Inflammation of the lymph nodes in the groin in women, which doctor to consult. Why does inflammation of the lymph nodes in the groin (inguinal lymphadenitis) occur and how to treat it? Treatment of inflammation of the inguinal lymph nodes


Lymphatic capillaries penetrate all human tissues, as well as blood vessels. Connecting with each other, the capillaries form a tiny network.

Through it, fluid, protein substances, metabolic products, microbes, as well as foreign substances and toxins are removed from the tissues. In the lymph that fills lymphatic system, contain cells that protect the body from invading microbes as well as foreign substances. By combining, capillaries form vessels of various diameters. The largest lymphatic duct flows into the circulatory system.

The lymph nodes

Lymph nodes are round or oval shape ranging in size from 1 millimeter to 2 centimeters. The lymph node is a barrier to the spread of both infection and cancer cells. It produces lymphocytes - protective cells that actively participate in the destruction of foreign substances and cells.

Thus, the lymph nodes are located in the elbow, armpit, knee, and also groin area. The lymph nodes of the neck provide protection against infections and tumors of the head and organs located in the neck. Great amount lymph nodes located in the abdominal and thoracic cavity. Lymphocapillaries penetrate organs as well as superficial tissues. Lymph nodes located along the blood vessels perform the same functions.

Causes of enlarged lymph nodes

Enlarged lymph nodes indicate trouble in the area that the node “serves.” Most often, an enlarged lymph node is associated with infection, less often it is a consequence of a tumor lesion. With purulent processes, as a rule, there is acute lymphadenitis- inflammation of the lymph node. An inflammatory process occurs due to the ingress of microbes from wounds located in the “service area” of the lymph node.

The main manifestation is an enlargement of the lymph node, the appearance of pain when palpating it. When a purulent process occurs above the lymph node, the skin may turn red. If the resulting cavity is not opened at this moment, the membrane of the lymph node ruptures and pus penetrates into the surrounding tissue. A serious complication of lymphadenitis occurs - phlegmon.

In children, enlargement of lymph nodes due to tuberculosis is one of the characteristic manifestations of infection. Most often, the lymph nodes of the chest cavity become enlarged. Less commonly, there is an increase in the lymph nodes of the neck (popularly called “scrofula”). A common cause of lymph node enlargement in children is cat scratch disease. The causative agent of this infection is a microbe called Bartonella. Cats are carriers of the bacteria. From the scratch, microbes spread through the lymphatic vessels and enter the lymph nodes, which become enlarged and painful.

A non-healing purulent cancer and an enlarged nearby lymph node should always suggest cat scratch disease as the cause of this condition. In acute respiratory viral infections (ARVI), children may experience an increase in several groups of lymph nodes. This is a consequence of an excessive response of the immune system to the invasion of viruses into the body. As a rule, the lymph nodes in such cases increase slightly and are painful when touched.

Causes of enlarged inguinal lymph nodes

At venereal diseases, in particular with syphilis, an enlargement of the lymph node, usually in the groin area, is preceded by the appearance of an ulcer on the genitals - chancre. Unlike other infectious diseases, with syphilis, an enlarged lymph node can be painless. Long-term enlargement of several groups of lymph nodes may indicate diseases such as brucellosis, listeriosis, mononucleosis, and HIV infection.

Tumor involvement of the lymph nodes can be a consequence of both lymphoproliferative diseases, when the tumor initially originates from the lymph node, and a consequence of metastatic lesions. Lymphoproliferative diseases include, first of all, lymphogranulomatosis and lymphosarcoma. Lymph nodes in these diseases increase to 3-4 cm, and sometimes more, and become dense. When palpated, such lymph nodes are painless. With the initial enlargement of the intrathoracic and intra-abdominal lymph nodes, lymphoproliferative diseases may not be recognized immediately.

Metastatic damage to the lymph nodes is observed in a number of diseases. In this case, tumor cells enter the nodes through the lymphatic tract. As they multiply, they lead to enlargement of the lymph node. Most often metastasizes to lymphatic cancer breast, melanoma, cancer thyroid gland, laryngeal cancer, tongue cancer, rectal cancer, lung cancer. With metastatic lesions, the lymph node is dense and painless.

Increase inguinal lymph nodes happens when:

  • skin melanoma and squamous cell skin cancer lower limbs, lumbar and gluteal region;
  • Rectal cancer;
  • Vulvar cancer;
  • Lymphoma.

Inguinal lymphadenitis

The lymphatic system protects the body from pathogens and other foreign agents. The protective function is carried out in particular by the lymph nodes. They are essentially filters that prevent further spread of microorganisms throughout the body. Inflammation of the lymph nodes is called lymphadenitis. Inguinal lymphadenitis is quite common.

Inguinal lymph nodes

The inguinal lymph nodes are located subcutaneously in the area of ​​the inguinal ligament. They collect all the lymph from the legs, perineum, and genitals.

There are three groups of lymph nodes in the groin area:

  • Upper group - due to this group of lymph nodes, lymph drains from the buttocks and lower abdominal wall;
  • Middle - there is an outflow of lymph from the perineum, external genitalia, anus;
  • Lower - outflow from the lower extremities is carried out.

Causes of lymphadenitis

The cause of inguinal lymphadenitis is often the entry of microorganisms into the inguinal lymph node, which causes inflammation to develop in it. There are primary and secondary inguinal lymphadenitis. Primary is formed due to the entry of a pathogenic microorganism directly into the lymph node when the skin is damaged and subcutaneous tissue, which is rare.

Often people are faced with secondary lymphadenitis, when the microorganism enters the inguinal lymph node from an existing inflammatory focus.

