Can a lymph node in the groin become inflamed. Inguinal lymphadenitis: symptoms, treatment, diagnosis, causes of inflammation of the lymph nodes in the groin

10.05.2020 -

Lymph nodes are an important part of the human immune system, they are one of the first to protect the body from various infections, and also indicate the presence of a pathological process in the body. In a healthy person, the lymph nodes do not manifest themselves in any way. With their increase, soreness, swelling and other manifestations, it is necessary to consult a doctor as soon as possible for the purpose of diagnosis and treatment, since these symptoms indicate not only local infections, but also serious systemic pathologies.

Inguinal lymph nodes are located in the thickness of the fold between the thigh and the pubic area. Normally, they are painless, soft elastic and can reach 1-1.5 cm.

Signs indicating pathology are:

An increase in the size of the lymph nodes, up to the point that they become noticeable during visual inspection.
Soreness in the affected area, in the groin and in the area of the inner surface of the thigh, noted both at rest and when touched.
Discoloration of the skin over an enlarged lymph node. It may acquire a slight reddish, burgundy or bluish tint.
Increased skin temperature over the site of inflammation, fever.
General intoxication - weakness, lethargy, decreased exercise tolerance, headaches and muscle pain.

Doctors distinguish regional (an increase in one group of lymph nodes) and generalized (an increase in the size and soreness of the lymph nodes in various parts of the body, for example, in the groin, armpits or neck) lymphadenopathy. Generalized lymphadenopathy indicates a systemic infection, while an isolated increase in inguinal lymph nodes indicates a local inflammatory process (venereal diseases, genital infections, kidney and bladder diseases).

An increase in lymph nodes is one of the manifestations of malignant neoplasms, but at the same time they remain painless for a long time and practically do not bother a person, which leads to an untimely visit to a doctor and late diagnosis of oncopathology.

Enlarged lymph nodes in urinary tract infections

Most often, infectious and inflammatory diseases of the organs of the reproductive and genitourinary systems lead to an increase in the inguinal lymph nodes.

Almost every pathology is manifested by a number of characteristic symptoms that make it possible to suspect its presence at the initial stage and consult a doctor:

Urogenital candidiasis- a fungal disease characterized by itching, redness of the external genitalia, the appearance of cheesy white discharge, swelling of the vaginal mucosa and a slight increase, soreness of the lymph nodes.
- STI, manifested by the release of a small amount of mucus from the vagina, urethra, itching, pain and burning when urinating. In the acute phase of chlamydia, inguinal lymph nodes can significantly increase in size (over 2 cm in diameter), cause discomfort when walking, palpation.
. After a long incubation period, averaging 7-9 months, genital warts form on the vaginal mucosa and lymph node tissues grow in response to inflammation.
- a sexually transmitted disease, manifested by urethritis with copious purulent discharge, pain, burning in the urethra, as well as a significant increase in regional lymph nodes.
- lymph nodes begin to increase in size at the same time or a few days after the onset of the main clinical symptom of the disease - a hard chancre. With this pathology, the lymph nodes in the groin can increase to the size of a walnut, while remaining soft. Pain on palpation is mild or absent.
Lymphadenitis caused by an exogenous infection entering the body. Often, an increase in lymph nodes in the groin is observed with scratches, abrasions and small wounds localized in the thigh, genitals and perineum.

Lymph nodes in the groin become inflamed in almost every case of urogenital infection, thereby creating a natural immune barrier and preventing the spread of pathogenic agents throughout the body.

Important! Since lymphadenopathy is not an independent disease, but only a symptom indicating a pathological process in the body, treatment should begin with the treatment of the underlying disease.

Systemic pathologies

In addition to diseases of the genitourinary system, systemic infections (including especially dangerous ones) and oncological diseases can lead to lymphadenopathy:

Infectious mononucleosis- is caused by the Epstein-Barr virus and is clinically manifested by an increase in many groups of lymph nodes, tonsillitis, fever and general weakness. With this infection, atypical mononuclear cells, leukocytosis and an increase in ESR will be detected in the general blood test.
Tuberculosis- a serious disease that can affect the lungs, kidneys and skeletal system. At the initial stages of this pathology, the lymph nodes are slightly enlarged, mobile and painful on palpation. With the further development of the disease, they become soldered to each other, become dense to the touch, suppuration occurs.
Rubella- a childhood infection, the first sign of which is an increase in lymph nodes. Most often, the occipital, cervical and parotid groups undergo pathological growth, however, in severe cases, the lymph nodes of the groin can also become painful. In addition to lymphadenopathy, rubella is accompanied by fever, rash, and respiratory manifestations.
HIV, autoimmune, oncological diseases and tumors of the lymphatic system- severe pathologies characterized by generalized lymphadenopathy. A distinctive feature of enlarged lymph nodes in these processes is their painlessness, especially on palpation. In the process of development of the pathology, especially in lymphogranulomatosis and lymphomas, the nodes often grow to the size of a chicken egg, acquire a dense texture, solder to each other and to the surrounding tissues.

