Abnormal Discharge and Groin Pain: When to Seek Medical Help - Obstetrics and Gynecology

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Abnormal discharge, groin pain, sudden abdominal distension?


Around the time I was in the third year of junior high school, I started to notice discharge that was yellow-green and foamy or liquid in consistency, with a smell somewhat similar to vomit, but it disappeared for a while after exams.
Then, around February to March of this year, a similar situation occurred again.
By the end of March, the discharge began to appear yellow (possibly resembling curdled tofu), and the smell changed to another type, sometimes returning to a normal odor.
This issue persists, particularly at school, while on weekends there are generally no abnormalities.

Around mid-April and recently, I suddenly experienced pain in the left groin area, which even started to swell, but using hot water provides some relief.
Recently, my abdomen has also suddenly swollen, but my menstrual period is approaching, so I'm unsure if that has any effect.
At the beginning of February, I had lower back pain, but using a medicated patch and heat alleviated it, and I have not experienced pain since.
Occasionally, I feel sudden pain on the left side of my abdomen.
Could you please advise what these symptoms might indicate? Is it serious? Should I seek medical attention immediately, or are there over-the-counter medications that could help improve the situation? I hope you can respond to my questions.
Thank you.

Lü, 10~19 year old female. Ask Date: 2020/05/06

Dr. Wu Xianghui reply Obstetrics and Gynecology


Vaginal infections are the most common conditions affecting women, influenced by various factors.
Treatment methods require comprehensive health education, and it is recommended to seek evaluation from a specialist in obstetrics and gynecology at an outpatient clinic.

Reply Date: 2020/05/06

More Info


Understanding abnormal discharge and groin pain can be quite concerning, especially when accompanied by other symptoms such as swelling and changes in abdominal size. Based on your description, it seems you have been experiencing a range of symptoms that could indicate an underlying health issue that warrants medical attention.

Firstly, the yellow-green discharge you mentioned, especially if it has a foul odor, could suggest an infection. In women, abnormal vaginal discharge can be caused by various conditions, including bacterial vaginosis, yeast infections, or sexually transmitted infections (STIs) such as trichomoniasis. The fact that the discharge has changed in color and odor over time is significant and should not be ignored. The presence of a "cottage cheese" appearance in discharge often points towards a yeast infection, while a fishy odor is commonly associated with bacterial vaginosis.

The left groin pain and swelling you are experiencing could be related to a few different issues. It could be a sign of lymphadenopathy, which is swelling of the lymph nodes often due to infection. Alternatively, it could indicate a hernia, especially if the pain worsens with certain movements or activities. The fact that heat provides relief suggests that inflammation might be involved, but it is essential to have this evaluated by a healthcare professional.

Additionally, the sudden abdominal swelling and pain, particularly on the left side, raises concern for possible gastrointestinal issues or even gynecological problems, such as ovarian cysts or other reproductive system disorders. Given that you also mentioned experiencing lower back pain, it is crucial to consider that these symptoms could be interconnected.

In terms of when to seek medical help, it is advisable to do so promptly. While some symptoms may seem manageable or temporary, the combination of abnormal discharge, groin pain, and abdominal swelling could indicate a more serious condition that requires diagnosis and treatment. It is particularly important to seek medical attention if you experience any of the following:
1. Fever: A fever could indicate a systemic infection that needs urgent care.

2. Severe Pain: If the pain becomes unbearable or is accompanied by other alarming symptoms, it is crucial to seek immediate medical attention.

3. Persistent Symptoms: If the discharge continues or worsens, or if the groin pain does not subside, a medical evaluation is necessary.

4. Changes in Bowel or Urinary Habits: Any significant changes in these areas should be discussed with a healthcare provider.

Over-the-counter medications may provide temporary relief for some symptoms, such as pain or discomfort, but they will not address the underlying cause of your symptoms. It is essential to consult with a healthcare professional who can perform a thorough examination, possibly including laboratory tests or imaging studies, to determine the exact cause of your symptoms and recommend appropriate treatment.

In summary, while some symptoms may seem mild or temporary, the combination of abnormal discharge, groin pain, and abdominal swelling should not be taken lightly. Seeking medical attention is the best course of action to ensure proper diagnosis and treatment. Your health is paramount, and it is always better to err on the side of caution when it comes to potential infections or other medical conditions.

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