The causes of inguinal lymphadenitis are:

  1. Sexually transmitted diseases (syphilis, gonorrhea, chlamydia).
  2. System viral infections(mononucleosis, adenovirus and cytomegalovirus infections, HIV).
  3. Inflammatory processes in the genital organs (vulvitis, bartholinitis, colpitis, balanoposthitis, urethritis).
  4. Inflammatory processes localized in the skin of the legs and perineum (boils, phlegmons and abscesses, trophic ulcers, erysipelas, infected wounds, cuts).
  5. Cat scratch disease (synonymous with feliniasis) - develops after scratches or a bite from a cat. The disease is caused by rickettsiae, which live in the cat's body.
  6. Metastases of tumors of the pelvic organs, perineum and legs.
  7. Tumor of lymphoid tissue - lymphoma, lymphogranulomatosis.

Symptoms of the disease

Normally, the lymph nodes of the groin area cannot be palpated and are not externally visualized. The development of lymphadenitis may be indicated by such signs as:

  • Enlarged inguinal lymph nodes, which look like lumps in the groin.
  • Inflamed lymph nodes acquire a dense elastic consistency. Hard, “woody” density lymph nodes indicate the malignant nature of the lesion.
  • Pain on palpation and even at rest.
  • Enlarged lymph nodes may be mobile and not fused with the surrounding tissue - this is a sign of an infectious origin of lymphadenitis. Lymph nodes can also be dense, motionless, this is observed with a malignant tumor or metastases.
  • Discomfort, pain in the groin when moving.

This is how uncomplicated lymphadenitis occurs. With the development of purulent lymphadenitis, the clinical picture of the disease becomes more and more pronounced. The skin over the lymph node becomes red and warm to the touch. When you touch a lymph node, pain occurs. Severe pain in the groin is observed when trying to make a movement, which is why the person is forced to limit his mobility.

The outcome of purulent lymphadenitis can be spontaneous opening of the purulent cavity with the flow of pus out through the fistula or the development of phlegmon. Cellulitis develops due to melting of the lymph node and underlying tissues. The development of this process will be indicated by the appearance of a painful area of ​​compaction in the groin without clear boundaries, an increase in body temperature, loss of appetite, body aches, and weakness.

Treatment of inguinal lymphadenitis

Lymphadenitis is not an independent diagnosis, but only a symptom of a pathological condition. So, if inguinal lymphadenitis occurs against the background of colpitis, the gynecologist finds the cause of this condition and prescribes treatment. During treatment, lymphadenitis disappears.

In the case of purulent lymphadenitis or, especially, phlegmon, active treatment is started. If there purulent process, which means you need to take antibiotics. Anti-inflammatory drugs (NSAIDs) are also prescribed.

Doctors recommend avoiding treatment of lymphadenitis with all kinds of folk remedies. It can be harmful. Thus, warming up the lymph nodes will promote even greater development inflammatory process, which will worsen the course of the disease.

In case of complicated lymphadenitis, resort to surgical intervention. The surgeon performs local anesthesia and then cuts the tissue. The doctor carefully removes the pus and excises the destroyed tissue. The resulting cavity is treated with antiseptic solutions. Then drainage is installed in the wound, and the cut tissue is sutured. The inflammatory exudate flows out through the drainage, and if necessary, antiseptics are administered through it. In case of lymph node necrosis, the surgeon removes it completely.

Grigorova Valeria, medical observer

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Enlarged inguinal lymph nodes

Enlarged lymph nodes in the groin are most often caused by an infectious or inflammatory process. Often this symptom is a sign of a disease that is sexually transmitted. Inguinal lymphadenitis requires a thorough medical examination and treatment only under the supervision of a physician. Unauthorized use of medications or drugs traditional medicine unacceptable, as this can provoke the development of serious complications.

Etiology

Enlarged lymph nodes in the groin can be caused by both pathogenic and conditionally pathogenic factors. Inflammation and, as a consequence, enlargement of the lymph nodes never occurs on their own. Usually, this process is a consequence of the development of the underlying disease. The formation of such a process includes the following:

It should also be noted that the inguinal lymph nodes may become enlarged due to pathological process, which may be more characteristic of men or women. Thus, enlarged lymph nodes in the groin in women can be a symptom of the clinical picture of the following pathological processes:

Enlargement of the inguinal lymph nodes in men may be due to the following etiological factors:

In addition, it should be noted that the development of such a pathological process is quite possible due to ARVI or influenza if a person’s immune system is too weakened.

Symptoms

On initial stage development of lymphadenitis, symptoms are almost completely absent. A person may only notice a slight enlargement of the lymph nodes in the groin. This may not cause concern or any discomfort. As the underlying pathological process develops, the lymph nodes will enlarge, which will complicate the person’s movement. On at this stage The clinical picture may be supplemented by the following symptoms:

  • feeling of discomfort in the groin;
  • movement provokes discomfort;
  • feeling of heat and tension in the groin;
  • reduction or complete absence sexual desire;
  • redness of the skin is observed in the affected areas;
  • local increase in body temperature.

If a purulent process begins in the enlarged lymph nodes, then the clinical picture is supplemented by the following symptoms:

  • increased body temperature;
  • in places where the lymph nodes are enlarged, fistulas form on the skin, through which green pus comes out;
  • nausea, possibly with vomiting;
  • headache;
  • almost complete lack of appetite;
  • pronounced tissue swelling;
  • sharp pain on palpation;
  • the lymph node is motionless.

This condition of the patient indicates intoxication of the body. You should urgently apply for medical care.

If the cause of the development of such a pathological process is an STD, then the clinical picture may be supplemented by the following symptoms:

  • rashes in the groin area, which may be accompanied by itching and peeling;
  • frequent urge to urinate, which does not bring relief;
  • feeling of discomfort or pain during sexual intercourse;
  • decreased sexual desire or its complete absence.

