Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
149 Doctors are Online

Cause of pain in groin area that subsided after antibiotic treatment - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Men's Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2570 Questions
User :   I am having strong, dull pain around my prostate/groin area...have had it for about 3 weeks, but seems to be more pronounced, I was treated for prostatitis about 1 1/2 years ago and the pain went away with antibiotics...I can't tell if I have a hernia, or a bladder infection or prostatitis again...can you help?
Doctor :   hi
User :   thank you for helping me! I am going to see my primary care physician tomorrow...
Doctor :   Dr.xxxxhere.
User :   hello!
User :   Hey Dr. xxx
Doctor :   please give me few moments to read what you have typed
Doctor :   please describe your symptoms in detail.
User :   been having some dull pain, seems to be underneath my scrotum and before you get to my rectum...almost in the middle
Doctor :   please provide your age, height, weight, details of past medical illness and treatment.
User :   like it is behind my scrotum
Doctor :   ok
Doctor :   does the pain increase when you cough, sneeze or lift anything heavy?
User :   6'2", 200lbs, 34 years old, take prevacid for GERD and Advair each day 250mg for Asthma
User :   cant really tell...I havent tried to lift anything heavy recently
Doctor :   do you see any mass or swelling in the groin area and in the are of pain with coughing, sneezing or increase in abdominal pressure?
User :   it is just this dull achy was on the left side for much of the time until today it seems to be on both left and right sides...
Doctor :   have you had burning sensation or pain/discomfort when passing urine?
User :   no to both
Doctor :   is there lower abdominal pain/cramps associated?
User :   April 2009 they took me to get a scan of my make sure
Doctor :   is the color of urine changed?
User :   negative, they only found a very tiny benign cyst
User :   no change in urine, but it is taking it a bit longer to come out initially
User :   seems that constipation is occurring more, increases the pain a bit
Doctor :   ok, after the main urine flow stops, do you have dribbling of urine for longer time?
User :   I took some ibuprofen a few hours ago and the dull pain became more mild
User :   thought maybe there was some inflammation
Doctor :   are the stools hard in consistency?
User :   yes, my diet has not been good recently
User :   hard to go the other day, my stool was huge
Doctor :   do you have mucus or blood coming out with stools?
User :   nope
User :   I did 3 months ago, but that was hemmorhoids
User :   wait what?
Doctor :   sorry about the last text
User :   I am a man!!!
User :   thats ok
Doctor :   it was mistake
User :   dont know much about inguinal hernias or prostatitis...I think its the latter
Doctor :   i intended to ask you if after the main urine flow stops, do you have dribbling of urine for longer time?
User :   perhaps a rectal check tomorrow will help the doc
User :   I do start a flow...then it slows down...then towards the end it speeds up again...and I dribble for a while
User :   (urine flow)
User :   I have the urge to go a bit more
User :   as well
Doctor :   ok. you symptoms are more suggestive of prostatitis with the increase in symptoms
User :   its weird, Dr, it seems like the pain is scrotal, but it feels like it is behind an inflamed prostate
User :   prob was last year the doc gave me ciproflaxin
User :   WITHOUT probiotics
User :   and I got c. diff. for 3 months
Doctor :   yes, enlarged or inflamed prostate can lead to pain in teh area behind scrotum
User :   it was terrible
User :   oh it can?
User :   I heard you can have chronic prostatitis
User :   comes and it a bacterial infection? should I drink more cranberry juice?
Doctor :   ok, then this time make sure that a probiotic is prescribed simultaneously with the antibiotic.
User :   exactly
User :   thats what helped last time
User :   when combined with a probiotic it went away (the pain)
Doctor :   also cranberry juice with help more with UTI or urine infections
User :   then in the last few months, the dull pain has returned
User :   hurts more when I sit down
User :   what does it sound like to you dr?
User :   (thanks so much for helping me!!!)
Doctor :   as I said earlier your current symptoms are suggestive of prostatitis
User :   I was concerned about cancer, but they took a tool that surveyed my scrotum last year and there was no sign of it
User :   is prostatitis typical in males of my age?
User :   can it come and go?
User :   and how do you prevent it?
Doctor :   it can come and go, if the problem is chronic and you are having recurrent problems then consider getting surgery done
Doctor :   to have permanent solution to the problem
User :   what causes the inflammation?
User :   prostatitis can be easily treated correct?
Doctor :   any infection or even activation of previous infection (dormant infection) can cause this
User :   hmmm as if an antibiotic didnt run its course...
User :   and the infection remained...
Doctor :   you need to be in regular follow-ups, and see if prolonged antibiotic use can help
Doctor :   even with complete antibiotic course, some amount can be left behind
User :   so you would recommend getting my doc to check me out tomorrow?
Doctor :   what is known to cause the 'chronic' case
User :   antibiotics along with probiotic use right?
User :   probiotics actually helped give me loose stools
Doctor :   and in such cases, then prolonged antibiotic use even after the actual antibiotic course will be necessary to prevent chronic states
User :   gotcha...sounds like I need to be on it longer
Doctor :   and yes, i would strongly recommend you to go ahead with your doctor's appointment and surely get the probiotics prescribed along with antibiotics
User :   is this dull pain behind the groin/scrotal area a common symptom of prostatitis?
Doctor :   it is a common one when the protatitis is moderate to severe.
User :   that makes me feel so much better chatting with you, Dr
User :   what happens after the moderate pain? will other symptoms occur?
User :   :)
User :   45 seconds
User :   well thank you for your help in this session
Doctor :   may be or may not be
Doctor :   it depends on how your body reacts to it
Doctor :   thanks for consulting me. bye for now
Question is related to
Diseases and Conditions
Medical Topics
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor