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Had mild fever. Having fatigue, sore neck and small lump in neck. What could this be?

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Internal Medicine Specialist
Practicing since : 1996
Answered : 961 Questions
Hi Doc. I am a 27 year old male, 6 ft in height and 235lbs in weight.
I've always been in good health, until recently that is. On or about 2-3 months ago I had mild fever, I was fatigued and the small lump on the right side of me neck (above collar bone) was rather swollen, however please note that 6 months prior to feeling sick I had felt this lump while in the shower. I went to see my family doctor and he confirmed that I was fighting something and also tested me for mono (negative), due to my throat being sore (felt like I was swallowing razor blades). He confirmed that the lump on my neck was in fact a lymph node and didn't suspect it to be anything to be worried about cause of the lymph node being small in size, rubbery and movable. To date it has not gone away but swelling is gone and it remains to be just a small lump when I touch on it.

Furthermore, I just got over what I think was a urine) and or the passing of a stone. I had frequent urination and passed visible signs of blood after emptying my bladder. This cleared up on its own in under a week and hasn't returned.

Now here is where I have rather large concerns. 2 weeks ago I noticed some groin pain on both sides after intercourse with my girlfriend. Not to be graphic, but she really was pretty hard and rough while on top of me. The next day I was in pain and felt my groin area and found 2 lumps the size of marbles. They were a little tender to the touch but manageable and I could walk normally as well.

Now these 2 lumps have gotten a little bit bigger, more tender, harder and appear to both be pulsating when I push on them eith any of my fingers. Today they both seem to be less tender and swollen to the touch, but still there, located right at the fold and or crease where the legs XXXXXXX the pelvic area and to the left and right of the pubic area.

Please help. Any information would be great, as I am currently traveling abroad on business and won't be able to see my family doctor for a week upon my return home.

I don't think I have missed anything and will confirm that I currently and have not been having any fevers (checked twice daily), chills, night sweats, fatigue and or weight loss either. Just have this painful to the touch lumps in either side of my groin as described.

Thank you.
Posted Wed, 29 May 2013 in General Health
Answered by Dr. Prasad Akole 28 minutes later
Dear friend, welcome to Healthcaremagic!
I am Dr. Prasad Akole (Critical Care Expert- and am glad to address to your query here.

A well described query indeed !!
Your neck and groin bumps are lymph nodes which enlarge and get tender due to inflammation from infections.
Your recent UTI and any local infections can cause the groin nodes to get tender and larger.
I assume you did not take any antibiotic for it.

I would advise you to get evaluated as untreated infection of the urinary tract or the groin/ scrotal area can progress and complicate.

You have to get checked up at your doctor’s to look for UTI or urinary stones (as there was turbidity, blood, pain , frequency of urination). Any infection should be adequately treated.

Other possibility is of a STD (sexually transmitted disease). You need treatment if present on evaluation.
Please see if here is any lesion on the genitals or the scrotum.

If it is impossible to see your doctor at all, you can try to take a course of an antibiotic like ciprofloxacin twice daily for 5 days and see if the groin lymph nodes regress.

I hope to have answered your query satisfactorily. I would be glad to answer any further queries. Take care and please keep me informed of your progress at
Good Luck!
Above answer was peer-reviewed by
Follow-up: Had mild fever. Having fatigue, sore neck and small lump in neck. What could this be? 2 days later
Thanks for the quick response Doc!

To start, I looked thru my toiletries bag, as I am currently traveling abroad on business and found 9 remaining tablets of AMOX 500MG/CLAVULAN POT (APO-AMOXI CLAV 500/125MG) from a 14 day (42 Tab prescription) that I filled on January 28 2013. My dentist game me this for a gum and tooth infection.

As per your direction, I have started to take the above stated antibiotic and will continue to do so until completion and ultimately until I see my family doctor.

At the moment, the swelling is now beginning to subside, however the swollen lymph nodes appear to be still rather large in size, yet they also appear to be movable or not as effixed to my body and not really painful to the touch at all. If my deductions are correct, this is a good sign and not a sign of cancer of the lymphatic system and or a horrible sexually transmitted disease?

I think it's important for me to ask a few more questions and answer one of yours as well. I checked and or examined myself for any lesions and or irregularities on my scrotum and genital area. It appears as though I am free and clear of any such lesions and furthermore any sexually transmitted diseases, from a visual perspective that is. For what it's worth I am in a committed relationship and in more recent times, I have had to resort to using condoms, due to my girlfriend going off oral contraceptive for the purposes of us planning on starting a family in the future.

Also, please note that my urinary tract infection has not returned and I do not have any symptoms associated with urinary tract infections and or the passing of a kidney stone. Does this still require treatment so it doesn't return?

To conclude, I currently do not have any other symptoms and or any additional swollen lymph nodes or bumps in my groin area or where my legs XXXXXXX my lower pelvic area (the crease), however I do experience some feelings of pressure in my groin area when I am wearing my usual underwear that is a little tighter than most people would wear. Could I have or be causing the lymph nodes in my groin to swell up by wearing such said tight clothing?

Should I be greatly worried I have more than an infection associated with my lower pelvic and abdominal areas? night nausea and I just gained 4 pounds!

Thanks again for being so awesome in responding to my queries. I hope you don't think I am a hyprocondriac (sp).
Answered by Dr. Prasad Akole 19 minutes later
Thanks for the detailed update.

I would say yes to wearing a more comfort fit underwear.

The nodes are non-cancerous if they are mobile and not hard and fixed to the surroundings.
You can finish an antibiotic course and get evaluated by your doctor if the infection part is gone.
If the nodes and swelling subsides with antibiotic, it was an infection. Does not look like a cancer at present.

Please get urinary tract examined for uti/ stones and rarely tumours as you had blood in urine Painless hematuria-blood in urine) needs evaluation.
Urine routine exam and a sonography would address these.

Hope you get well fast and not be worried.

I hope to have answered your query satisfactorily. I would be glad to answer any further queries. Take care and please keep me informed of your progress at
Good Luck!

As it helps us to improve continuously, may I request you to write a rating review before you ‘accept’ and ‘close’ the query.
Thank you!!
Above answer was peer-reviewed by
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