In this case, you should urgently contact a dermatovenerologist and not self-medicate. Unauthorized use of medications can lead not only to complications, but also to a blurred clinical picture, which complicates further diagnosis and treatment.

Diagnostics

Initially, in mandatory, a physical examination is performed, with palpation of enlarged inguinal lymph nodes and clarification of the general history. If before the examination the patient took any medications to eliminate symptoms, you should definitely tell the doctor about this and show the packaging of the drug.

To accurately diagnose and identify the etiology of enlarged inguinal lymph nodes, the doctor prescribes laboratory and instrumental examination methods. A standard program may include the following:

  • general and biochemical analysis blood;
  • general urine analysis;
  • blood sampling for analysis for specific antibodies to pathogens;
  • bacteriological culture lymph node contents;
  • biopsy of the inguinal lymph node;
  • PET - prescribed in cases where there is a suspicion of the development of an oncological process;
  • STD test;
  • immunological studies;
  • ultrasonography organs abdominal cavity.

The doctor can prescribe treatment only after identifying the etiology of the disease and making an accurate diagnosis.

Treatment

Enlarged lymph nodes in the groin in women or men require, in any case, timely and complex treatment. In general, separate therapy for lymphadenitis is not carried out, since this symptom disappears on its own when the underlying cause is completely cured. Therefore, basic therapy will depend on the underlying disease.

Separately, it should be said about the purulent process in the enlarged lymph nodes. In this case, the main drug therapy will necessarily include the following drugs:

In more severe cases, surgical intervention takes place. In this case, the doctor opens the site of the lesion, cleans it of pus, washes the wound with an antiseptic solution and applies loose sutures. They should be applied loosely so that the remaining purulent exudate comes out. At the final stage of treatment, the procedure for treating the wound with an antiseptic is repeated and the wound is finally sutured.

Enlarged lymph nodes are not a separate disease, so you cannot eliminate the symptoms on your own. Such measures can improve the patient’s condition, but only for a certain time. Therefore, at the first signs of a clinical picture, you should seek medical help and not self-medicate.

“Enlarged inguinal lymph nodes” is observed in diseases:

Bacterial vaginitis (syn. bacterial colpitis) is a disease inflammatory in nature, affecting the organs of the female reproductive system, which occupies one of the leading places in gynecology. It is worth noting that pathology often develops during the period of pregnancy.

Vulvitis in women is an inflammatory process affecting the external genitalia, called the vulva. This area includes the clitoris, labia (both major and minor), pubis, and the entire hymen (in girls). In addition, the vulva includes the vagina itself, the glands contained in it, and the formation that covers the urinary canal and is located in the labia (bulb).

Genital herpes is the most common infectious disease that affects the mucous membrane or skin of the genital organs with characteristic rashes. The rashes look like small groups of blisters that can develop into small ulcers.

Herpes is a viral disease that manifests itself in the form of characteristic rashes (vesicles), grouped together and localized in the mucous membranes and on the skin. Herpes, the symptoms of which arise against the background of exposure to herpes viruses, most often occurs in the form of a labial (more precisely, labial) infection; its manifestations are traditionally defined as “colds on the lips.” There are other forms of the disease, for example, genital herpes (predominantly affecting the genitals), as well as forms in which a variety of areas are affected.

The herpes virus, which causes herpes infection, enters the human body in different ways - household, airborne, contact, nutritional and others. Therefore, anyone, both adults and children, can easily become infected with this infection. Herpetic infection is a disease, the main clinical manifestation of which is the appearance of a group of blisters on hyperemic mucous membranes and skin.

Gonorrhea in men (syn. gonococcal infection, fracture, gonorrhea) is an infectious and inflammatory process that affects organs genitourinary system. Suppuration of the mucous membrane occurs, causing characteristic symptoms. Self-medication in this case is impossible, since it can lead to serious consequences, in particular infertility.

Candidal balanoposthitis is a disease that affects the male genitourinary system. Caused by Candida fungi. They penetrate the mucous membranes and skin of humans, resulting in the formation of multiple filamentous forms. This disease affects men of all ages.

Candidiasis vulvitis is an inflammatory process that affects the external genitalia of a girl or woman. The causative agent of the infection is the Candida fungus, which lives in the microflora of the vagina. The inflammatory process is activated only in the presence of a favorable environment for it - against the background of infectious diseases, in case of non-compliance with personal hygiene. Affects people from various age groups.

Synovitis of the hip joint is a disease that results in synovium inflammation develops in the joint. As a consequence of this process, exudate accumulates in its cavity and edema appears. Usually the disease progresses in only one joint. Movements become constrained and are accompanied by painful sensations. But pain is not the main symptom of this disease, and patients rarely turn to medical institution in the early stages of disease progression.

Chlamydia in men (syn. urogenital chlamydia, chlamydial urethritis, chlamydial infection) is an infectious process in the organs of the urinary system. The main danger is that the disease quite often has an asymptomatic course, which is fraught with damage internal organs and systems.

Epididymitis is an inflammation of the epididymis of infectious or non-infectious etiology. This appendage looks like a spiral tube and is located along back surface testicle, attaching it to the vas deferens. If the inflammatory process affects both the testicle and the epididymis, the man develops orchiepididymitis.

With help physical exercise and abstinence, most people can do without medicine.

