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Possible causes of sores on the groin - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Skin Rash
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   Hi, may I answer your health
User :   Hi.
Doctor :   Hi
Doctor :   Iam Dr.XXX
Doctor :   please post your query
User :   I have these small open sores on my groin area, and I'm not sure what they are
Doctor :   How long you have that?
User :   I get them off and on, it depends on my shower regimen and exercise.
Doctor :   May i know your age,gender,marital status and occupation
User :   20, Male, Single but in a long term non-marital relationship, and I work as a XXX
Doctor :   Do you itching over that area?
User :   No.
User :   There's no itching but it is incredibly painful.
Doctor :   When was your last sexual contact?
Doctor :   Did this develop after that?
User :   3 or 4 days ago, and no.
Doctor :   ok
Doctor :   Is it appearing as blister first?
User :   I started getting these prior to being sexually active.
User :   It generally appears as a red bump that sometimes has a small rash around it.
Doctor :   ok
User :   I generally get them after forgetting to shower after exercising.
Doctor :   OK
Doctor :   How long you have this?
Doctor :   Do you sweat a ?lot
User :   I started getting it my Junior year during football season, but I thought it was just from my pads chafing the area.
Doctor :   ok
Doctor :   Do you have a lesion at the end of penis?
User :   I've gotten them since, I don't know exactly what they're connected to, I get them both on the inner thigh and on the scrotum.
User :   No, I don't.
Doctor :   ok
Doctor :   did you meet a doctor/
User :   I don't have access to a doctor.
Doctor :   OK
Doctor :   i feel you are probably having a viral infection
User :   Do you think it's any form of STD?
Doctor :   It can be
Doctor :   So are you sure your partner is free from STD?
User :   Yes, she was a virgin prior to about 2 months ago, and we've been together for 5 months.
Doctor :   ok
Doctor :   Good
User :   Do you have any idea as to what it might be?
Doctor :   Genital herpes is diagnosed based on a complete evaluation, including a history and physical exam.
Doctor :   I mean Genital herpes is a viral infection
User :   I've seen pictures of genital herpes, I've looked through hundreds trying to find a similar picture and none come close.
Doctor :   that causes sores in the groin.that recurr
Doctor :   ok
Doctor :   The other disease possible is lGV
Doctor :   or Lymphogranuloma venerum
User :   IGV?
Doctor :   But is usually painless
Doctor :   So a definite diagnosis can be made only after proper physical examination
User :   Okay
User :   If I had to be honest
User :   they look similar
User :   to a canker sore
Doctor :   Canker?
User :   that you get in the mouth when you don't take proper care.
Doctor :   you mean mouth ulcer or aphthous ulcer
Doctor :   But groin is a very rare site for that
User :   Cancher sore i believe is the right spelling
User :   I'm not thinking that it is that
User :   but it looks similar
Doctor :   do you mean cancer?
User :   Cancer? No. I do not mean cancer.
Doctor :   Ok
User :   Mouth ulcer matches what I meant by cancher
Doctor :   ok
Doctor :   But groin is not the usual site
User :   Right.
User :   Do you know of anything that would likely have that appearance in that area?
Doctor :   Since in the groin area there are so many lymph nodes
Doctor :   I feel that is avirus infection
Doctor :   That only causes pain
Doctor :   hidradenitis suppurativa
User :   That looks fairly accurate to what I have, except for the red ring that I believe is caused by swelling.
Doctor :   ok
Doctor :   There are many
Doctor :   triggering factor for that
Doctor :   like smoking obesity tight clothing
Doctor :   deodrants ,drugs etc
User :   None of those are problems for me.
Doctor :   some do have genetic predisposition
Doctor :   ok
Doctor :   Good
Doctor :   Treatments may vary depending upon presentation and severity of the disease
Doctor :   Changes in diet avoiding inflammatory foods, foods high in refined carbohydrates.
User :   How so?
Doctor :   Warm compress
User :   Okay, please continue.
Doctor :   ok
Doctor :   Icing the inflamed area daily until pain reduction is noticed
Doctor :   Weight loss in overweight and obese patients,
Doctor :   These lifestyle changes will do wonders
Doctor :   If still persists
Doctor :   then antibiotics corticosteroids
Doctor :   vit A etc is used for teatment
User :   There was a creme I used to use that pretty much always made them go away within a day or two.
Doctor :   Can you give the name?
User :   I don't remember the name of said creme, I looked for it and couldn't find it.
Doctor :   Topical clindamycin has been shown to have an effect
User :   But, it was a "Dry cracked skin" solution.
Doctor :   Ok
Doctor :   Are you overweight?
Doctor :   Do you have similar lesions elsewere?
User :   No, 5"11 180 lbs
User :   That is the only site of the sores
Doctor :   ok
Doctor :   Good
User :   I exercise fairly regularly. Every other day.
Doctor :   Good
Doctor :   Try what i have said
Doctor :   You will be fine
User :   Which is?
Doctor :   Try to get an physical examination done
Doctor :   i mean llifestyle changes with antibiotics
Doctor :   after an examination by a local doctor
Question is related to
Diseases and Conditions
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