Groin Pain After Colonoscopy: Causes and Concerns - Urology

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Inguinal tenderness on palpation?


Hello Doctor: I underwent a colonoscopy on August 18 at 10:30 AM.
Around 8:00 PM that evening, I began experiencing pain in my lower left abdomen, near the groin area (approximately four fingerbreadths below the navel on the left side).
The pain is noticeable when I press on that area and also when I walk (the pain point is specific).
I initially suspected it might be a hernia, but there is no visible bulge.
Coughing and standing do not cause pain.
The intensity of the pain has neither increased nor decreased, and as of August 23, I am still puzzled about what is happening.
I had sexual intercourse the night after the colonoscopy, and I wondered if it could be a strain, but it doesn't quite feel like that.
Currently, I do not experience pain during urination or ejaculation, and the frequency and color of my bowel movements are normal.
However, there is a significant pain when pressing on the area and while walking, which makes me quite concerned it could be a hernia.

ALLEN, 30~39 year old female. Ask Date: 2020/08/23

Dr. Li Xinyi reply Urology


It sounds related to a colonoscopy; it would be best to discuss your condition with the performing physician during your follow-up appointment.

Reply Date: 2020/08/23

More Info


After undergoing a colonoscopy, experiencing groin pain can be concerning, and it’s important to understand the potential causes and implications of this discomfort. Based on your description, the pain you are feeling in the left lower abdomen, near the groin area, could be attributed to several factors related to the procedure and your individual anatomy.

Firstly, during a colonoscopy, air is often introduced into the colon to inflate it, allowing for better visualization of the intestinal walls. This inflation can sometimes lead to discomfort or pain in the abdominal area, which may radiate to the groin. The manipulation of the colon during the procedure can also cause temporary irritation or inflammation of the surrounding tissues, which might explain the localized pain you are experiencing.

Another possibility is that the pain could be related to muscle strain. If you engaged in physical activity, such as sexual intercourse, shortly after the procedure, it’s conceivable that you may have strained a muscle in the abdominal or groin area. This type of pain is typically sharp and localized, and it may worsen with certain movements or pressure. However, if the pain is not accompanied by other symptoms such as swelling, bruising, or a noticeable bulge, it may be less likely to be a hernia.

Regarding the concern about a hernia, it’s important to note that hernias typically present with a visible bulge or protrusion in the groin area, especially when standing or straining. Since you mentioned that there is no visible lump and that the pain does not worsen with coughing or standing, it may be less likely that you are dealing with a hernia. However, if the pain persists or worsens, it would be prudent to seek medical evaluation to rule out any complications.

Additionally, post-procedural complications such as perforation or infection are rare but can occur. Symptoms of these complications typically include severe abdominal pain, fever, or changes in bowel habits. Since you have not reported these symptoms, it seems less likely that you are experiencing a serious complication, but it is essential to remain vigilant.

In terms of management, if the pain is mild and manageable, you might consider conservative measures such as rest, applying heat to the affected area, and taking over-the-counter pain relief medications as needed. However, if the pain persists beyond a week, intensifies, or is accompanied by other concerning symptoms, it is advisable to follow up with your healthcare provider for a thorough examination. They may perform a physical examination and possibly imaging studies to assess for any underlying issues.

In summary, while groin pain after a colonoscopy can be unsettling, it is often related to the procedure itself or minor strains. Monitoring your symptoms and seeking medical advice if they persist or worsen is the best course of action. Your health and peace of mind are paramount, so do not hesitate to reach out to your physician for further evaluation if needed.

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