What are the symptoms of groinitis

Inguinal inflammation is generally lymphadenitis, a common disease involving problems with the tissues of the lymphatic structure, lesions in the reproductive system and various abdominal organs around the groin. The main symptoms include redness, swelling, fever, and pain. Groin pain is caused by infection or inflammation of the lower limb lymphatic system. When suffering from inguinal lymphadenitis, try to avoid external and local stimulation. In terms of diet, be careful not to eat sour, spicy or other irritating foods, and drink plenty of water.

Question 1

Lymphadenitis often follows other infection lesions, and often occurs in the neck, submandibular, axilla and groin. The pathogens are mostly Staphylococcus aureus and Streptococcus. If acute lymphangitis continues to spread to local lymph nodes, or purulent lesions spread to the lymph nodes in the region through lymphatic vessels, acute lymphadenitis can be caused. Infections of the upper limbs, breast, chest wall, back and abdominal wall above the navel cause axillary lymphadenitis; infections of the lower limbs, abdominal wall below the navel, perineum and buttocks can cause inguinal lymphadenitis; infections of the head, face, oral cavity, neck and shoulders can cause submandibular and cervical lymphadenitis. The pathogens of acute lymphangitis and acute lymphadenitis are often Staphylococcus aureus and hemolytic Streptococcus.

1. Chronic lymphadenitis: Most cases have obvious infection foci, and often localized lymph node enlargement, pain and tenderness. The diameter generally does not exceed 2 to 3 cm, and will shrink after anti-inflammatory treatment. Inguinal lymphadenopathy, especially long-standing, unchanged, flat lymphadenopathy, is usually of no significance.

2. Tuberculous lymphadenitis: In addition to swollen inguinal lymph nodes, tuberculous lymphadenitis also has symptoms such as fever, sweating, fatigue, and increased erythrocyte sedimentation rate, which is more common in young and middle-aged people. It is often accompanied by pulmonary tuberculosis. The texture of the lymph nodes is uneven, some parts are lighter (caseous change), some parts are harder (fibrosis or calcification), and they are adhered to each other and the skin, so their mobility is poor. These patients have positive tuberculin tests and blood tuberculosis antibodies.

3. Malignant lymphoma: Malignant lymphoma can occur in any age group. The inguinal lymph node enlargement is often painless and progressive, ranging in size from soybean to jujube, and of medium hardness. Generally, there is no adhesion to the skin, and they do not fuse with each other in the early and middle stages, so they are movable. In the later stages, the lymph nodes may grow very large or fuse into large masses with a diameter of more than 20 cm, invading the skin and taking a long time to heal after rupturing.

In addition, malignant lymphoma can invade the mediastinum, liver, spleen and other organs, including the lungs, digestive tract, bones, skin, breast, nervous system, etc. Diagnosis requires biopsy.

Clinically, malignant lymphoma is often misdiagnosed. Among patients with superficial lymphadenopathy as the first symptom, 70% to 80% are diagnosed as lymphadenitis or lymphadenopathy tuberculosis at the initial visit, resulting in delayed treatment.

4. The superficial lymph nodes in a normal human body are only the size of rice grains, soft, smooth, movable, non-tender, and generally difficult to touch. If the lymph nodes become swollen, painful, hard, rough, adhered to surrounding tissues, or become soft, feel loose when touched, or even rupture, these are all "alarms" of lymph node disease.