It could be epididymorchitis with funiculitis
Kindly do the following investigation
CBC
Creatinine
Urine routine
USG SCROTUM with Doppler
Next Steps
c.doxycy 100 mg twice daily X 7 days
t.azee 1 GM stat dose
t.chymoral Forte TDS X 5 days
scrotal support
Health Tips
follow up after investigation