Symptoms and treatment of human diseases

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Important aspects of inflammation of the lymph nodes in the groin in women

The state of the lymphatic system directly determines general level health of the body. In case of violations and failures, the level of natural defense decreases, and a person becomes unarmed in the face of a huge number of pathogenic bacteria in the space surrounding him. One of the signs of problems with the lymphatic system is inflammation of the lymph nodes in one or another part of the body. Thus, a pathological process in the groin area can occur in both men and women and can be both a consequence of a direct effect on the nodes and a signal of the development of a general serious illness. For a timely and correct response, it is very important to understand the causes of this phenomenon.

Causes of lymphadenitis in the groin

Lymphadenitis in the groin area is one of the types of lymphadenitis or inflammation of the lymph nodes, which can develop for two groups of reasons:

  • direct reasons. The problem occurs due to a direct attack of an element of the lymphatic system by a pathogenic microorganism;
  • secondary disease, which is diagnosed most often. The increase occurs due to the presence of an inflammatory process somewhere in another area of ​​the body.

Harmful microbes that often provoke a similar problem are: coli, Pseudomonas aeruginosa, staphylo- and streptococci. Pathogenic microorganisms can enter the inguinal lymphatic plexuses through the lymphatic system itself or through the blood.

Lymphadenitis often occurs during active development infectious process in the human body. It can be:

  • infectious lesions of the tissues of the lower extremities;
  • sexually transmitted infections;
  • tuberculosis or toxoplasmosis.

Taking certain group medicines(for example, drugs from a course of chemotherapy), the development of malignant tumors in nearby organs and traumatic injury in the perineal area.

Inflammation can occur in girls even with banal non-compliance with the rules of genital hygiene. Enlarged inguinal lymph nodes in women may be a consequence of vulvovaginitis, the formation of a cyst on the internal genital organs, or a decrease in normal ovarian function.

Symptoms and signs of inflammation in women

The main signs of the course of the disease are an increase in the size of the lymph nodes and the appearance of unpleasant painful sensations in them, even if very mild. With inguinal lymphadenitis, women may experience other symptoms:

  • nodes in the groin area not only increase, but also become harder to the touch;
  • the skin may turn red and the area around the lymph node swells;
  • fever, general weakness and malaise.

Specialist's note: in general terms, the manifestations of the local form of inflammation of the lymph nodes do not differ from the symptoms of any other type of lymphadenitis. The difference lies in the characteristics of the situation provoking the problem and the localization of the inflamed elements.

Inguinal lymphadenitis manifests itself in compaction of the lymph nodes

It is worth noting that the disease can occur in two main forms - acute and chronic. Acute inguinal lymphadenitis can be serous or purulent. The first form involves only an inflammatory process, while the second occurs with the formation of pus and specific symptom– appearance sharp pain twitching type. In such a situation, the nodes seem to merge, become hard and motionless. At chronic development lymphadenitis, symptomatic manifestations are not clearly expressed; in some cases, only slight swelling and a slight increase in body temperature may be observed.

Recognize the problem

The main task of a doctor when treating a woman with enlarged inguinal lymph nodes is to establish the cause of this phenomenon. To do this, it is necessary to evaluate the patient’s complaints and conduct a clinical examination. The presence of an inflammatory process will help establish a blood test and an infectious pathogen - bacteriological culture. The following studies may also be needed:

  • biopsy of lymph node tissue if a tumor is suspected;
  • X-ray or ultrasound examination of the groin area (this is necessary to differentiate symptoms from an inguinal hernia);
  • tomography.

Treatment of female illness

If you notice an increase in the size of the lymph nodes in the groin and the slightest discomfort occurs during movement or at rest, you should immediately consult a doctor, since timely detection of the disease can save your life.

Doctor's opinion: if a tumor process occurs, then at first the only symptom is an increase in the size of the lymph nodes without any pain. That is why it is important to pay attention to it in time and not ignore it.

Specific therapeutic measures determined by the complexity of the situation and the nature of the root cause. Thus, both conservative and radical measures can be used. A conservative approach involves taking medications (usually antibiotics and anti-inflammatory drugs), and in some cases undergoing physiotherapeutic procedures. It is important to remember that warming up without a doctor’s prescription is strictly prohibited during an inflammatory process, especially if it affects the lymph nodes.

Surgery becomes a necessary measure in the purulent form of the disease, when necrotic processes begin to spread. During the operation, an incision is made, the purulent contents of the affected node and all damaged tissue are removed.

In the treatment of inguinal lymphadenitis, eliminating the cause that provokes the inflammatory process is of great importance. If the disease is secondary, then treatment measures are carried out on a larger scale.

Traditional methods for lymphadenitis are not considered effective; they can be used only in the early stages and only to eliminate individual symptomatic manifestations.

Predictions and prevention

The prognosis for the treatment of inguinal lymphadenitis in women is in most cases favorable. Timely diagnosis and compliance with all medical recommendations contribute to a complete recovery. If the situation is ignored, then the cause that provokes it will begin to develop, leading to more serious and already life-threatening problems.

Women can reduce the risk of developing lymphadenitis; for this it is important to follow the doctor’s recommendations.

Basic preventive measures

Treatment of fungal and infectious diseases of the genitourinary system, as well as any inflammatory processes in the body.

Since inguinal lymphadenitis is a consequence of various diseases, it is first necessary to stop the possible cause of the disease.

Attention to injuries and microdamages skin. In case of violation of the integrity of the skin, the damaged area should be treated with an antiseptic (iodine, brilliant green or hydrogen peroxide).

In order to minimize the risks of pathological processes occurring in the body as a result of damage to the deeper, dermal layer, appropriate measures should be taken. It must be remembered that infection of the lymphatic and circulatory system can occur even due to a minor scratch.

When immunity decreases, it is necessary to resort to auxiliary strengthening drug complexes, including vitamins.

A reduced level of the immune system makes the body more susceptible to infectious and bacterial influences. If the body is able to overcome the virus on its own, then the risk of inguinal lymphadenitis is significantly reduced.

