Can an anal abscess cause a swollen lymph node in the groin?

Hello,

Welcome to icliniq.com.

I understand your concern.

Please provide me with further details about your case.

I hope this information will help you.

Thanks.

Hello,

Welcome back to icliniq.com.

I understand your concern.

Yes, an anal abscess can cause lymph node enlargement in the groin. Well, that is very heroic of you. It requires a lot of courage to drain an abscess without local anesthesia. I hope it went smoothly. I suggest you take an antibiotic course to prevent its recurrence. Plus, please take a picture and send it to me. I want to see it as an external anal abscess or something that has communication inside. In the latter case, surgery is the treatment whereby the surgeon obliterates the tract, which keeps forming the abscess again. The antibiotic course is:

1. Tablet Ciproxin (Ciprofloxacin) 500 mg twice daily for five days.
2. Tablet Flagyl (Metronidazole) 400 mg thrice daily for five days.
3. Additionally, do a sitz bath with any available antiseptic.

I hope this information will help you.

Thank you.

Hi,

Welcome back to icliniq.com.

I understand your concern.

Well, as a rule of thumb, that abscess needs drainage and antibiotics, if it has been more than two weeks since drainage and you did not have constitutional symptoms such as fever, then you can avoid taking antibiotics. Lymph nodes can enlarge in infections. The perianal area drains into perineal lymph nodes and groin lymph nodes.

I hope this information will help you.

Thank you.

Hello,

Welcome back to icliniq.com.

I understand your concern.

Yes, they can hurt if pressed. The lymph nodes in the groin of that small size are frequently found in humans. That does not mean that they are infected or cancerous (tumor). The lymph nodes can reach a tennis ball size smaller than that in infectious and cancerous conditions. A node may get smaller with antibiotics. But that small-sized lymph node does not change much in size with anything. As said above, it is common to have groin lymph nodes in humans without infection or cancer. Yes, the antibiotics will heal the abscess you have now, which seems to be just a tiny, hard lump. They will always work to clear the remnant infection and thus decrease the abscess size. No, I do not think that mildly swollen lymph nodes cause the type of testicle pain I described. You describe the testicular pain as being due to tight undergarments or maybe because of overthinking (this happens). If the pain intensity is one to two on a scale of one to 10, I suggest ignoring it merely. It is a bad idea for you to cut open the hard bump. It is not wise to perform this kind of thing yourself. It is not necessary. Surgeries are never required for such a small abscess. Pinching with extravasation of the pus, followed by antibiotics, is all that is needed. And you see, you already have done this way.

The size of your lymph nodes is nearly ignorable. Believe me. However your testicular cancer history concerns me, but I want to know if you have undescended testis.

1. How did the surgeon remove that tumor via laparoscopy or laparotomy (completely opened-up abdomen)?
2. Did you receive chemo or radiotherapy?
3. Did the cancer spread to other parts of the abdomen, like abdominal lymph nodes?
4. Did they do follow-up surveillance with CT (computed tomography) or MRI (magnetic resonance imaging) of the abdomen?
5. What were the findings in the last CT or MRI report?

These questions are necessary to establish to know whether it was completely cured or not.

I hope this information will help you.

Thank you.

Hello,

Welcome back to icliniq.com.

Good to hear from you. I must tell you that it is all my pleasure that I have provided you some advice that can help. I can understand that. But, a CT or MRI are required in the initial post-operative and while receiving chemotherapy to see the response. They are not required at the moment. And thankfully, it has been 15 years since your diagnosis and treatment; it is almost unlikely that you would go on to develop recurrence. Since most of the recurrence occurs within the first five years of the treatment, I am no more concerned about it anymore. And so should you be. And I do not think sciatica can cause this lymph node. If you are concerned about this lymph node, why do you not take pictures of it and upload it as I can see that? The size you mention previously does not seem to be a pathological one; meaning does not appear that it is diseased as I have said previously that groin lymph nodes tend to be palpable in humans commonly. A slightly palpable lymph node even tender does not make it diseased secondary to a severe disorder. Infections are by far the most common cause of enlarged somewhat and tender lymph nodes. And I believe that a small perianal abscess seems to be a potential cause for it as well. Since you already on antibiotics, I think this will subside further in its size, both the lymph node and abscess.

Hello. good to hear from you. I am good and staying safe at home. I hope same at your side. Well you probably remember, I was never in favor of going for surgery for that tiny peri anal abscess. since you attempted to drain your self, and which was successful, and followed by use of some antibiotics, essentially obsoletes any need of surgery what so ever. Yes incisional hernia can occur near the previous scare. Up to now, I had an impression that it is simply swollen lymph node. Given the size of lymph node which you described does not seem to be an alarming thing, since small lymph node of that size (with some degree of ternderness if they are infected) is a common in humans. Incisional hernia even has a benign course, meaning it is not a cancer, and nor it will progress to cause you problem. Close examination of the swelling is a best guide to proceed with. Since only examining the lump would make clarification about it origin-an incisional hernia, or lymph node, or an inguinal hernia not necessarily of the incisional one. Why you dont share with the picture of this swelling now? take multiple photos from front and side, in bright room. I would be able to guide you more specifically on this.

Hello Good to hear from you again. I have seen the pictures you attached. I can see the scar of previous surgery which is above that lump which you feeling. On gross look it does not seem a swelling at all. Swelling if present, often appear as a significant bulge. Which you do not have. I am sure it will be only palpable to you on examining with hands. And this, to me, does not seem to be a problem. They may be a tiny lymph nodes which are often palpable every other man. I do not suggest you should have any more CT (computed tomography) or MRI (magnetic resonance imaging). Your GP are not doing it properly otherwise they would have clarified you earlier. Small bulge appearing in the vicinity of the previous scar and commonly appear when you cough, or lift a heavy weight, suggest hernia. See if this bulge get prominent when you do strain, cough, or life heavy weight, this is called a cough impulse, and this suggest hernia. again hernia is a Bening thing and You should not be worried about that.