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Suggest Treatment For Painful Swollen Lymph Nodes In Groin
Question: About 8-10 years ago my lymph nodes were swollen in my stomach and groin they didn't know why they were inflamed the ones in my groin were much larger they did take one out an the biopsy was negative I now have 4 swollen in my groin that are painful the ultrasound shows one that is larger than the others an is less than 1 cm from my artery what would be the cause also my thigh is larger then the other one
Brief Answer:
You might have cellulitis of the affected lower limb
Detailed Answer:
Hi XXXX,
Thanks for writing in to us.
I have read through your query in details.
Regularly, I come across many patients who have groin lymph node enlargement. In most of these patients the lymph node enlargement is benign and due to any infection in the area drained by the lymph nodes. The groin lymph nodes drain the entire lower limb on that side and groin. Since you have 4 swollen lymphnodes, it is possible that you have some infection process going on. One lymphnode can be swollen more than the others. The pain in the lymphnodes usually occurs XXXXXXX to infection and the lymphnodes enlargement is a protective mechanism adapted by your body immunity.
Most infections are identifiable and sometimes it can be treated with a short course of antibiotics. The fact that your thigh is larger on the affected side shows that you might have developed cellulitits. This requires to be treated with medications to prevent complications. Please consult your treating doctors at the earliest.
If enlarged lymphnodes do not respond to oral antibiotics then a lymphnode FNAC or biopsy might be indicated to confirm the cause. FNAC or biopsy nearly always gives a diagnosis on which the treatment can be based.
It will help to discuss the lymph node enlargement in your stomach (abdomen) and groin in the past with your doctors and how it was treated.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
You might have cellulitis of the affected lower limb
Detailed Answer:
Hi XXXX,
Thanks for writing in to us.
I have read through your query in details.
Regularly, I come across many patients who have groin lymph node enlargement. In most of these patients the lymph node enlargement is benign and due to any infection in the area drained by the lymph nodes. The groin lymph nodes drain the entire lower limb on that side and groin. Since you have 4 swollen lymphnodes, it is possible that you have some infection process going on. One lymphnode can be swollen more than the others. The pain in the lymphnodes usually occurs XXXXXXX to infection and the lymphnodes enlargement is a protective mechanism adapted by your body immunity.
Most infections are identifiable and sometimes it can be treated with a short course of antibiotics. The fact that your thigh is larger on the affected side shows that you might have developed cellulitits. This requires to be treated with medications to prevent complications. Please consult your treating doctors at the earliest.
If enlarged lymphnodes do not respond to oral antibiotics then a lymphnode FNAC or biopsy might be indicated to confirm the cause. FNAC or biopsy nearly always gives a diagnosis on which the treatment can be based.
It will help to discuss the lymph node enlargement in your stomach (abdomen) and groin in the past with your doctors and how it was treated.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
The largest lymph node has been there an has randomly caused pain since they were found the first time and I don't know how long my thigh has been bigger than the other one. I have lost 110 pounds in the last year an just started noticing the swelling about the last 4-5 months. My concern is that I have a partial knee replacement in that leg all the hard wear is loose but they won't replace it again due to the last on only lasted 9 years. Could my knee be infected without there being any outward signs no fever an no elevated white count in my labs in the last month?
Brief Answer:
Possibility of low grade infection due to loosening knee hardware persists
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
I realize that you do not have fever and acute swelling of your limb and therefore cellulitis might not be the correct diagnosis. However since you have written in about significant weight reduction measures adopted by you and possible loosening of knee replacement hardware, it is to be confirmed if this is responsible for your inguinal lymphnodes. It is possible that there is reactive lymphadenopathy due to low grade infection or in response to loosening of the metallic hardware in your affected limb. It is not necessary for outward signs or elevated white blood cells to be present should there be a low grade infection.
The above can be confirmed by doing a detailed evaluation of your affected limb.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Possibility of low grade infection due to loosening knee hardware persists
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
I realize that you do not have fever and acute swelling of your limb and therefore cellulitis might not be the correct diagnosis. However since you have written in about significant weight reduction measures adopted by you and possible loosening of knee replacement hardware, it is to be confirmed if this is responsible for your inguinal lymphnodes. It is possible that there is reactive lymphadenopathy due to low grade infection or in response to loosening of the metallic hardware in your affected limb. It is not necessary for outward signs or elevated white blood cells to be present should there be a low grade infection.
The above can be confirmed by doing a detailed evaluation of your affected limb.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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