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

### input:
I fell down, flat on my face and felt an intense pain in my abdomen. Then it went away. Six weeks later I started having a dull ache in my groin area. 12 years ago I had a hernia mesh surgery. The ache is in that same area. I went to a sports doctor. He checked me for hernia. I dont have one. It has now been six weeks. The pain comes and goes. Some days no pain. I can walk without pain. I can go to the gym with no pain. Then out of nowhere it appears and escalates. Ibuprofen, Tylenol, advil . . . . they all do nothing. I have a doctors appointment tomorrow. Any idea what is going on? I think it could be nerve damage from my fall. What do you think?

### output:

Hi there Thanks for your question at Chat Doctor Groin pain is most commonly associated with strain of the muscles, ligaments, or tendons present in that area. This is more likely if the onset of your pain is associated with any injury which happened while playing, or after you slipped or twisted. Such pain would usually respond over 2 to 3 days to rest, painkiller medicines and ice applicationHernia is one of the reasons for groin pain(but you mention that it has already been ruled out by your doctor)On the other hand if you have been having pain for more 6 weeks, and it has not responded to the above measures then other cause of one-sided groin pain have to be considered. These include urinary tract infection, any inflammation in ovaries (in females) and testes (in males), intestinal inflammation, hip joint related pain etc. Groin pain due to pinched nerve in the spine is relatively uncommon and is usually associated with involvement at higher spinal levels mainly L2/3/4 levels. I would suggest you to met your doctor so that the causes can be ruled out in a step wise manner based on your response. Hope this helps the Beauregard