Groin Pain: Causes and Treatment Options - Orthopedics

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Pain at the upper end of the femoral groove?


I have been experiencing some pain in the upper part of my groin, and when the pain first started, there was a discharge of yellow, foul-smelling fluid.
What could this be?

Yang Xiansheng, 10~19 year old female. Ask Date: 2018/04/21

Dr. Li Yongheng reply Orthopedics


Based on your symptoms, it is possible that a fistula has developed.
I recommend that you visit a surgical outpatient clinic for an examination.
Wishing you a speedy recovery.

Reply Date: 2018/04/21

More Info


Groin pain can be a complex issue, as it may arise from various causes, including musculoskeletal injuries, infections, or even referred pain from other areas of the body. Based on your description of experiencing pain in the upper part of your groin along with the discharge of yellow, foul-smelling liquid, it is essential to consider a few potential underlying conditions.

One possible cause of your symptoms could be an infection, particularly if the discharge is purulent (pus-like) and has an unpleasant odor. This could indicate a skin infection, such as an abscess or cellulitis, which may occur in the groin area due to hair follicle infections or other skin conditions. If the infection is deeper, it could involve the underlying tissues, leading to more significant pain and swelling.

Another possibility is that you may be experiencing a hernia, particularly an inguinal hernia, which occurs when tissue protrudes through a weak spot in the abdominal muscles. While hernias typically do not cause discharge, they can lead to pain and discomfort in the groin area. If the hernia becomes incarcerated or strangulated, it can lead to severe complications requiring immediate medical attention.

Additionally, if you have a history of trauma or overuse in the area, you may be dealing with a muscle strain or ligament injury. Groin strains are common in athletes and can result in localized pain and swelling. However, these injuries typically do not cause discharge.

Given the presence of yellow, foul-smelling liquid, it is crucial to seek medical attention promptly. A healthcare professional will be able to perform a physical examination and may order imaging studies, such as an ultrasound, to assess for any underlying issues, including abscess formation or hernias. They may also take a sample of the discharge for laboratory analysis to identify any infectious agents.

Treatment options will depend on the underlying cause of your groin pain. If an infection is confirmed, antibiotics may be necessary to clear the infection. In cases of abscess formation, drainage may be required. For musculoskeletal injuries, rest, ice, compression, and elevation (RICE) are standard initial treatments, along with over-the-counter pain relief medications such as NSAIDs (e.g., ibuprofen) to help manage pain and inflammation.

In summary, your symptoms warrant a thorough evaluation by a healthcare provider to determine the exact cause of your groin pain and discharge. Early intervention is key to preventing complications and ensuring a swift recovery. Please do not hesitate to seek medical care to address your concerns effectively.

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