A sensible approach to sexual intercourse

Lymphadenitis can be a consequence of a sexually transmitted disease, so the need to carefully approach the choice of a sexual partner and the use of barrier contraceptives is of no small importance.

Video: what you need to know about lymph nodes

Inguinal lymphadenitis in women is a common problem that, without timely treatment, can result in serious consequences. If you respond correctly to enlarged lymph nodes, you can get by with taking pills, but if you delay visiting a doctor, you may need surgery.

Inguinal lymphadenitis in women is an alarm bell for the immune system

Why do the lymph nodes in the groin become inflamed?

Inflammation of the lymph node (lymphadenitis) is a frequent companion to severe inflammatory processes in the body. Inguinal lymphadenitis in women occurs during acute or chronic inflammatory processes in organs lower section abdominal cavity and pelvis. This alarm signal, that protective barriers have collapsed and the immune system is unable to contain the spread of infection. The pathogen leaves the source of infection and enters the regional lymph nodes with the lymph flow.

Reasons for the development of inguinal lymphadenitis:

  • Viral diseases: genital herpes, mononucleosis, cytomegalovirus infection(CMV);
  • Inflammatory process of the organs of the genitourinary system of an infectious nature such as: cystitis, urethritis, endometritis, adnexitis, bartholinitis, ovarian cysts;
  • Fungal infections: vaginal candidiasis (thrush);
  • Infectious diseases, sexually transmitted diseases;
  • Reactive inflammation with oncological diseases.
  • Inguinal lymphadenitis in women can be detected in the absence of diseases of the internal organs, if the pathological process begins in the lymph node itself - lymphogranulomatosis (Hodgkin's lymphoma), non-Hodgkin's lymphoma.

Lymph nodes act as an indicator of a person's health status. If a malfunction occurs in the functioning of the body, they can increase in size and become painful. Inflammation of the lymph nodes in the groin in women requires immediate diagnosis and determination of the root cause of the phenomenon.

Now let's look at this in more detail.

What are lymph nodes?

Lymph nodes are organs of the lymphatic system that act as a natural filter. Lymph passes through them, which is cleared of harmful substances and pathogenic microorganisms. Because of this, the system reacts faster than others to the emergence of an infection.

Lymph nodes in the groin of women are responsible for cleansing the fluids of the pelvis and lower extremities. If infection occurs, this can lead to an increase in the size of the lymph node. Normally its size is 1.5-2 cm.

The inguinal nodes are located in the femoral triangle. Their increases are called . The disease can occur in acute or chronic form. It affects one or more nodes. This phenomenon is typical when systemic diseases. Enlarged lymph nodes in the groin can indicate a whole list of diseases.

Causes of inflammation of the lymph nodes in the groin in women

Most often, lymph nodes become inflamed due to bacteria entering the human body. Typically, such a reaction is provoked by staphylococci. However, infection alone is not enough. The body must contain factors that, upon admission, fight the disease. The prerequisites for the development of pathology are a whole list of factors, the list of which includes:

  1. Presence of sexually transmitted diseases.
  2. There is an acute infection with staphylococcus or tuberculosis bacillus. Once in favorable environment, microorganisms begin to actively multiply.
  3. There were injuries or damage to the genital and urinary organs. This also includes microcracks.
  4. The patient was diagnosed with cancer. And if cancer cells ended up in the human blood, the lymphatic system tries to fight them. However, nothing can be opposed. As a result, inflammation of the lymph nodes occurs.
  5. Present infectious diseases. They can be acute or chronic. This includes measles and a number of other diseases.
  6. Fungal diseases of the genitourinary system. Most often it leads to inflammation of the lymph nodes.
  7. An unsuccessful surgical operation was performed.

Inflammation can be specific or nonspecific. In the first case, the lesion is localized in the pelvic organs. If the disease is nonspecific, the entire human lymphatic system is affected.

Types of disease

Experts identify several forms of treatment for pathology. First of all, the disease is divided into acute and chronic. Depending on the nature of the inflammation, serous and purulent are distinguished. Each of the subtypes of pathology has its own characteristics and signs. This leads to differences in treatments.

The most benign form of pathology is serous. During development, a person practically does not feel unwell. The size of the enlarged node is small. It is soft to the touch. In pathology, inflammation affects only inner part lymph node Does not apply to nearby tissues. If a patient is diagnosed with this form of the disease, the prognosis is always favorable. Treatment usually does not take long.

Chronic may not be accompanied by special symptoms. There is a slight increase in lymph nodes. In this case, there are no symptoms of general malaise. The complexity of the pathology lies in the fact that it is difficult to treat. It must be remembered that, regardless of the absence of unpleasant sensations, the inflammatory process in the tissues continues. As a result, the patient may face a number of complications. So, one of them is lymphosarcoma.

Symptoms of pathology

It is quite easy to suspect development in the groin. The main symptom is swelling and enlargement of the lymph node in size. It can protrude greatly above the skin. The formation is hard and hot to the touch. An increase in local temperature occurs due to the course of the inflammatory process. Upon palpation, a person feels unwell. His character can vary from slight tingling before acute pain. The skin around the inflamed lymph node turns red.

The disease also has a number of other signs, the list of which includes:

  • there is an increase in drowsiness;
  • a person loses appetite;
  • at physical activity pain may occur;
  • there is a general increase in body temperature;
  • the patient may experience chills;
  • a woman experiences rapid fatigue;
  • the patient feels weak.

If the pathology arose as a result of complications of other diseases, the clinical picture may be supplemented by other symptoms.