Important! If you find enlarged lymph nodes localized in the inguinal region, you must urgently consult a doctor and tell about all the disturbing symptoms. This, together with the diagnosed lymphadenopathy, will help the specialist to draw up a complete clinical picture and establish the correct diagnosis. For example, Hodgkin's lymphoma is manifested by nighttime itching, sweating, weight loss, which many patients may not pay attention to.

Diagnosis of the disease

To select the correct and most effective treatment, it is important to establish the underlying cause that led to the appearance of enlarged lymph nodes in the groin.

The list of diagnostic procedures includes:

visual inspection and palpation;
general clinical studies (OAK, OAM, biochemical analysis);
gynecological examination;
microscopic, cultural examination of smears;
PCR and serological reactions for the determination of STIs;
Ultrasound of lymph nodes, pelvic organs.

A more detailed diagnosis depends on the results of the primary study. Depending on the suspected pathology, the patient may be prescribed an immunogram, a biopsy of the lymph node, specific tests for the detection of tuberculosis (Mantoux, diaskin test), CT and MRI if the pathology is suspected of a tumor nature.

Important! Carrying out a needle aspiration biopsy with an enlarged lymph node is not only not indicative (since the doctor sees only part of the cells, and not its entire structure), but can also be harmful in oncological diseases, since it leads to damage to the vessels, the capsule of the lymph node and spread atypical cells throughout the body. For diagnosis, an excisional biopsy is used, in which the pathological node is completely removed and sent for further histological examination.

Treatment

With an increase in the lymph nodes in the groin, you cannot self-medicate, because without knowing the correct diagnosis, you can only harm and worsen the condition. The choice of therapy depends on the underlying disease.

For the treatment of lymphadenopathy are used:

Non-steroidal anti-inflammatory drugs(Nimesil, Ibuprofen), which stop the inflammatory process, show an analgesic effect.
Hormonal drugs(glucocorticoids) - used to eliminate edema and in case of ineffectiveness of NSAIDs.
Antibiotics(penicillins, tetracyclines, fluoroquinolones) - the choice of an antibacterial drug depends on the sensitivity of the microorganisms that caused the underlying disease.
Specific antiretroviral, antituberculous, antitumor treatment(chemistry, radiation therapy).

With lymphadenitis caused by inflammation in the organs of the genitourinary system, with the permission of the attending physician, it is possible to use home remedies. In order to relieve pain, eliminate swelling, a compress of mint leaves is used. To prepare it, you need to finely chop or grind fresh peppermint with a blender, wrap the resulting slurry in several layers of mats and, without squeezing, apply to the affected area for 1-2 hours. The procedure must be repeated within 14 days, combining it with the drug therapy prescribed by the doctor.

Important to remember! It is strictly forbidden to apply warming compresses, ointments and rubbing to the area of inflamed lymph nodes, as this can lead to further spread of the pathological process in the body.

A venereologist tells about inflammation of the inguinal lymph nodes in women.

Quite often, a flu disease or any other is accompanied by an increase in the lymph glands in the neck. Sometimes the disease seems to have passed, and the nodes do not decrease further. This may indicate the development of a serious illness.

The lymphatic system, consisting of lymph nodes and blood vessels, acts as a kind of filter in the human body, it contains immune cells.

When an infection enters the body, lymphocytes catch it and transmit a signal to the immune system. on the need for activation, stimulating action. Of course, at the same time, the lymph nodes thicken.

When the infection is strong, the lymph node enlarges, an inflammatory process begins in it. If it is properly treated, then by the third day the inflammation can be overcome.

The most common are submandibular and cervical lymphadenitis, less often inguinal (caused by infection through a scratch on the legs or from non-compliance with basic hygiene - a person does not like to wash, and then inflammation of the sex glands of the subgroin area develops).

Angina, inflammation of the gums, a carious tooth, a scratch on the skin, even a runny nose - all these infectious diseases can cause lymphadenitis.

Therefore, after an illness, it is necessary to ask a child or an adult if it does not hurt in the neck, when turning the head, under the jaws and probe these areas to determine if there are painful nodules.

Also, swelling of the lymph nodes is observed with a blood disease (for example, leukemia, lymphogranulomatosis), with cancer.

Thickened lymph nodes can also be found in women who have had their reproductive organs removed. And also - due to the defeat of the herpes simplex virus, cytomegalovirus, AIDS virus, venereal diseases, mononucleosis.

If enlarged lymph nodes are found, it is necessary to have a laboratory examination of the blood, and pay attention to the level of ESR (the rate at which red blood cells settle). If it is very high, for example, more than 30, then this indicates a serious inflammatory process in the body.

If the lymph nodes are enlarged, you need to donate blood for analysis

Having made more detailed examinations, it is necessary to discard the most terrible diseases.

When it turns out that these are the consequences of a cold, flu or sore throat, you need to carry out antiviral treatment, which is aimed at strengthening the immune system.

