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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What is the treatment for lump in the groin?

My son, who is 13, noticed a lump in his groin area two days ago. It is about an inch long and half an inch wide, rather firm and very sensitive to touch. The skin over it appears normal. It hurts him intermittently. It seems likely to be a swollen inguinal lymph node. He has not been sick, nor does he have any apparent cuts on his legs or feet. We saw the doctor yesterday. The doctor recommended an ultrasound. This procedure is scheduled in a few days. Last night, the area above the swollen node began to swell as well. This swelling is not a distinct lump like the original spot, just a swollen area about 2-3 inches long and wide. Today he is complaining of a sore throat. The ultrasound is scheduled for Friday. Is further treatment more urgent given these additional symptoms?
Tue, 14 Apr 2015
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General & Family Physician 's  Response
Hi
Thank you for asking HCM
I have gone through your query. Lymph node swelling is associated with infection or inflammatory process in pelvic or abdominal area and usually will be associated with fever. Lymphadenitis is another possibility and that is also associated with more pain and fever. As those signs are absent i suspect an inguinal hernia. Does he has any change on lump while coughing? Hernia can have such changes also. Any way ultrasound will give you good information about this. In case of hernia if not reducible surgical correction should be considered.
Hope this may help you. Let me know if anything not clear.
Thanks.
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