Additional features

Depending on the type of infection, it can provoke enlargement of the lymph nodes in the groin; diseases may accompany different signs. Soreness, mobility of the lymph nodes and their density changes. So, if a similar phenomenon occurs during pregnancy, it is most often provoked by chronic diseases, the list of which includes:

  • colpitis;

In the process of bearing a child, a woman’s immunity is greatly weakened. Even as a result of banal hypothermia of the legs, inflammation of the lymph nodes can develop.

If a woman is diagnosed with syphilis, the size of the lymph nodes may increase 5-10 times. At the same time, their palpation does not cause discomfort. There is also no redness of the skin. At the initial stage, syphilis is characterized by the appearance of chancre. This is the name given to painless non-healing ulcers.

Gonorrhea in women usually occurs in an erased form. However, the pathology also provokes enlargement of the lymph nodes. Their size can increase up to 2 cm. With pathology, the formation is dense. They are not fused to tissues and move easily under the skin. However, touching them causes severe pain. Inflammation can also affect nearby lymphatic vessels. In the inguinal folds they can be felt like painful dense cords.

If infectious mononucleosis occurs, other groups of lymph nodes become inflamed along with the inguinal ones. When the disease occurs, their volume increases to 2-3 cm. They create a kind of chain. Lymph nodes are not fused to the skin. They are dense, but do not cause pain on palpation. No redness of the skin is observed. However, there may be some swelling over the group of lymph nodes.

If a woman develops genital herpes, watery blisters appear on the genitals. They are painful. However, this rule does not apply to lymph nodes. When they are palpated, minor pain occurs. The skin over the lymph nodes is practically unchanged. They are soft to the touch and have a dough-like consistency. The lymph nodes are not fused with the surrounding tissues.

Diagnosis and treatment

If a woman encounters a pathology, she should consult a gynecologist or dermatovenerologist. After the risk of disease arising as a result of nonspecific inflammation of the vagina or uterus, as well as genital infections, has been eliminated, the specialist will redirect the patient to a therapist. If necessary, you may need to visit an infectious disease specialist, surgeon and oncologist.

First of all, the patient is interviewed. The doctor studies the general picture of the disease, then conducts an external examination and palpation. Then the woman may be referred for the following studies:

  • X-ray;
  • tomography;
  • Ultrasound of the pelvic organs.

Allows you to suspect the reasons that provoked the occurrence of the phenomenon. In most cases, the prognosis for inflammation of the lymph nodes is favorable. However, you should not delay treatment.

Therapy for inflammation of the lymph nodes consists of the use of medications, physiotherapy or surgical intervention. Conventional methods are applied comprehensively. If the process is accompanied by other diseases, their treatment is also carried out. This will eliminate the likelihood of relapse and increase the effectiveness of the treatment methods used.

Medication

Conservative treatment methods are most often used. Therapy consists of taking tablets and using local treatments. Usually the patient is prescribed hormonal antibiotics. One of the most common medications is penicillin. The dosage is determined individually. Local treatment consists of the use of antiseptics. Salicylic and tetracycline ointments have proven highly effective. Local treatment is performed carefully if the disease is purulent in nature. The use of ointments is advisable only in the composition complex therapy. They must be supplemented with systemic antibiotics. Otherwise, the therapy will not give results.

Physiotherapy and surgery

In addition to antibiotics, physical therapy may be prescribed. UHF and electrophoresis are most often used. The methods have an anti-inflammatory effect. However, in the case of a purulent type of the disease, physiotherapeutic procedures are not used. The fact is that during their execution the tissues are heated. This in turn leads to the release of pus.

Sometimes surgery is performed. The method is used if there is accumulation in the lymph node a large number of pus. The operation is not very complicated. The doctor will open the lymph node and install drainage. This is a special silicone tube that is required to drain the pus.

The speed of treatment depends on the stage and form of the disease, correctly selected therapy and the woman’s immunity. For serous pathology, the duration of treatment is 5 days. Chronic or purulent form diseases require longer treatment. In some cases, therapy may take several months.

Prevention of disease

It should be borne in mind that not all nodes in the groin area respond well to treatment. Therefore, it is better to avoid inflammation. To do this, it is recommended to perform a series of preventive measures. A woman should:

  • maintain personal hygiene;
  • produce timely treatment any diseases infectious nature appeared in the body;
  • support immunity by taking vitamin complexes;
  • add fresh vegetables and fruits to your daily diet;
  • give yourself moderate physical activity;
  • refuse unprotected sex.

The inguinal lymph nodes are part of the entire human lymphatic system, which performs immune ( protective functions). They represent small balls filled with lymphatic fluid. When certain types of diseases occur, they become inflamed and cause pain when walking. Independent disease inguinal lymphadenitis is not, it is a symptom and side effect various pathologies sexual and other areas. Next, let's look at why the lymph node hurts in the groin, clinical manifestations, as well as diagnostic and treatment methods.

There are three groups of lymph nodes in the groin area, each of which is responsible for the health of certain organs. Depending on which group of nodes hurt, we can make assumptions about possible causes or even the presence of a specific disease.

  1. The upper ones are responsible for the gluteal region and the lateral part of the torso (pelvis).
  2. The median ones control the rectum and organs of the genitourinary system.
  3. The lower ones are responsible for the legs and the lymph flowing into them.

Pain can occur simultaneously in several groups of lymph nodes, as well as on the left or right.

Why do the inguinal lymph nodes hurt, ache, and pull?

