Lymphatic system
Lymphatic system
Swollen lymph nodes in the groin
Swollen lymph nodes in the groin

Groin lump

Definition:
Localized swelling in the groin area. It may be firm or soft, tender or not painful at all.

Alternative Names:
Hernia; Lump in the groin

Considerations:
All groin lumps should be examined by your health care provider.

Common Causes:
  • hernia (usually a soft, large bulge in the groin on one or both sides)
    • A hernia is bigger when standing and recedes when lying down. It can often be pushed back with the finger (see inguinal hernia and femoral hernia).
  • enlarged lymph glands in the groin area
  • a local infection
  • generalized drug reaction
  • allergic reaction
  • a viral infection
  • a malignancy
  • trauma to the groin area
  • sexually transmitted diseases


Home Care:
Follow the therapy prescribed by your health care provider.

Call your health care provider if:
  • there are groin lumps that persist more than 3 weeks.
  • an unexplained groin lump is present.


What to expect at your health care provider's office:
The medical history will be obtained and a physical examination performed.

Medical history questions documenting your symptom in detail may include:
  • time pattern
    • When did the lump develop?
    • Did it occur suddenly or develop slowly?
    • Is it always present or does it come and go?
  • location
    • Is it on one side or both?
    • How big is it?
  • other
    • Does it get larger when coughing or straining?
    • What is the sexual history (detailed questions may be asked)?
    • Has there been any unusual physical activity recently?
    • What other symptoms are also present?
The physical examination may include palpation (touch) of lymph nodes in the groin and elsewhere. A genital or pelvic examination may be performed.

Diagnostic tests that may be performed include: Intervention:
Treatments may include antibiotics if appropriate. For a hernia, surgery may be recommended.

After seeing your health care provider:
If a diagnosis was made by your health care provider related to a groin lump, you may want to note that diagnosis in your personal medical record.


Review Date: 12/5/2001
Reviewed By: Camille Kotton, M.D., Infectious Diseases Division, Massachusetts General Hospital and Brigham and Women's Hospital, Boston, MA. Review provided by VeriMed Healthcare Network.

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