Final answer:
The appropriate management for a 29-year-old male presenting with pain and swelling of the right hemiscrotum, likely due to acute epididymitis, is a course of antibiotics along with anti-inflammatory drugs and painkillers.
Step-by-step explanation:
The 29-year-old male with a 2-day history of pain and swelling of the right hemiscrotum is likely facing a case of acute epididymitis, an inflammation of the epididymis. Since there is no mention of a scrotal mass, rash, or penile discharge, and considering the sudden onset of symptoms, this condition is typically caused by a bacterial infection. The most appropriate management would be to prescribe a course of antibiotics to tackle the infection, combined with anti-inflammatory drugs and painkillers to alleviate inflammation and pain. Supportive measures such as scrotal elevation, rest, and application of cold compresses might also be recommended to help relieve symptoms.