Although it often happens that one or two "nodules" are enlarged for a long time. If it is also submandibular, then in this case it does not hurt to contact a dentist to examine the oral cavity, there may be a certain pathology.

As you know, lymph plays one of the most important roles in the metabolic processes of human life. Thanks to the entire lymphatic system of the body, biological filters are formed that prevent foreign elements from entering the bloodstream.

In the inguinal muscles, with the help of lymph nodes, lymph is filtered and neutralized, starting from the limbs of the legs and ending with the genitals.

When the lymph nodes accumulate in this place, they form the largest group among others., which is divided into several important parts:

The upper accumulation of lymph nodes includes lymph from the abdomen, sides and buttocks.
The middle cluster has nodes of the perineum, intestines and genitals.
The lower accumulation of lymph is in the legs.

In the normal state, men and women should not feel the accumulation of inflamed lymph nodes in the groin.

However, if they become inflamed or infected, the nodes may gradually increase. If they are not treated, edema may appear over time and serious illnesses may develop.

In the standard the lymph node should not be larger than 1.5 cm, however, during the disease, it can increase even 4 times.

To correctly determine the size and condition of the lymph node, you need to use only ultrasound.

The disease is diagnosed by ultrasound.

The main causes of inflammation of the lymph nodes are:

complications after colds (SARS, colds, flu);
infectious diseases;
injury in the groin area;
diseases, which will be discussed below.

The lymph node becomes inflamed as a result of the fact that foreign particles begin to fight with lymphocytes, antibodies and macrophage cells that are produced by the body.

It is important to know! If women experience severe pain in the area of inflamed lymph nodes, it is urgent to consult a doctor to diagnose and treat inflammation.

It is worth paying attention to the fact that by increasing the size of the lymph nodes, one can also determine a group of diseases: inflammatory (lymphadenitis) or non-inflammatory (lymphadenopathy).

Inflammatory diseases (lymphadenitis)

Very often, if a lymph node in the groin of a woman is inflamed, the causes are distinguished as follows: infection and infection, bacteria or viruses.

Some of them cause inflammation - lymphadenitis, which can expose a person to tuberculosis, syphilis, and even plague.

Lymphatic tuberculosis in many cases appears in males. This disease is divided into groups of acute and chronic diseases. If you look at the characteristics of inflammation, then they are still serous and purulent.

Symptoms of serous lymphadenitis

If the cause is serous lymphadenitis in the groin in women, then the lymph nodes become inflamed with moderation. Lymph nodes become softer and cease to be soldered to other tissues and lymphs.

At the same time, the inguinal region does not swell and does not turn red. There are also cases of increased body temperature.

When touched, mild pain may occur. Serous lymphadenitis can be cured conservatively, that is, with the help of antibiotics and physiotherapy.

Symptoms of purulent lymphadenitis

In the case of a sharp increase in the lymph nodes in women in the groin, and the nodes begin to become inflamed and ache, swelling begins, then the following reason can be put forward: the occurrence of purulent lymphadenitis.

The diagnosis can only be confirmed by ultrasound.. During acute purulent inflammation, the lymph nodes can be enlarged several times. They begin to swell and blush, severe pain is felt.

What are the causes of inflammation and enlargement of the lymph nodes in the groin in women in this case? This is because lymphocytes with macrophages begin to proliferate, and leukocytes with monocytes migrate. The patient begins to feel worse, his body temperature rises.

Need to remember! If this disease is not treated, then the tissues that surround the lymph nodes will also become inflamed.

In some cases, patients complain to the doctor that their lymph node has burst. In other words, he opened up on his own. Then only surgery can help here.

Chronic lymphadenitis

Lymphadenitis of a chronic nature, regardless of medical procedures, is protracted. Then the lymph nodes do not increase much, they thicken, but do not hurt.

They do not get drunk with those tissues and knots that are not far from them. Subfebrile fever may appear, although the temperature may remain normal.

Non-inflammatory diseases (lymphodenopathy)

With each increase, and if a lymph node in the groin of women suddenly becomes inflamed, the reasons may differ. A different type of inflammation of the lymph implies different sources of appearance.

For example, in this case, tissues are impregnated with those cells that can cause pathologies. Such a disease may occur as a result of leukotic disorders.

Then the lymph nodes have elasticity or density. They may hurt, but not much. Lymphadenitis can occur in both adults and children.

Muscle lymphadenopathy can be caused not only by tissue impregnation of cancer cells. The reasons that the lymph nodes increase can also be tumors in the buttocks and lower back, cancers of the groin in women and other inflammatory processes.

Lymphadenopathy is easy to detect due to a significant increase in lymphatic congestion (it is best to check with an ultrasound). Nodes are soldered to other surrounding elements. They are tight and don't hurt. It is immediately clear that in this case it is necessary to treat the underlying disease.

Worth paying attention! If leukemia occurs, then lymphadenopathy can spread not only to the inguinal, but also to other thickening of the lymph nodes. Hodgkin's disease may also appear, due to which some accumulation begins to gradually grow, which does not hurt when enlarged.

What diseases are enlarged lymph nodes

Children can also be prone to inflammation of the lymph nodes. However, mostly such pain begins in the areas of the neck and jaw.

Lymph nodes begin to increase due to diseases of external tissues, including the skin. For example, when neurodermatitis or psoriasis occurs, the node may become inflamed. It gets bigger up to 5 cm.

With dermatosis, the lymphs are not painful and soldered. Purulent inflammation does not occur, but due to melanin, which comes from damaged tissues, hyperplasia is caused.

Sexually transmitted diseases can cause an enlarged lymph node

Also, the lymphatic congestion becomes inflamed in the groin in people due to diseases that are sexually transmitted. Then it will be painful to urinate, the genitals will hurt. Perhaps the presence of pus, ulcers. The mucous membrane of the genitals may turn red. The body temperature will also rise.

It is important to know! Swollen lymph nodes can be a sign of HIV infection.

In some cases, if the lymph node in the groin is inflamed, in women the reasons may be the following: organs near the small pelvis become inflamed, the appearance of tumors. Then you need to seek help from a gynecologist, use an ultrasound scan and undergo examinations.

Due to inguinal inflammation, complications of wounds with pus and gluteal, leg boils, diseases of the pelvis and hips appear.

As a result of tuberculosis, plague diseases, specific lymphadenopathy may occur.

It is worth considering that with lymphadenopathy, cancers can appear in the legs, buttocks, and pelvis.

Lymphadenopathy: what is accompanied and what causes it

Usually this disease is accompanied by fever. This is usually caused by an infection. For example, rubella or mononucleosis.

Also, the lymph node can become inflamed due to infection with syphilis, toxoplasmosis and disseminated tuberculosis disease. In these cases, it is recommended to conduct an epidemiological survey to study the specifics of the infected tissue.

If a social adenopathy is present (that is, a person becomes infected from other people and animals), then special attention should be paid to rubella, which can lead to inflammation of the lymph nodes.

If mononucleosis is observed (a change in the composition of the blood), then it is better to be wary - toxicosis and HIV infection are possible.

In people with lymphadenopathy, febrile illnesses can drag on, not only the lymph node in the groin, but also the tissues that surround the nodes become inflamed. Viruses of these diseases can be detected using a blood and urine test.

Some diseases of a social nature can cause generalized lymphadenopathy in a specific, acute form.

In the event that unexplained diseases, such as lymphadenopathy and lymphadenitis, are present for more than 2 weeks, it is necessary to urgently call a doctor.

It is categorically not recommended to treat the lymph node itself until the exact cause of the inflammation is clarified.

Lymph nodes in children under 4-5 years old are often enlarged. Because they are part of the immune system and are actively involved in its work (at this age it is developing rapidly).

With sore throat, sore throat and other purulent edema, alcohol compresses should not be applied or the lymph nodes should be warmed with sand or salt.

Such actions are extremely dangerous and will lead to a sharp deterioration in the patient's condition, an increase in the intensity of pain, the appearance of suppuration, which ultimately will require urgent hospitalization.

Chronic lymphadenitis can disturb the patient for a year or even more. and in many cases the person hopes it will go away on its own. But then he suffers not only because of pain in the affected areas, but also because of a feeling of weakness and excessive fatigue, deterioration in performance.

So why suffer so much if you can get rid of the disease.

How to properly treat swollen lymph nodes in the groin area

Before starting treatment of the lymph node, it is necessary to confirm the diagnosis. Of course, this may not be possible without the use of ultrasound in the groin area. It does not hurt to pass other examinations.

The useful composition of Echinacea is able to quickly cope with the infection, stop its spread.

Useful composition of Echinacea able to quickly cope with the infection, stop its spread, strengthen the protective functions of the body. In parallel, echinacea is used to treat the underlying disease and its consequences - inflammation of the lymph nodes.

If there are inguinal seals that hurt a lot, an ultrasound examination will indicate the exact cause and focus of inflammation.

Thanks to the examination, the causes of these diseases will be clarified, the exact parameters of the lymph nodes and their distribution will be determined. In some cases, it is necessary to use a lymphatic biopsy.

If there are lumps in the groin, you should visit a doctor

Inflammation can be treated conservatively or with surgery.

If lymphadenitis appeared due to infections, then it is necessary to carry out a complex initial treatment immediately, but as directed by a doctor.

If acute lymphadenitis is present, - it is important to start using medications and be treated with physiotherapy.

If such a disease has a purulent character then it needs to be treated promptly.

We hope this article answered all your questions. Don't get sick and take care of yourself!

Watch this video to learn about inflammation of the inguinal lymph nodes in women:

This video will explain what an inguinal lymphogranuloma is:

Painful enlarged lymph nodes in the groin- a sign of lymphadenitis, which in most cases requires treatment with surgery or antibacterial drugs. An increase without pain and soldering of the node with surrounding tissues is lymphadenopathy.

Inflammation of the lymph nodes in the groin - a sign of lymphadenitis

Where are the inguinal lymph nodes located?

The inguinal lymph nodes are located on the left and right in the crease between the legs and the pelvis. They can also be found in the femoral triangle, localized in the zone of the outer and inner thighs.

In total, in the groin area there are lymph nodes, which are divided into 3 types, based on their location:

on the pubis, buttocks, thighs- upper level;
around the anus and in the area of the labia- middle level;
on the leg closer to the groin and down to the knees is a chain of lymph nodes- Lower level.

Superficial and deep inguinal lymph nodes

Normally, only those glands that are located in the fold between the thigh and groin can be probed. On palpation, they are palpable in people with asthenic body structure (thin), children.

The size norm is up to 1–1.5 cm in length. Glands can be round, oval, oblong. They look like beans. They should be palpable as soft, elastic balls of a homogeneous structure without inclusions, not soldered to each other and to the skin.

The glands are also divided according to the level of occurrence under the skin:

superficial - in people with a thin fatty layer, they are visible to the naked eye and in the photo, they are easily felt on palpation;
deep - located in the connective tissue of the abdominal wall in the area of the femoral vein.

Lymph nodes are visible in these places in thin people.

The lower lymph nodes in the groin area receive lymph from the legs, the middle level - from the vulva, perineum, anus, the upper ones - from the buttocks and abdominal wall. An increase in the lymph nodes of the lower zone - the likelihood of metastasis of tumors, the middle zone - infectious and sexually transmitted diseases.

Glands without pathologies are mobile, not hot to the touch, painless, the skin over them is not hyperemic, has a normal shade. The maximum size of lymph nodes in this area is up to 20 mm.

Symptoms of lymphadenitis in women and men

Classification of lymphadenitis:

acute or chronic stage;
specific (caused by a specific pathogen) and non-specific;
catarrhal or purulent.

Symptoms of inflammation of the lymph nodes:

an increase in glands in the amount of more than 1.5 cm;
swelling and redness of the skin;
soreness;
purulent lymphadenitis is expressed by restriction in movement, temperature rise to 40 degrees, aching muscles, joints, lack of appetite, headache.

At the first stage of lymphadenitis, the nodes do not mate with each other and neighboring tissues, remain mobile. If left untreated, they adhere to the subcutaneous fat, form a painful, inactive conglomerate of several enlarged nodes. The skin from above becomes bluish-purple.

How to distinguish an inguinal hernia from inflammation of the lymph nodes?

Symptoms of inguinal lymphadenitis are characteristic of some other diseases, including inguinal hernia. This pathology occurs when the wall of the abdominal cavity weakens, part of the peritoneum and internal organs falls into the inguinal zone. It is most often diagnosed in women over 40 years of age. In the groin area there is a feeling of pressure and dull pain, some time after the appearance of these sensations, a bulge is visible, similar to inflammation of the gland.

Hernia can be manifested by eating disorders of the stomach

Hernia differences:

pain is not localized in only one zone, spreads to the lower back, coccyx, lower abdomen;
there are eating disorders that are caused by a displacement of the internal organs;
the protrusion is visible only after activity or physical exertion, during defecation, with vomiting, sneezing, coughing, and in the supine position, in the absence of pinching, it can be reduced independently;
becomes more noticeable when the body is in a horizontal position.

Benign cysts also develop in the groin area. In appearance, they resemble a purulent lymph node, but do not cause pain, the skin above them does not change its shade and temperature.

Causes of inflammation and enlargement of the lymph nodes in the groin

The glands in the groin often respond to diseases of the genitourinary system, abscesses, boils in the buttocks and thighs. They are enlarged with generalized lymphadenopathy, which is caused by liver disease, infectious mononucleosis, cytomegalovirus.

Inflammation (unilateral or bilateral lymphadenitis) occurs against the background of many diseases:

inflammation of the bladder, urethritis;
STDs;
balanoposthitis, colpitis;
inflammation in the kidneys, liver;
mononucleosis, genital herpes, cytomegalovirus in active form;
ovarian cyst, endometritis, adnexitis;
thrush.

Among the rarer causes:

allergic reactions- atopic dermatitis, eczema, psoriasis, seborrhea;
reactive inflammation of the nodule tissue with oncological pathologies;
Hodgkin's disease- Primarily affects the tissue of the lymph node itself.

Lymphadenopathy is an enlargement of the tissues of the lymph nodes, often painless. Such a diagnosis is made if, according to the results of the diagnosis, lymphadenitis is not confirmed. Lymphadenopathy is a response to the struggle of immune forces with foreign agents - allergens, cancer cells, viruses, bacteria.

Enlargement (lymphadenopathy) occurs in the following cases:

tuberculosis;
helminthic invasions;
syphilis, HIV;
systemic mycoses;
infections - staphylococci, streptococci, gonococci, cat scratch disease;
oncological diseases;
autoimmune pathologies.

Worm infestations often cause enlarged lymph nodes

Glands in the groin may increase in size after leeches. Hirudotherapy stimulates active blood flow to the affected area. A large volume of lymph passes through the glands, they are cleared, they can swell. Tissue hypertrophy should resolve on its own within 1 week.

swollen lymph nodes in children- a common finding of pediatricians. At the age of 7–10 years, especially with a lean body structure, up to 3 groups of lymph nodes are normally probed - in the neck, armpits and inguinal. The increase often occurs in response to the presence of infectious agents, the active work of the immune system. The formation of immunity goes at a rapid pace up to 5-12 years. At this age, the glands in the groin can become larger in response to scratches, scratches, abrasions on the legs and buttocks, colds, and dermatitis.

Which doctor should I contact?

A painful lymph node must be shown to a surgeon who will decide on an autopsy if the process of suppuration has begun.

In the case of lymphadenopathy in an intimate place, the list of specialists is wider:

therapist(for a child, a pediatrician) performs palpation, determines the size and structure of the nodes;
infectious disease specialist- to clarify the infectious nature of the disease;
allergist- if the pathology is caused by allergic reactions;
gynecologist or urologist- if a solid lymph node is observed against the background of diseases of the genitourinary system;
oncologist or hematologist- if you suspect lymphogranulomatosis or metastasis.

The therapist conducts an initial examination, then prescribes additional examinations

In childhood, lymphadenopathy can be observed within 2-4 weeks after the illness, provided that during this period the child does not get sick again. The norm is the gradual normalization of the size of the node (not the disappearance at all, but a decrease to 1–1.5 cm), the absence of progressive growth. If after such a time the size does not return to normal, diagnosis and identification of the cause are required.

Diagnostics

The basic stage of diagnosis is the examination of the lymph node. With the help of palpation, its size, shape, cohesion with surrounding tissues and neighboring nodes, structure are determined. Not only the inguinal glands are palpated, but also nearby ones - popliteal, ulnar, axillary to exclude generalized lymphadenopathy.

Then the patient undergoes several examinations:

a blood test - the level of ESR, leukocytes confirms or excludes the presence of viral or bacterial inflammation, the level of eosinophils reveals allergic reactions;
biochemical blood test for C-reactive protein- indicates a possible lymphogranulomatosis or metastasis of tumors;
HIV test;
Ultrasound - gives an idea of the echogenicity of the nodes, their structure, accurately determines the size.

Ultrasound in the groin is done to understand the echogenicity of the lymph nodes and their size

A targeted study of the tissue of the lymph node is also used:

Puncture. Not the most informative method, used to make a preliminary diagnosis. It uses the aspiration method - after puncturing the skin and the capsule of the node with a long needle, the syringe draws in a small amount of punctate. Then the biological material is sent for histological examination to detect cancer cells. Puncture is also used to detect mononucleosis, sarcoidosis, tuberculosis and dystrophic changes in the glands.
is the most informative method. It is performed in an open way, soft tissues are cut, the largest and oldest lymph node is cut out completely and sent for examination, which reveals a malignant, infectious, bacterial and other reason for the enlargement of the node.

Biopsy is an informative method for analyzing lymph nodes

Additional methods for examining nodes in the pelvic area - x-rays to detect calcifications, microscopic examination, seeding of punctate on nutrient media, general urinalysis in case of suspected diseases of the genitourinary system.

Treatment of inguinal lymph nodes

The method of therapy is selected based on the cause of the enlargement of the lymph nodes. With lymphadenitis - antibacterial agents, drugs to increase immunity, absorbable ointments. With lymphadenopathy, treatment is aimed at eliminating the cause that caused the reactive increase in the node.

Medications

With lymphadenitis, drugs that suppress inflammation, relieve pain, and antipyretics are used:

Antibiotics of the penicillin series(more often in injections than in tablets) - Bicillin, Oxaccillin, Phenoxymethylpenicillin, Ticarcillin / clavulanate. They have a wide range of effects on gram-positive and gram-negative microorganisms, spirochetes, strepto- and pneumococci, anaerobes. For humans, low toxicity. A pregnant woman may be prescribed Emsef, Ceftriaxone (from the 2nd trimester).
Means of local action- Levomekol, Vishnevsky ointment, ichthyol ointment. It is used to apply dressings to the affected area of the skin.
Symptomatic drugs- painkillers, antipyretics, antispasmodics: No-Shpa, Ibuprofen, Nurofen, Spasmalgon.

In the presence of purulent inflammation, such actions will lead to the rupture of the capsule and the outflow of pus into neighboring tissues.

Surgical intervention

Lymph nodes on the thighs are removed surgically in such cases:

to eliminate the purulent process with lymphangitis, adenophlegmon;
to limit the process of metastasis in the detection of metastases in the tissues of the node;
regional lymph nodes are removed after radical surgery for oncological tumors to reduce the risk of metastasis.

Lymphadenectomy for the purpose of diagnosis - puncture and excisional biopsy.

Possible consequences and complications

Terrible complication of lymphadenitis - phlegmon. The spill of pus leads to acute inflammation of the cellular spaces of fatty tissue. Purulent phlegmon causes tissue necrosis, ulcers, cavities, and can pass to bone tissue. If left untreated, it causes death.

Phlegnoma - a form of complication of lymphadenitis

It also increases the risk of:

sepsis;
osteomyelitis;
encephalitis;
skin abscess;
thrombophlebitis;
elephant limbs.

Prolonged progressive enlargement of the lymph node in rare cases is a sign of blood diseases - Hodgkin's lymphoma or non-Hodgkin's forms. In the first stages, pain is often absent, only with the progression of the disease massive conglomerates up to 5 cm in diameter are formed, the mobility of the node disappears.

Prevention

Monitor the condition of the skin. Any scratches, microcracks, abrasions, weeping between the fingers with fungal skin lesions can provoke the spread of infection with the flow of lymph and blood throughout the body.
Treat open wounds. Use antiseptics for cuts and abrasions.
Treatment of inflammatory diseases- angina, rhinitis, sinusitis.
Stopping foci of infection- boils after opening, caries.
Identification of diseases that can cause lymphadenitis- STDs, tuberculosis.

Caries is a focus of infection, so it can lead to inflammation of the lymph nodes in any area of the body.

If a ball is found under the skin, doctors do not recommend touching it with your fingers, massaging, pressing. This will lead to an even greater increase, and in case of suppuration, to rupture of the capsule and the spread of pus into soft tissues. Be careful!

What to do in case of detection of inflammation of the lymph nodes in the groin?

First of all, you need to see a doctor. After all, this is not an independent process, but most often a symptom of another disease.

Of course, inflammation of the lymph nodes as an independent form has the right to exist, but only as a complication of primary foci, such as a boil, abscess, and others.

Inflammation of the lymph nodes is treated by two methods - conservatively and surgically.

In the early stages, a conservative method of treatment is used using drugs, such as:

broad-spectrum antibiotics (amoxicillin for adults, a single dose of 250-500 mg, in severe cases up to 1 year. The interval between doses is 8 hours. Do not use if you have allergies, infectious mononucleosis). Mandatory medical consultation.
Ointments with antibacterial and antiseptic properties - this Levomekol is used topically, a sterile gauze bandage with ointment is applied to the affected area, it cannot be used if there is an allergy to the components of this ointment during purulent processes. Vishnevsky's ointment is used externally, a thin layer is applied to the affected area. With prolonged use, an allergic reaction is possible.
Physiotherapy with anti-inflammatory effect using electrophoresis with antibiotics and sulfonamides. It can be used only in the initial period of inflammation, with purulent processes it is strictly prohibited.

The surgical method of treatment is used in situations in which inflammation turns into a purulent process. This method is based on the section and the release of pus through drainage.

At home, inflammation of the lymph nodes can be treated with folk methods, some recipes are provided below:

Treatment with nettle

Has anti-inflammatory properties. 1 tbsp brewed in a glass of boiling water, after which the broth should brew for half an hour. After straining, take half a glass before meals.

Treatment with blueberries

Blueberries need to be crushed, pour warm water. Take 1 glass after meals.

Treatment with dandelions

Powder from the roots of dandelions should be taken in 1 tbsp. before meals.

The lymphatic system in our body plays a protective function. It consists of lymph nodes, small round formations up to one centimeter. Lymph nodes are a kind of filters: toxins, microbes, cellular metabolic products, and excess fluid enter and are removed from them. If the lymph node hurts, this indicates some diseases and the nature of their development is different. Therefore, if the lymph nodes in the groin of women hurt, this can happen for completely different reasons.

Causes of inflammation of the inguinal lymph nodes

Lymphadenitis is an enlargement and inflammation of the lymph nodes. Lymph flows from the lower extremities through the inguinal lymph nodes. From the genitals, the nodes are located on both sides, so pain in the groin on the left can be the cause:

Ectopic pregnancy- it is characterized by pain, cramping, intensifying.
Bowel disease various genesis, while vomiting, bloating, nausea, constipation is possible.
Rupture of the cyst - the pain is acute and severe, accompanied by fever, vomiting, hypotension (lowering pressure).

Cause of pain in the groin on the right:

Maybe because of the appendicitis. Pain encircling the abdomen, aggravated by walking.

The infection can penetrate through various skin lesions:

rat bites, insect bites, erysipelas
in a child, the lymph nodes can become inflamed with contact dermatitis
with inflammation of the follicles (furunculosis)
in children, after BCG vaccination, when the vaccine is injected into the thigh

Read more about the state of the lymph nodes after vaccination in the review

Inflammation of the inguinal lymph nodes occurs due to viral and bacterial infections, such as:

Cytomegalovirus infection
Gonorrhea
Mononucleosis
Borreliosis

The nodes can also increase in diseases of the joints, tumors, inflammatory processes in the genital organs.

