Constipation can be a symptom of about a zillion things... but one of them is HERNIA. Think about it -- a little bit of intestine, poking where it doesn't belong, is also a "kink in the pipe" that slows things from moving.

> So my theory is that i have kind of bilateral hernia which
> make some pressure on the spermatic cord and nerve

Probably not, although an inguinal hernia can actually physically invade the scrotum.

But in general when inguinal hernias present as pain that is usually mild or nonexistent in the morning, and worse during the day (especially from sitting or lifting) then the pain is "referred" pain -- you may feel it in your epididymis, or testes, or prostate, or penis, but the problem isn't in any of those places. The problem is in the inguinal canal, where a bit of intestine is poking through a weak spot and irritating the genito-femoral nerve.

One potentially complicating factor is after your pain has gone chronic (one test for which is pain every day that lasts 3 months or more) it can flip out nearby muscles, making them tense or spasm. And that can cause secondary problems, and helps explain the huge industry that's arisen of "stanford protocol" therapists. (My personal preference is a hot bath and a traditional shiatus or Tui Na aka pressure point massage; the relief is great, but in my case temporary).

You may also find that pain is less when your bowels are empty (for example, after using laxatives to clean 'em out). Empty bowels can mean less pressure against the nerve.

> So maybe small hernia just cause over pressure in the area

The most painful hernias tend to be small. My right side hernia is apparently pretty big, but it rarely bugs me. The left side one is so small it's difficult to feel, especially when I am overweight.

> Many people have real hernia from really heavy lifting

True, but current thinking is most hernias are congenital -- you're born with a weak spot in your abdominal wall. Being overweight and (like you say) weight lifting can make them more likely.

> A french guy made a website where he told he has healed his
> hernia hisself only with some exercises

Interesting, but complete & utter bull. Whew, the stuff we see online!

Hernias don't heal by themselves, period. For reasons I bet no one understands, rips to the abdominal wall don't heal -- they only get worse. Surgeons put a patch over the weak spot, and the body may grow scar tissue over the patch -- so it's a tricky way to get the body to heal something it won't on its own.

> Don't know what to think else

Well, especially if you have that pattern of pain (mild or low or none most mornings, but gets worse during the day especially from sitting or lifting) then you might consider seeing a "dedicated hernia surgeon" -- some boring guy that does NOTHING else but repair them.

See below for some links that might help you find a guy like that.

Best,

Spy

California
http://www.hernia.com/multilocations.html

here's a Google that finds dedicated hernia centers.... http://directory.google.com/Top/Health/Conditions_and_Diseases/Digestive_Disorders/Intestinal/Hernias/Surgery/Surgeons_and_Clinics/

By zipcode for a particular type of hernia repair
http://www.herniaoptions.com/dtcf/components/locator

Another by the zipcode method spoonsored by a drug company that makes a particular repair solution
www.herniasolutions.com

Guys in NY who repaired 30 or more during 2002
http://www.medicalconsumers.org/Performance_Reports_2002/NY/Hernia2002_NY/page5.html

To discuss hernias
http://hernia.tripod.com/HerniaInstitute_index.html

http://hernia.tripod.com/types.html
INGUINAL HERNIAS may be CONGENITAL (present since birth) yet may
become evident with pain or as a bulge at any time during life.
They can also be ACQUIRED, the result of repetitive pressure,
strain or injury to the muscles of the abdominal wall. This can be
acute and occur abruptly, or develop over a long period of time.
Congenital Hernias are usually called"INDIRECT" hernias, whereas
Acquired hernias are referred to as "DIRECT" hernias, and are so
called because of their anatomic direction of travel into the area
known as the Inguinal Canal. These hernias frequently show up as a
lump, swelling or "bulge" which gradually increases in size and
become progressively more uncomfortable. Sometimes only a mild
pain, ache or burning in the groin area may occur prior to the
development of an obvious bulge. This pain, again often described
as an ache or burning sensation, may not only be present in the
inguinal area, but may also radiate into the hip region, back, leg
or even down towards the genitalia region. Called "REFERRED PAIN",
this discomfort can be quite bothersome and at times severe. In
addition, in the absence of a bulge, the diagnosis of the cause of
this pain may be delayed or mistakenly and incorrectly ascribed to
other causes such as muscular groin strains, epididymitis,
prostatitis or orchitis etc. These diagnoses may be maintained
erroneously until the bulge develops, thereby heralding the real
cause of the pain...a hernia. The discomfort with hernias usually
is initiated by or increases in severity with activity, then
becomes relieved, although not always completely, with rest.