Brief Answer:
Enlarged lymph nodes in the groin

Detailed Answer:
Hello and Welcome

I appreciate your concern

The enlarged lymph nodes in the groin is suggestive of an infection in the same region. The area should be examined. Possibility of an STD should be ruled out with proper history and physical exam which I am positive your GP did so. If Tylenol, NSAIDs and hot compress do not lead to resolution then an ultrasound is a good idea. Herniation is also common in this area and can be confused with lymph nodes. The ultrasound will make the diagnosis much clear. Soft nodes in the groin area are common and if they remain enlarge even after empirically treating with antibiotics and NSAIDs then FNAC / excisional lymph node biopsy should be considered in consult with your doctor. Most likely that wont be needed as the majority of such node swelling is due to a viral infection or allergy or non specific inflammation and subsides within two weeks.


Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil

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Brief Answer:
Explained

Detailed Answer:
Hello again.

Its a subjective experience mostly and can give clues but physical examination alone is never used to conclude the final diagnosis.

In general, warm, tender and fluctuant nodes indicate lymphadenitis. Fixed, firm, non tender and matted nodes indicate malignancy.

Subclinical infections are common. However , 17 days is a longer duration thus an ultrasound is the way to go for now.

No, they aren't matted. Matted nodes are adherent to each other.

Thanks.

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Brief Answer:
Explained

Detailed Answer:
Hello again.

I appreciate your concern and am sorry for your distress.

Its normal to be anxious especially after reading the possibilities. Based on your description, I am positive that it wont be a serious cause.

Exact measurement is possible only on ultrasound. There is no need to find the exact measurement or to feel them repeatedly. The size and consistency assessment, as mentioned earlier are also dependent on the subjective analysis and experience of the physician.

Yes, mobility is a good sign. Fixation is not a good sign.

Let me know if you have any query

Best of luck.

Thanks

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Brief Answer:
Explained

Detailed Answer:
Hello again.

Symptoms alone are not a reliable source unless one is investigated especially with regards to malignancy. Searching and fitting symptomatology , alone is a useless exercise and would fuel your anxiety, further.

When the nodes are tender, they would bother you and be painful when touched. They cant go un noticed. The infection site is quite far from the groin and its unlikely that it was related to the sore throat though infection /inflammation can lead to lymphadenopathy response from such sites in the body.

The non fixation, no matting, non adherent nodes plus your GPs opinion point towards a positive outcome. However, its a general opinion and one would be in a better position to exclude the diagnosis based on confirmatory investigations.

In my personal opinion, Just try to relax. I hope you overcome your anxiety and have good news at the end.

Wishing you best of health

Thanks

Let me know if you have any query

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Brief Answer:
Explained

Detailed Answer:
Hello again.

The one that has reduced in size according to you and the other changing consistency is probably a good sign as it shows that there is regression rather than progression or fixed nodes with no changes. Then again, I would re emphasize that lymph node examination ,even by an experienced doctor, can at best give clues only. One can not base treatment decisions alone on the consistency of the nodes.

Thanks.

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