Hello.
A painful hernia is a condition which you should be addressing at the earliest. There may be chances of a part of your bowel getting in the hernia sac which may be the reason for your pain.
HIV is not a contraindication for surgery and you should consult a general surgeon soon.
Next Steps
Consult a general surgeon soon
Health Tips
If you feel that your pain is increasing and becoming unbearable, you should be gong to the Emergency care department.