Groin Lumps: Symptoms, Causes, and When to Seek Help

Inguinal mass

Recently, I discovered an oval-shaped hard lump on the left side of my groin, located between the scrotum and the anus, about the size of my thumb.
It doesn't hurt when I touch or squeeze it.
However, today after having a bowel movement, I noticed that the lump was bleeding, and there is a wound about the size of a BB pellet.
When I squeezed it, a clear, blood-tinged viscous fluid came out.
What could this symptom be, and which specialist should I see?

Xiao Yi, 20~29 year old female. Ask Date: 2017/05/31

Dr. Hu Ziren reply Oncology

Hello, it sounds like an abscess.
If the pus drains out and it gradually decreases in size and improves, then it's advisable to just monitor it.
However, if there is no improvement, it would be best to see a general surgeon.

Reply Date: 2017/05/31

More Info

Finding a lump in the groin area, especially one that is hard and has changed in appearance or has started to bleed, can be concerning. The symptoms you describe—a firm, oval-shaped lump located between the scrotum and the anus, which has started to bleed and produce a sticky, blood-tinged fluid—could indicate several potential conditions, and it is essential to seek medical attention promptly.

Possible Causes of Groin Lumps
1. Lymphadenopathy: Swollen lymph nodes can occur due to infections, inflammation, or malignancy. If the lump is a swollen lymph node, it may be a response to an infection in the body.

2. Hernia: An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. While hernias are typically associated with a bulge, they can sometimes present as a lump.

3. Sebaceous Cyst: These are non-cancerous lumps that can occur in the skin. They are usually painless and filled with a fatty substance. If they become infected, they can rupture and drain fluid.

4. Abscess: An abscess is a collection of pus that can form due to infection. It can be painful, swollen, and may drain fluid, which could explain the bleeding and discharge you observed.

5. Skin Conditions: Conditions like folliculitis, hidradenitis suppurativa, or other dermatological issues can cause lumps in the groin area.

6. Tumors: While less common, both benign and malignant tumors can present as lumps in the groin area.

When to Seek Help
Given that the lump has started to bleed and produce fluid, it is crucial to seek medical attention as soon as possible. You should consider visiting a healthcare provider who specializes in urology or general surgery, as they can assess the lump and determine the appropriate course of action. If there are signs of infection (such as increased redness, warmth, swelling, or fever), you should seek care immediately.

What to Expect During the Consultation
During your visit, the healthcare provider will likely perform a physical examination of the lump and may ask about your medical history, any associated symptoms (such as pain, fever, or changes in bowel habits), and any recent infections or injuries. Depending on the findings, they may recommend imaging studies (like an ultrasound) or a biopsy to determine the nature of the lump.

Conclusion
In summary, while there are several potential causes for the lump you have described, the presence of bleeding and discharge warrants prompt medical evaluation. Early diagnosis and treatment are crucial for addressing any underlying issues effectively. Please do not delay in seeking medical attention to ensure your health and well-being.

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