Well oddly enough i have this same prob and i have a hernia (but its been fixed).After i read this thread i decided to call my doc (i was also a little worried) he told me not to inhale so much smoke i told him this was not an option lol. Then he told me when you cough very hard it tightins your muscels very fast especially in that area, which in turn causes them to slightly tare (just like when you work out). He said the only time he would worry bout it would be if the pain did not go away or if i felt a lump under my skin or in my balls. The lump being your guts trying to come through your muscels aka a hernia. This guy knows his shit he has cut me open twice and i have never had a prob at all. He also said if i think its gonna hurt to stand up before i cough and it wont focus so much pressure it that area. If you got anymore ??s tell me and i will call him. Me and his son a regular smokin buds so he dosnt mind the phone calls. Oh yeah he also said to simply inhale then exhale dont try to hold it in especially after you start to cough. hope this info helps i know it helped me.:jointsmile: