Dr. Choudhary Devendra
Urology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I had a swollen lymph node in my groin and for which I took antibiotics for two weeks. But, there was no improvement. So two days back, I had a biopsy of the whole lymph node. I will get the results in five days from now. I am worried because, now I have another swollen lymph node in the groin, just below the one given for biopsy. When I called my doctor, he said that it is not a typical reaction to the operation. I have an appointment with him in two days. Can you please tell me why my lymph node is swollen again?
Hi,
Welcome to icliniq.com.
For any cause of inguinal lymphadenopathy, excision of nodes is not a definitive treatment. It is done just for a diagnostic purpose, so once you get the biopsy reports, we will know more about your illness. The swelling in the other lymph node that is of no additional concern as it may have been present before excision itself. Inguinal nodes drain areas from the genitals, perineal skin, perianal area, buttocks, and same side lower limb. Do you have any nodule, red or black area in these parts? Do you have any foot injury on the same side? Please do share the biopsy reports when available.
Patient's Query
Thank you doctor,
I do not have any symptoms that you mentioned, but I did have hemorrhoids a few months back. And the second lymph node got swollen only after the biopsy. It was not there before, or else I would have noticed it before itself. Does the new swollen lymph node since the biopsy, mean the issue is more likely to be an infection and not a malignant lymphoma? Here is a short history of my problem, I noticed the first swollen lymph node almost a month back. Then I had blood tests, urine tests, and ultrasound done and all the reports were fine. During and following this, I had Levofloxacin for two weeks, which was not effective. I then had the biopsy done. Since the biopsy, another swollen lymph node appeared below the earlier one. I am under Amoxicillin and Etoricoxib since the biopsy.
Hi,
Welcome back to icliniq.com.
I feel it is best to wait for the biopsy reports. Inguinal lymphadenopathy is usually due to infective or inflammatory cause if localized. Thinking about multiple possibilities just gives undue stress. Swelling of the second lymph node is also not indicative of anything new, as it might be a part of the primary illness, which will be clear only after the biopsy reports.
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Urology
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