The cause of the pain of the lymph nodes in the groin in men is an inguinal hernia. It can develop both on the right and on the left and intensify in a standing position.

signs of enlargement

Normally, the lymph node in the groin is not enlarged, is not palpable and does not hurt. With inflammation, the lymphoid tissue becomes inelastic, compacted, has a size of more than 2 centimeters.

The main clinical sign is enlarged inguinal nodes. They stand out prominently on the skin. Its color may be normal or with redness, with pressure on the node, pain occurs.

With purulent lymphadenitis, there are severe pains in the hip joint that spread to the inguinal region. Pain is aggravated by changing the position of the limb. The purulent cavity of the lymph node can open on its own. With the development of the process, the patient's condition worsens: the temperature rises above 39, there is a headache and muscle aches.

With candidiasis, the lymph nodes become motionless, painful.

In the case of sexually transmitted diseases such as syphilis, trichomoniasis, the nodes are large.

With vulvovaginitis, along with an increase in inguinal nodes, additional symptoms occur: hyperemia, irritation and swelling of the vagina.

Symptoms of the inflammatory process

Common signs that a lymph node has enlarged are:

The knot has become more than one centimeter
There is pain on touch
local redness
The temperature rises both at the site of the node and the general

Symptoms after bites from rodents, ticks usually develop on the tenth day. Lymph nodes increase to eight centimeters, they are usually mobile. Above the nodes, the skin color does not change.

More useful information can be found in the review.

With mononucleosis (a viral disease), there is an increase in both the inguinal lymph nodes and the cervical, occipital. Knots increase up to 2 centimeters on both sides, may consist of chains of such knots. When probing, they are dense, mobile, slightly painful.

With herpes of the second type, an increase in nodes is possible on one or both sides. They are moderately enlarged, not dense, mobile, soreness is average. Inflammation and suppuration may not be.

Diagnosis of inguinal lymphadenitis in women

If severe pain or balls are found under the knee or groin, the patient should consult a surgeon. Based on these main complaints, the doctor palpates the patient, prescribes the necessary examination.

What tests does the patient usually take?

Mucous smears
Complete blood count, for antibodies
Biopsy
Sowing from purulent secretions
Ultrasound of organs
PCR analysis

Treatment Methods

Treatment of inflamed lymph nodes includes such methods of treatment:

conservative methods
Surgery
Complementary Therapy

With a conservative method, inflammation is eliminated, the patient is prescribed antibiotic therapy, painkillers, antipyretics, and bed rest is indicated. Vitamins and detoxification agents may also be given intravenously. When certain infections are detected, narrowly targeted antibiotics are prescribed, immunoglobulins and antiviral agents are administered.

Surgical treatment is performed less often. It is indicated for purulent lymphadenitis, necrosis of nodes and at a certain stage of the disease.

Additional methods include:

UV irradiation, has an anti-inflammatory effect
UHF (do not use, with intoxication of the body)
Ultrasound therapy (helps dissolve the infiltrate)
Laser therapy (activates blood flow at the site of inflammation, relieves pain)

Conservative therapy

Conservative treatment includes local and systemic therapy.

These include:

Antibiotics
Antiviral
Anti-inflammatory drugs

All systemic drugs have side effects, so they are prescribed only by a doctor. Antibiotics have bactericidal properties, quickly enter the bloodstream and destroy the infection, thereby eliminating inflammation in the lymph nodes. Sometimes antibiotics are prescribed topically in the form of ointments.

The use of antiviral agents is possible only if a viral infection is established, which includes mononucleosis, herpes, cytomegalovirus infection.

Treatment with anti-inflammatory drugs alone is impossible, since they only eliminate pain, slightly reduce inflammation, and reduce temperature.

To achieve rapid and effective treatment, antibiotic therapy is usually combined with painkillers.

Treatment with folk remedies

If the lymph nodes are sick, traditional medicine recommends brewing decoctions of herbs from nettle, yarrow, oregano. An ointment made from interior fat or dandelion juice is applied directly to the lymph node.

Before starting treatment with folk remedies, it is necessary to consult a doctor and undergo an appropriate examination. Since it is not recommended to heat some forms of lymph nodes and apply alcohol lotions to them.

Disease prognosis

A favorable prognosis for lymphadenitis is likely with a correctly established diagnosis, passing a comprehensive examination, passing the necessary tests. A long increase in nodes occurs with complicated sexually transmitted infections, erysipelas. An unfavorable prognosis is possible for oncological diseases associated with blood tumors.

Preventive actions

Disease prevention includes:

Proper treatment of wounds, cuts
Protection from casual sex
Vaccination

Lymphadenitis is a disease that is easy to diagnose. Treatment is usually used complex: elimination of the main cause of infection and alleviation of the patient's condition.