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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For A Swollen Lymph Node In The Groin Area

I have a swollen lymph node (right side groin area) for two months. It first appeared with redness and swelling that has gone away but now is hardened I have had periodic stomach pain at times. Once every 10 days. I also experienced a similar lump 1 1/2 years ago that went away, but was located on the right side, inner thigh, just above the knee. I also experienced in April a stress fracture in my right tibia.
Wed, 17 Aug 2016
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General & Family Physician,  's  Response
This is inguinal lymphadenopathy. Lymphadenopathy may be benign, self-limited process or may be a sign of serious underlying disease. Infections, malignancy and immunologic disorders account for most of the cases of lymphadenopathy. Inguinal lymph nodes up to 1 cm are frequently palpable and most often represent a benign reactive lymphadenopathy. Pathological enlargement is most commonly due to skin infections or sexually transmitted diseases (syphilis, HSV, Chlamydia). Malignancies are rare.
Advice
1.     Amoxicillin 500 mg three times daily per oral for 10 days
2.     Investigations – CBC, ESR, Hb%
3.     If lymph node swelling does not regress after 10 days of amoxicillin, get done Fine Needle Aspiration Cytology (FNAC) of lymph node to rule out other possibilities
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Suggest Treatment For A Swollen Lymph Node In The Groin Area

This is inguinal lymphadenopathy. Lymphadenopathy may be benign, self-limited process or may be a sign of serious underlying disease. Infections, malignancy and immunologic disorders account for most of the cases of lymphadenopathy. Inguinal lymph nodes up to 1 cm are frequently palpable and most often represent a benign reactive lymphadenopathy. Pathological enlargement is most commonly due to skin infections or sexually transmitted diseases (syphilis, HSV, Chlamydia). Malignancies are rare. Advice 1. Amoxicillin 500 mg three times daily per oral for 10 days 2. Investigations – CBC, ESR, Hb% 3. If lymph node swelling does not regress after 10 days of amoxicillin, get done Fine Needle Aspiration Cytology (FNAC) of lymph node to rule out other possibilities Thanks