Right Lower Abdomen Swelling: Symptoms and Solutions

Right lower abdominal swelling?

Hello doctor, I have a swollen, round, movable area in the right groin that started two days ago.
I began experiencing a fever over 39°C, along with pain in the lower right abdomen near the bladder and the right testicle (the right is larger than the left).
I've had a fever for more than two days, and after urinating, I feel a white discharge.
The right testicle has a pulling pain, especially when standing.
I smoke and drink alcohol regularly (I consume a lot of Baileys daily).
A few days ago, I noticed that whenever I drink beer or Baileys, my urine has a blood-like color after urination (this does not happen when I don’t drink).
I often experience nausea and vomiting of stomach acid when drinking on an empty stomach; I’m not sure if this is related.
How can I improve my condition? I no longer have a fever, but I feel cold in my limbs, like goosebumps.

Enrong, 20~29 year old female. Ask Date: 2024/02/13

Dr. Li Xinyi reply Urology

I'm sorry for the oversight and the delay in addressing the issue.
If you have a fever, it is advisable not to seek answers online and to promptly visit a urologist.
The coldness in your limbs may still be related to the fever.
Tobacco and alcohol should be considered as mere flavorings in life; if they can be avoided, it's best not to use them.
At most, I can suggest moderate consumption.
However, if abused and it harms your body, you could lose everything.
Please take extra care of your health, especially at a young age.

Reply Date: 2024/02/13

More Info

Based on your description of symptoms and the details provided, it seems you are experiencing a combination of issues that could be related to several potential medical conditions. The swelling in the right groin area, fever, pain in the right lower abdomen, and changes in urination are concerning and warrant further evaluation.

Understanding Your Symptoms
1. Swelling in the Right Groin: The swelling you describe could be indicative of a few conditions, such as a hernia, lymphadenopathy (swollen lymph nodes), or even an infection. Given that it is movable, it may suggest a hernia, particularly an inguinal hernia, which is common in the groin area. However, lymph nodes can also swell in response to infection or inflammation.

2. Fever and Pain: The fever (39°C) and pain in the right lower abdomen, particularly near the bladder and right testicle, could suggest an infection, such as epididymitis (inflammation of the epididymis) or orchitis (inflammation of the testicle). These conditions can occur together and may be caused by sexually transmitted infections (STIs) or other bacterial infections.

3. Urinary Symptoms: The presence of white discharge and blood in the urine after drinking alcohol is particularly concerning. This could indicate a urinary tract infection (UTI) or a sexually transmitted infection affecting the urinary tract. The fact that symptoms worsen with alcohol consumption may suggest irritation of the urinary tract or bladder.

4. Cold Sensation in Extremities: The feeling of coldness and "goosebumps" in your limbs could be a response to fever or possibly related to circulatory issues, especially if you have been consuming alcohol heavily.

Recommendations for Improvement
1. Seek Medical Attention: Given the combination of symptoms, it is crucial to consult a healthcare provider as soon as possible. They may perform a physical examination, order imaging studies (like an ultrasound of the groin and abdomen), and conduct laboratory tests (such as a urinalysis and STI screening) to determine the cause of your symptoms.

2. Avoid Alcohol: Since you have noted that alcohol consumption exacerbates your symptoms, it would be wise to avoid drinking until you have been evaluated by a healthcare professional. Alcohol can irritate the bladder and may worsen any underlying conditions.

3. Hydration: Ensure you are drinking plenty of fluids, especially water, to help flush out your urinary system. This can be particularly important if you are experiencing any signs of infection.

4. Monitor Symptoms: Keep track of any changes in your symptoms, including the severity of pain, changes in urination, or any new symptoms that may arise. This information can be valuable for your healthcare provider.

5. Lifestyle Modifications: If you smoke and drink heavily, consider seeking support to reduce or quit these habits. Smoking and excessive alcohol use can have significant negative impacts on your overall health and may contribute to your current symptoms.

Conclusion
Your symptoms suggest a potentially serious condition that requires prompt medical evaluation. The combination of swelling, fever, pain, and urinary changes could indicate an infection or other significant health issue. Please prioritize seeing a healthcare provider to receive appropriate care and treatment. Early intervention can lead to better outcomes and help prevent complications.

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