Folliculitis: Painful Lump Near the Left Groin - Dermatology

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Folliculitis on the left side of the scrotum near the thigh?


There is a small lump on the left side of my scrotum and the inner thigh that has changed from a tiny bump to a small, oval-shaped swelling that is red and has been persistent for almost five days without any pus.
Could this be folliculitis? It hurts a bit when I walk, causing me to have an awkward gait, and sometimes it also hurts when I stretch my leg.
Could it be a lymph node issue? Which specialist should I see? I'm worried because I have an upcoming exam and I can't easily visit a doctor.
Is there any topical medication I can apply, or should I just observe it for now? I have trimmed my pubic hair to see if it helps with ventilation, but I'm not sure how to describe this situation to my family.

17 Sui Nan Hai, 10~19 year old female. Ask Date: 2020/04/23

Dr. Wu Yuxin reply Dermatology


It is advisable to seek medical attention as soon as possible to resolve the issue; otherwise, if it worsens right before the exam, it will be even more troublesome.

Reply Date: 2020/04/23

More Info


Folliculitis is an inflammation of the hair follicles, often caused by bacterial or fungal infections, irritation, or blockage of the follicles. Based on your description of a painful, oval-shaped lump near the left groin, which has been present for about five days and is red but without pus, it is indeed possible that you are experiencing folliculitis. The pain you feel while walking and the awkward gait may be due to discomfort in the affected area, which can be exacerbated by movement.

In addition to folliculitis, other conditions could also be considered. For instance, swollen lymph nodes can occur in response to infections, and they may present as painful lumps in the groin area. However, lymph nodes are typically more mobile and may feel different than a localized infection like folliculitis. Other possibilities include an ingrown hair, cyst, or even a hernia, depending on the characteristics of the lump and associated symptoms.

Given that you are preparing for an important exam and are concerned about your health, it is advisable to seek medical attention. While it may be tempting to wait and see if the condition resolves on its own, persistent symptoms, especially pain and swelling, warrant a professional evaluation. A visit to a dermatologist would be appropriate, as they specialize in skin conditions, including folliculitis. If you cannot see a dermatologist immediately, a general practitioner can also assess your condition and provide guidance.

In the meantime, there are some general care tips you can follow to help alleviate discomfort:
1. Keep the Area Clean: Gently wash the area with mild soap and water to prevent further irritation or infection.

2. Avoid Irritation: Wear loose-fitting clothing to reduce friction against the affected area. Avoid tight clothing that may exacerbate the pain.

3. Warm Compress: Applying a warm compress to the area can help soothe pain and promote drainage if there is any underlying infection.

4. Topical Treatments: Over-the-counter topical antibiotics (like Neosporin) may help if you suspect a bacterial infection. However, avoid applying any creams or ointments without consulting a healthcare professional first, especially if the area is open or broken.

5. Pain Relief: If the pain is significant, over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage discomfort.

6. Avoid Shaving or Waxing: Until the area heals, it may be best to avoid shaving or waxing to prevent further irritation.

While it’s understandable to feel anxious about your health, especially during exam preparation, addressing your symptoms promptly is crucial. Delaying medical evaluation could lead to complications if the condition worsens. If you notice any changes, such as increased redness, swelling, fever, or discharge, seek medical attention immediately. Your health should always be a priority, and there are professionals who can help you navigate this issue effectively.

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