Q. What are the causes of inguinal lymphadenopathy?

Answered by
Dr. Devendra
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Oct 05, 2017 and last reviewed on: May 25, 2019

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?

Dr. Devendra



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.

Revert with more information to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist

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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.

Dr. Devendra



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.

For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist

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