There are many reasons why the lymph node in the groin hurts. They differentiate varying degrees severity and localization, but cause similar symptoms in the form of pain in the groin and discomfort when walking. Factors that can cause discomfort include:

  1. Sexually transmitted diseases and sexually transmitted diseases. These are HIV, AIDS, syphilis, chlamydia, gonorrhea, genital herpes and others. One of the common causes of inguinal lymphadenitis.
  2. Infectious and inflammatory diseases reproductive system– salpingoophoritis, inflammation of the uterus.
  3. Kidney pathologies and diseases urinary tract, such as pyelonephritis, cystitis, urethritis, kidney stones. Most of them are also infectious in nature, so the immune system reacts with inflammation and pain in the lymph nodes (lymphocytes begin to actively multiply).
  4. Skin infectious diseases in the abdomen, buttocks, thighs, legs - furunculosis, trophic ulcers, abscess, etc.
  5. Hypothermia, which occurs when sitting on cold surfaces, as well as if your feet get wet.
  6. Pathologies in the bones of the thigh and hip joint of an inflammatory or traumatic nature - osteomyelitis, arthritis, arthrosis, coxarthrosis.
  7. Tuberculosis at any stage of occurrence.
  8. Oncological diseases of both the lymphatic system itself and other organs. In the second case, inflammation of the lymph nodes in the groin is a reaction to the development of a pathological process, or metastases (clusters of cancer cells) form in them.
  9. Fungal infections that can be contracted in common areas (saunas, baths, swimming pools, common locker rooms), or after treatment with antibiotics (for example, thrush).
  10. Inflammatory diseases of the rectum.
  11. Some autoimmune diseases.

Associated symptoms

The pathological dysfunction of the inguinal lymph nodes is quite striking. In addition to pain, the patient may experience:

  1. Enlarged lymph nodes, which are sometimes easy to detect visually, and sometimes the nodes can only be felt.
  2. Aching pain when pressed that radiates to the leg, often causing a burning sensation in the lymph node in the groin.
  3. Redness of the skin in the inflamed area, hotness of the skin and a feeling of pulsation. Such sensations occur during the development of a purulent process.
  4. Other symptoms that occur when there is an infection in the body: fever, weakness, nausea, upset bowel movements and/or urination, chills, abdominal pain, loss of appetite, changes in blood pressure.

Depending on the cause of lymphadenitis, the following features of the course of the disease are observed:

  • With sexually transmitted diseases, the lymph nodes in the groin do not immediately become inflamed. This is due to the fact that everything pathogenic microorganisms have incubation period, during which there are no symptoms. As soon as it is completed, painful discomfort appears in any area, which can be used to suspect the presence of a disease.
  • With cancer, pain in the lymph nodes is often completely absent, but for a long time they can be enlarged. There is no discomfort at all. Pain and burning appear already in advanced stages.
  • if there is a high body temperature, the skin at the site of the lymph nodes is stretched and red, the hip joints or lower back are very painful, we may be talking about a widespread purulent process. This is fraught with blood poisoning (sepsis) and, in the absence of timely medical intervention, can lead to fatal outcome. Therefore, at the first manifestations of this condition, you must immediately contact a medical facility.

What examination is required


Diagnosing inguinal lymphadenitis directly does not cause any difficulties, since the above symptoms speak for themselves. However, to determine the cause of the pain, it is necessary to conduct a number of laboratory tests:

  1. General and biochemical blood tests, as well as tests for the presence/absence of sexually transmitted diseases.
  2. Urine and stool analysis.
  3. Vaginal smears in women with suspected infection of the reproductive system.
  4. MRI and CT for diagnosing bone structure.
  5. Tests for tumor markers if a malignant process is suspected.
  6. Diagnostic puncture (fine needle biopsy) of the lymph node itself for cytological and histological analysis of cells.

Only after determining the cause of pain in the groin lymph nodes does the doctor prescribe treatment.

Which doctor should I contact:

  • if you suspect sexually transmitted diseases and gynecological diseases– to a gynecologist (women) or urologist (men);
  • for problems with the kidneys and urinary tract - see a urologist;
  • in case of hypothermia - see a therapist;
  • in case of oncology - to an oncologist;
  • for skin rashes - see a therapist or dermatologist.

Necessary treatment

Depending on the reason why the inguinal lymph nodes are affected by lymphadenitis, drugs and procedures for treatment are selected. In most cases, antibiotics are prescribed - for sexually transmitted diseases and sexually transmitted diseases, for infectious and inflammatory processes of the pelvic organs and urinary tract. The antibiotic is selected depending on the pathogen, but currently most drugs are complex in nature.

In case of fungal infections, Nystatin, Flucostat or Fluconazole are most often prescribed.

Skin lesions are treated both oral and external - creams and ointments with an antibacterial effect.

For bone diseases, along with specific medications, physiotherapy is used to eliminate pain.

Oncological diseases are treated with surgery, chemotherapy, radiotherapy and radiation therapy, and immunostimulants are also used. In the presence of metastases, the inguinal lymph node must be removed.

When the lymph nodes in the groin hurt, in no case should you self-medicate, smear them with something, and especially warm them. Warming up, especially in the presence of a purulent process, will provoke the progression of the disease and may have dangerous consequences for good health.

If the inguinal lymph node responds with painful sensations to touch, or other unpleasant symptoms are present, this may indicate the presence of a serious illness and requires immediate consultation with a doctor. But there is no need to worry too much; most diseases are now successfully and quickly treated.

What to do if inflammation of the lymph nodes in the groin is detected?

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 lesions, such as boils, abscesses and others.

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

In the early stages it is used conservative method treatment using medications such as:

  1. antibiotics wide range actions (amoxicillin for adults single dose 250-500 mg, at severe course up to 1 g. The interval between doses is 8 hours. Do not use if you have allergies or infectious mononucleosis). Mandatory consultation with a doctor.
  2. Ointments with antibacterial and antiseptic properties - this Levomekol is used topically, a sterile dressing is applied to the affected area gauze bandage with ointment, cannot be used if you are allergic to the components of this ointment during purulent processes. Vishnevsky ointment is used externally, applied in a thin layer to the affected area. With prolonged use, an allergic reaction is possible.
  3. Physiotherapy with an anti-inflammatory effect using electrophoresis with antibiotics and sulfonamides. Can be used only in the initial period of inflammation; during purulent processes it is strictly prohibited.

