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Had inguinal hernia repaired. Getting pain in groin area. X-ray and medical test done. Cause and cure?

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Practicing since : 2008
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My husband has had a lot of pain in groin area which our GP thought was a reoccurence of an inguinal hertnia he had repaired 6 years ago - she referred him to a hernia specialist as he was in a lot of pain. This was early January. He then got much worse and in so much pain we took him to A & E - the initial doctor again suggested the hernia problem and they took him to the surgical ward. Two surgeons came around a couple of hours later and examined him and said there was No hernia and it was an infection for which they gave him antibiotics and we took him home. Took the antibiotics for a week and seemed slightly better but still pain in groin area. In the meantime he got his appointment with the hernia specialist - which we went to on 22nd January. Two doctors/specialists examined him and said they "thought" it could be a femoral hernia but they would send him for a scan to confirm this. ON 27th January he was really unwell and in so much pain he couldn't walk and collapsed. We rang the ambulance and a paramedic came out and tested him for heart etc which was fine whilst lying down but as soon as attempted to stand he was sweating, his heart rate shot up, he was shaking, hyperventilating and his oxygen levels shot up to 100% - finally the paramedic rang an ambulance and it took four of them to get him stood up and down the stairs whilst using gas and air for the pain and it took 20 minutes to get him to the ambulance. In A & E he saw a surgeon who said he didn't think it was a hernia but didn't know what it was. He was given morphine for the pain at that time. He was then taken for X Rays and up to the surgical ward again. Again 2 surgeons saw him (one had seen him the previous time) and again said it was an infection that hadn't cleared up. He was given an injection of antibiotic and a prescription for antibiotics and pain killers and sent him despite the fact that he couldn't stand. He has been in bed since and whenever he does stand it is for a minute or so before he collapses sweating again in extreme pain. He is unable to stand or walk unaided. He is taking his medication regularly but whilst in bed or sitting he feels OK but as soon as tries to stand or walk is collapsing again. What do you think this is and why can't he stand and what should we do??????
Posted Mon, 18 Feb 2013 in General Health
Answered by Dr. Grzegorz Stanko 1 hour later

Thank you for the query.

First of all, please note that as so many doctors have seen your husband and have been able to examine him and perform some tests, it will be very hard to solve your problem from my point. But lets try.
It would be much easier having the results of previously performed tests. Especially full blood work, urine analysis, urine culture tests, ultrasound and X-rays.
Generally groin area pain can be caused by urinary tract stones (it appears suddenly and is very strong sometimes unbearable, can be a reason of collapsing), urinary tract infection (during the hernia repair, there is always a risk of urinary bladder injury, if not diagnosed can be a reason of severe hard treatable urine infection), testicle inflammation, testicle torsion, another hernia.
It is also possible that during the previous hernia repair, the nerve has been stitched and gives such symptoms.

Hope this will help. Looking forward to hearing from you.
Above answer was peer-reviewed by
Follow-up: Had inguinal hernia repaired. Getting pain in groin area. X-ray and medical test done. Cause and cure? 1 hour later
He had blood tests at his GP and all were OK except he has a low blood platelet count. They Xrayed him at hospital and said that was all clear. He does have several cysts in the tube to his testicle which has been diagnosed a couple of years ago - occasionally gives him pain - but not particularly at the moment. His last reason for his ICU admission 6 years ago but we almost lost him and 3 times were basically told to say our goodbyes and then he came through it and was up and fine 10 days later???? He says he can feel something in groin area but I have felt and can feel nothing except what seems to be a hole???? which you can push at least half of your finger length into????
Answered by Dr. Grzegorz Stanko 36 minutes later

Well, this hole can be an XXXXXXX inguinal ring which is the path for hernia. Please perform simple test. Ask you husband to stand up (if possible), put your finger into this hole and ask him to cough. If there is a hernia out there, you should be able to feel movable lump.
Urine severe infection is still possible. There might be an antibiotics resistant bacteria which can give symptoms when immune system gets weak or the urine does not flush urinary tract often enough.
The best way to diagnose the hernia is to perform ultrasound of painful groin (you havent mentioned if there was any performed), testicles ultrasound. Urine analysis and urine culture should be also done.

Hope this will help. Feel free to ask further questions.
Above answer was peer-reviewed by
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