Groin Discomfort: Symptoms and When to Seek Help - Internal Medicine

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The groin feels swollen?


Hello Doctor: For the past couple of days, I've been feeling something unusual in my right groin area.
It only hurts when I touch it, and it doesn't feel swollen when I palpate it.
I don't feel anything unusual while walking, but when I lift my right leg, I feel a tightness in the groin area.
Could you please tell me what these symptoms might indicate? If it doesn't improve, which specialty should I consult? Thank you.

Xiao Lin, 20~29 year old female. Ask Date: 2020/11/12

Dr. Hong Yuanbin reply Internal Medicine


Hello, the first consideration for the location you described is a hernia.
However, based on your age and gender, the incidence should be low.
Other possibilities to consider include a muscle strain.
I recommend that you consult a urologist.
Thank you for your inquiry.

Reply Date: 2020/11/12

More Info


Groin discomfort can be a common issue, and understanding its potential causes and when to seek medical help is crucial for effective management. Based on your description of right-sided groin discomfort that worsens with touch and certain movements, there are several possibilities to consider.


Possible Causes of Groin Discomfort
1. Muscle Strain: One of the most common causes of groin pain is a strain or pull of the muscles in the groin area. This can occur due to sudden movements, heavy lifting, or even prolonged sitting. If the pain is localized and you feel discomfort when moving your leg, this could be a likely cause.

2. Hernia: A groin hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. Symptoms may include a noticeable bulge in the groin area, pain, or discomfort, especially when bending over, coughing, or lifting. While you mentioned no visible swelling, hernias can sometimes be subtle.

3. Hip Joint Issues: Conditions affecting the hip joint, such as arthritis or labral tears, can cause referred pain to the groin area. If you experience pain when lifting your leg, it might be related to hip joint dysfunction.

4. Nerve Compression: Conditions such as sciatica or other nerve entrapments can lead to discomfort in the groin area. If the pain radiates or is accompanied by numbness or tingling, this could be a factor.

5. Inguinal Lymphadenopathy: Swollen lymph nodes in the groin can cause discomfort. This may occur due to infections or other systemic conditions. While you noted no swelling, it’s still worth considering if there are other systemic symptoms.

6. Reproductive System Issues: In males, conditions such as testicular torsion or epididymitis can present with groin pain. In females, ovarian cysts or other gynecological issues can also cause similar discomfort.


When to Seek Help
Given that your symptoms have persisted for a couple of days and are causing discomfort, it is advisable to seek medical attention if:
- The pain worsens or becomes severe.

- You notice any swelling, redness, or warmth in the area.

- You experience additional symptoms such as fever, nausea, or changes in bowel or urinary habits.

- The discomfort interferes with your daily activities or sleep.


Which Specialist to See
For groin discomfort, the first point of contact is typically your primary care physician. They can perform a thorough examination and, if necessary, refer you to a specialist. Depending on the findings, you may be referred to:
- Orthopedic Surgeon: If a musculoskeletal issue is suspected.

- General Surgeon: If a hernia or other surgical condition is suspected.

- Urologist: If there are concerns related to the male reproductive system.

- Gynecologist: If there are concerns related to the female reproductive system.


Conclusion
In summary, while your symptoms may be due to a benign cause such as a muscle strain, it is important to monitor your condition and seek medical advice if the pain persists or worsens. Early evaluation can help identify the underlying cause and guide appropriate treatment, ensuring that any serious conditions are ruled out. Remember, it’s always better to err on the side of caution when it comes to unexplained discomfort.

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