The surgical treatment method is used in situations in which inflammation turns into a purulent process. This method is based on cutting and releasing pus through drainage.

Inflammation of the lymph nodes can be treated at home traditional methods, some recipes are provided below:

  1. Treatment with nettle

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

  1. Treatment with blueberries

Blueberries need to be crushed and filled with warm water. Take 1 glass after meals.

  1. Treatment with dandelions

Dandelion root powder should be taken 1 tbsp. before meals.

There are no lymph nodes on the labia and pubis in women. If “bumps” or lumps appear in this area, we are talking about the groin lymph nodes, which are located in the fold between the legs and pelvis.

Lymph nodes are located on the head, neck, armpits, in the sternum, on the arms and legs, in the abdominal cavity and in the groin (near the legs). They form a complex system that sensitively reacts to any foreign bacteria and microorganisms.

Lymphadenopathy, which leads to disruption of the functioning of organs that are designed to protect the body from infections, is said to occur when the lymph nodes in the groin area become inflamed. There are a number of diseases in which they are damaged. If the bumps appear specifically on the labia or pubis, then the reason may lie in poor hygiene, the manifestation of an inflamed lymph node in the groin, or it is a wen.

A common reason for the appearance of bumps in this area is damage to a woman’s body by a pathogenic bacterium. Penetrating into the body, the virus affects the lymphatic system and is manifested not only by inflammation in individual lymph nodes, but also by the appearance of lumps in the genital area. A pathogenic bacterium can enter a woman’s body in two ways: external and internal. By external means we mean damage to the skin - wounds, cuts. By internal we mean getting an infection through airborne droplets or during unprotected sexual intercourse.

In addition to inguinal lymphadenitis, bumps of various sizes on the labia and pubis can also occur for other reasons: furunculosis, lymphoma, syphilis, lipoma.

Experts divide the causes into two groups. Each group has characteristic diseases, leading to the emergence unpleasant symptoms lower abdomen. External penetration of infection into the body of a girl and/or woman through damage to the skin on the legs, buttocks and feet:

  • small wounds, cuts, scratches or animal bite marks;
  • skin injuries as a result of dermatitis caused by intolerance to the fabric from which the diapers are made (a common cause among children);
  • boils that form in the hair follicles in the buttocks;
  • wound from BCG vaccinations could also cause the onset of an inflammatory process in the groin and the appearance of bumps in the pubic area. Due to the fact that there is no lymph node on the labia, formations appear on them as a result of inflamed lymph nodes near the legs. Now this vaccination is given only in the shoulder, so the risk of infection this way is minimal.

Diseases caused by the virus entering the human body through external routes:

  • herpes;
  • syphilis;
  • borreliosis;
  • inguinal lymphogranulomatosis;
  • infectious mononucleosis;
  • cytomegalovirus;
  • sodoku;
  • gonorrhea.

In addition, you need to remember that sometimes inflammation of the lymph nodes and the appearance of lumps in the genital area signal the presence of inflammatory processes in the joints or diseases of an oncological nature.


Inguinal lymphadenitis as the cause of the disorder

Symptoms of lymphadenitis and its manifestations in the genital area:

  • increase in the size of nodules up to 1 cm;
  • the appearance of a seal on the genitals;
  • discomfort, pain when touched;
  • redness of the skin at the site of inflammation;
  • increase in body temperature.

If the cause of inflammation is a skin injury (wound, scratch), then the node will become inflamed on the side on which the damage is located. Accordingly, bumps on the labia will appear on the same side.

In addition, diseases such as endometritis, bartholinitis, adnexitis, and a malignant tumor in the genital area can also cause lymphadenitis in the groin and lumps below the abdomen.

Diagnostics

The first stage of diagnosis is collecting an anamnesis, on the basis of which a preliminary diagnosis is made. From additional methods research may be required:

  • biopsy;
  • strokes;
  • blood test for antibodies;
  • sowing of secretions.

Therapy methods

Treatment of neoplasms on the genital organs consists of eliminating the main cause of their appearance - inflammation of the inguinal lymph nodes, which is prescribed depending on the diagnosis and taking into account the results of the tests. It is carried out in three directions: general, surgical or specific.

General treatment means ridding a person of the symptoms of the inflammatory process. To do this you need to adhere to a number of rules:

  • observe bed rest, diet;
  • take antiviral drugs;
  • avoid heating the affected area;
  • take medications that relieve inflammation, analgesics and vitamins as needed;
  • undergo a detoxification course.

TO surgical treatment resort only in cases where lymphadenitis becomes purulent or necrosis of the node and tissues around it occurs.

Specific treatment refers to the elimination of the causes of lymphadenitis. In this case, narrowly targeted antibiotics, antiviral agents, and sometimes the administration of immunoglobulins are prescribed.

Accordingly, as the inflammation heals, the bumps on the labia and pubis will also disappear.

Consequences

If the diagnosis is made at an early stage and adequate treatment is prescribed specific treatment, then the prognosis will be favorable.

Lymph nodes on the pubis or lymph nodes on the labia do not go away for a long time due to sexually transmitted infections, lymphogranulomatosis, mononucleosis, as well as furunculosis and lymphoma.

For oncohematological diseases, the prognosis is not so optimistic. In this situation, the outcome will depend on how sensitive the cells turn out to be to polychemotherapy, which the doctor will select.