a surgeon to palpate and evaluate.