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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Large Painful Lumps Underneath The Scrotum, Anus And Legs?

In the last 24 hours... large lumps (about the size of a super-ball) have formed underneath scrotum and continue about 4 inches past anus & into legs. The pain is excruciating. I can t even get in my car to go to emergency room. I can barely walk. Any ideas what this may be? Any ideas on how to deal w the pain, so that I can get to a Dr s. Is there anything over the counter, like lidocaine, that could numb the pain long enough to get help? My name is Dana & I am a 53 year old single dad of 3. Thanks for your time, -Dana
Wed, 28 Sep 2016
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General & Family Physician 's  Response
It is possible that an abscess has formed there containing lot of pus. Abscess needs to be drained by surgical excision.
Advice
1.     Go to hospital and consult a surgeon for surgical drainage
2.     Ibuprofen 600 mg orally after meal for pain on as needed basis
3.     Tramadol 50 mg every 8 hours for pain on as needed basis
4.     Ranitidine 150 mg every 12 hours for 7 days
5.     Amoxicillin- clavulinic acid 625 mg every 8 hours for 7 days
6.     Cold fomentation with ice pack every 4 hours
Thanks
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What Causes Large Painful Lumps Underneath The Scrotum, Anus And Legs?

It is possible that an abscess has formed there containing lot of pus. Abscess needs to be drained by surgical excision. Advice 1. Go to hospital and consult a surgeon for surgical drainage 2. Ibuprofen 600 mg orally after meal for pain on as needed basis 3. Tramadol 50 mg every 8 hours for pain on as needed basis 4. Ranitidine 150 mg every 12 hours for 7 days 5. Amoxicillin- clavulinic acid 625 mg every 8 hours for 7 days 6. Cold fomentation with ice pack every 4 hours Thanks