Pain and Swelling in the Genital Area: Causes and Relief

Swelling and redness in the genital area with a sensation of a foreign body but no discharge could indicate several conditions. Possible causes may include a skin infection, allergic reaction, or irritation. It is important to consult a healthcare professional for an accurate diagnosis and appropriate treatment?

Hello doctor, for the past two days, whenever I sit down, I feel soreness and swelling in my genital area, but there is no pain during urination and no discharge.
My daily life is otherwise normal.
Recently, I have also experienced some discomfort in my lower abdomen (after urination, I still feel a slight pressure and discomfort as if I have been holding my urine for a long time).
I had a urine test, and the doctor said there is no inflammation in the urinary tract.
I'm not sure if this is related to the genital area.
However, I am currently in quarantine and cannot visit the clinic, and I am worried because I don't know the exact diagnosis.
Can I wait until after the quarantine to see a doctor (which will take several more days)? Also, are there any ways to alleviate my current symptoms? Thank you.

Chacha, 20~29 year old female. Ask Date: 2022/11/21

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your symptom description, it is recommended to maintain cleanliness and dryness in the perineal area, avoid tight-fitting clothing, minimize the use of panty liners, ensure adequate sleep, and follow a light diet.
Additionally, try to avoid stress and prolonged sitting.
Taking a sitz bath during showering may help alleviate symptoms.
If symptoms persist, please consult a physician for diagnosis and treatment.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2022/11/21

More Info

Understanding pain and swelling in the genital area can be concerning, especially when accompanied by discomfort in the lower abdomen. Based on your description, it seems that you are experiencing localized pain and swelling in the genital area, particularly when sitting, but without any urinary symptoms or discharge. This suggests that the issue may not be related to a urinary tract infection (UTI), especially since your urine tests came back normal.

There are several potential causes for the symptoms you are experiencing:
1. Muscle Strain or Injury: If you've engaged in activities that put strain on the pelvic region, such as heavy lifting or prolonged sitting, it could lead to muscle strain. This can cause localized pain and swelling.

2. Nerve Irritation: Conditions such as pudendal neuralgia, where the pudendal nerve is irritated or compressed, can lead to pain in the genital area. This type of pain can be exacerbated by sitting and may not be associated with urinary symptoms.

3. Hernia: Inguinal or other types of hernias can cause discomfort in the groin and genital area, particularly when sitting or straining. However, hernias typically present with a noticeable bulge.

4. Inflammation: Conditions such as prostatitis (in men) or vulvodynia (in women) can cause discomfort in the genital area. These conditions may not always present with obvious symptoms like discharge or significant urinary issues.

5. Pelvic Floor Dysfunction: Issues with the pelvic floor muscles can lead to pain and discomfort in the genital area, particularly when sitting. This can be related to muscle tightness or weakness.

Given that you are currently in isolation and unable to visit a clinic, here are some strategies you can employ to help alleviate your symptoms:
- Rest: Avoid activities that exacerbate your pain, particularly sitting for prolonged periods. If you must sit, consider using a cushion to relieve pressure on the area.

- Heat Therapy: Applying a warm compress or heating pad to the affected area can help relax muscles and reduce discomfort.

- Gentle Stretching: If you feel comfortable, gentle stretching of the pelvic area may help relieve tension. However, avoid any movements that increase your pain.

- Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help reduce pain and inflammation. Make sure to follow the recommended dosage.

- Hydration: Staying well-hydrated can help with any mild urinary discomfort you may be experiencing.

- Mindfulness and Relaxation Techniques: Stress can exacerbate pain perception. Techniques such as deep breathing, meditation, or gentle yoga can help manage stress and may alleviate some discomfort.

It is advisable to monitor your symptoms closely. If the pain worsens, if you develop additional symptoms (such as fever, significant swelling, or changes in urinary habits), or if the discomfort does not improve with home care, you should seek medical attention as soon as you are able to do so.
Once your isolation period is over, consider scheduling an appointment with a healthcare provider who can perform a thorough examination and possibly recommend imaging or other diagnostic tests to determine the underlying cause of your symptoms. Early intervention can help prevent potential complications and improve your quality of life.

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