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Is Metronidazole The Right Medicine For Painful Bumps On Groin Area?

Posted on Tue, 2 Dec 2014

Question: Two days ago I started getting painful little lump and then more in the under groin area (along the underpants leg line. There are now more and a couple in the vaginal area. Many years ago I had an abscess behind the anal opening and the pain is becoming similar but presently the pain of blind pimples and then some. Today I started taking metronidazole (from when I had a tooth abscess) so hope I am not doing anything stupid. Can't see GP until tomorrow (Monday) afternoon.

Answered by Dr. Srilatha Myaka (42 minutes later)

Brief Answer:
Metronidazole can be continued

Detailed Answer:
Dear madam, I understand your concern.

In my opinion metronidazole can be continued till you see the GP as it has anaerobic coverage and the area you described is infested with anaerobic organisms.

I need further information madam like:-
1. Are you a diabetic?
2. Are you a hypertensive?
3. Any fever?
4. Any redness and pus from swelling?
5. Any pain associated with swelling?

Kindly provide me the information madam, I am ready for further discussion.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Srilatha Myaka (1 hour later)

Not a diabetic; not hypertensive; no fever
There is certainly redness but no pus that I can determine
There is a lot of pain

Answered by Dr. Srilatha Myaka (31 minutes later)

Brief Answer:
Might be abscess

Detailed Answer:
Dear madam,
Thank you for providing necessary information.

In my opinion there might be abscess since it is associated with pain and redness. Considering your age as criteria it is advisable to rule out malignancy also.

The presence of deep seated pus can be made out with physical examination and ultrasound examination.

In case of pus your doctor might advise you for Incision & Drainage. If any pus it will be sent for culture and sensitivity. And suitable antibiotic will be given.

In case of solid mass he might advise you for biopsy

Kindly rule out diabetes also.

Till then
1.Continue metronidazole and
2.Give warm compresses.

Nothing to worry.
Hope this satisfies your query.
regards
Dr srilatha

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Srilatha Myaka (7 hours later)

It is now morning here and have woken after very disturbed sleep to many, many more painful little lumps through lower groin area (all on right side), lower buttock there, along the right outer labia and possibly anal area. Urinatining is giving extreme burning. It is painful to sit & put any weight on that side. I am wondering if it might be shingles (have never had shingles). Fortunately my local medical practice opens in an hour and although my usual GP wont be in attendance there are other excellent ones. Thank you for your help so far.

Answered by Dr. Srilatha Myaka (7 hours later)

Brief Answer:
Shingles is a rare possibility

Detailed Answer:
Dear madam
shingles is a rare possibility
in case of singles there will be extremely sever pain as primary symptom.
the involvement of skin also will be more like small pustules than lump.
most probably it might be a bacterial infection.
With a course of antibiotics you will recover quickly.
kindly feel free to ask any further query.
regards,
Dr srilatha

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Srilatha Myaka (3 hours later)

Have seen my GP and it most definitely is shingles, the little lumps are appearing as pustules and the pain is severe (with their position I couldn't see them clearly).
Thank you for your assistance and support to this point.
Regards,
XXXXXX

Answered by Dr. Srilatha Myaka (3 hours later)

Brief Answer:
you welcome

Detailed Answer:
i wish you for quick recovery

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju