Question: I have ankylosing spodylitis. I have been free from flares for the past 2 years. About three months ago I pulled a muscle in my groin. I have had a VERY slow recovery and my AS pains are also bad right now. I have what I assume is a lymph node in my upper thigh that is very, very painful. It feels exactly like a node I had that was swollen in the past that was right in my groin (about an inch away). I went to the doctor and they said that, "It does feel like a swollen lymph node would feel, but there are no lymph nodes outside the groin in the lower body" This does not make sence to me, as many of the pictures I have seen online show nodes extending into the front inner thigh (femoral lymph nodes?).
1. could he be wrong? Should I get a second opinion?
2. Is it possible that it is swollen in reaction to my muscle injury?
3. Could it be swollen as an inflammatory response to my ankylosing spondolitis? I have read that other autoimmune problems can irritate the nodes, but have not found any mention of AS.
Thanks so much for your time.

I am still trying to pinpoint what is happening with me. There is so much happening in my body that it is hard to figure out what is injury/illness/inflammation.

I have just realized that right before I got the groin pain I was sick with a sore throat/fatigue/aches/feverish for about two weeks. I did not have any "cottage cheese" in my throat/ it was over the holidays/ and my dr was moving, so I just waited it out. In the middle it was getting better and then it came back full force. After that I was feeling very tired.

Along with the groin pain, about the same time I got severe rib pain in my lower left ribs on the left side. I got a kidney ultrasound and had a urinalysis done. Everything came back normal. but bloodwork showed that my liver enzymes were slightly elevated.

Since the groin pain began, I have not had an active sore throat, but it does get "achy" every once in awhile. It seems to subside.

I feel feverish occationally (every other dayish), but it usually subsides fairly quickly. I have been getting terrible chills at least once a day, but again, if I "warm up" it subsides.

I am wondering if this sounds in line with mononucleosis? Could the rib pain be spleen pain? My lymph nodes in my upper body have not been painful, but I never checked to see if they were swollen, before today (they are not).

I have a call out to my doctor, but I am afraid that because he does not think it it lymph pain, he will not take it seriously. I seem to have more lymph nodes that seem to be swelling in that area, but those go down fairly quickly. Of course they were not swollen when I went to the doctor.

Does this sound like mono is a possibility? I do not want to make demands on the doctor if this sounds ridiculous. I need to be selective of what to demand of him so I get down to this.

Thanks so much.