### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hi i have severe pain down in my groin & right testicle, I have had prostate surgery, then had amassive surgical hernia following that , i  had an advanced sling  for incontinance.  On top of this i have ankylosy spondyilitesI in my lower back. I have just spent the night in E.D my bp was 235/115. I thought i may hav had another hernia as i can only go outside for approx i hr , then the pain comes on & i have to lay down, usually takes about 20mins to get relief.As well i have a strong mettalic ( like poison ) taste in my mouth

### output:

Hello, I have gone through your query and understand your concern. As you think the pain in the scrotum and testicle may be due to hernia in another site. But hernia usually do not cause severe groin or testicle pain without any strangulation. Further we have to suspect any testicular torsion, epididymitis or testicular cancer. This can be identified by simple physical examination and ultrasound abdomen and pelvis with scrotum. I suspect the metallic taste may be due to medications you are taking, as you have recent history of Hypertensive crisis. Some antihypertensive medications are potential to cause dyslexia (Change in taste). It can be normal with in few days. If the dyslexia persists and disgusting, then you can switch over to other anti antihypertensives with your treating doctor advice. As you pain is severe, it is better to go right now and get examined by your treating physician and get proper treatment. Hope this helps. Please write back for further queries. Wishing you good health.