Causes of pain in the groin in a child. What to do if a child has a leg pain in the thigh when walking: causes, treatment and folk remedies. Cause of groin pain in the leg

30.08.2022 Water heaters

The article will talk about why there may be pain in the groin in a child, how they can be explained. You will learn what to do if your child has groin pain.

Very often, young children complain of pain in the groin. There are many reasons for this kind of pain. It can occur with subluxation of the hip joint, it can appear when the muscle is stretched. Babies are very mobile people. But despite the increased hypermobility of the joints due to young age, there is always a risk of injury to the ligaments and joints. But the most formidable reason for pain in the groin in a child may be an inguinal hernia.

In such cases, an immediate consultation with a surgeon is necessary. If a subluxation occurs, swelling of the soft tissues and the periarticular sac may begin, which can lead to difficulties in straightening the dislocation. Edema will disrupt the full blood supply to the soft tissues, and this can provoke long-term and intractable pathological changes.

If groin pain is a symptom of an inguinal hernia, then there is a risk of pinching. When pinched, necrosis of the pinched intestine rapidly develops. In any case, only a doctor can say for sure, Why does the child have pain in the groin?

Symptoms

With pain in the groin, the child experiences certain suffering. This is manifested by anxiety, crying. In such cases, refusal of food and food is possible. And this is a very wise reaction of the child's body. With an inguinal hernia, it is necessary to refrain from a heavy meal before visiting a specialist.

It is the responsibility of the parents to show the child to a pediatric surgeon as soon as possible. While the parents with the child are waiting for the doctor, painkillers for children can be given. Try to make the child lie still so that he does not worsen the situation with his movements.

In the case of dislocation and inguinal hernia, the extra load on the muscles leads to an increase in compression of the inflamed area.

Very often, pain in the groin can signal a fairly serious disease. The groin is the area located in the region of the lower border of the abdominal cavity and joins the thigh. It is here that the inguinal canal passes with large blood vessels of the thigh, and the spermatic cords in men also lie. Therefore, if there is a pulling pain in the groin, like pain of any other kind, it is worth responding to it immediately.

Here are the round ligament of the uterus in women and loops of the intestines, which can form a hernia. That is why pain in the groin area (as well as pain in the genitals itself) should be noted immediately, and if it does not go away within a day, it is also necessary to consult a doctor to find out the cause of the pain.

Causes of pain in the groin

The reasons may be as follows:

bowel disease (diverticulitis; bowel cancer; intestinal obstruction, accompanied by abdominal pain, constipation or diarrhea, bloating, vomiting and fever);
diseases of the uterine appendages of an inflammatory nature, accompanied by acute pain in the groin, deterioration of the general condition, fever, pain in the lower abdomen during palpation;
torsion of the legs of an ovarian cyst or its rupture. They may be accompanied by unilateral, acute and severe pain in the groin, fever, vomiting, a sharp decrease in blood pressure;
ectopic pregnancy, characterized by cramping, gradually increasing pain in the groin, combined with pain in the abdomen, radiating to the anus (in case of rupture of the fallopian tubes, the pain becomes unbearable);
pregnancy, characterized by pulling, aching pains. Their appearance is associated with the physiological separation of the pelvic bones before childbirth and with stretching of the ligaments that hold the uterus against the inner walls of the pelvis;
algomenorrhea (pain before menstruation). Such pain can be aching, cramping, starting 1-2 days before menstruation.

Reasons (as well as on the left side and in the center):

inguinal hernia, characterized by unilateral pain;
chronic prostatitis, manifested by constant aching pain;
vesiculitis;
orchitis, accompanied by severe pain, aggravated by movement, as well as redness and swelling of the scrotum;
acute epididymitis (symptoms are similar to orchitis);
spermatic cord cyst, accompanied by aching pain (observed in middle-aged and elderly men);
testicular torsion, which can occur after making sudden movements during sports. It can be accompanied by acute severe pain, an increase in half of the scrotum and blue skin on it, as well as nausea, vomiting and fever;
varicocele (bloating or swelling in the veins of the penis). It can manifest itself in pressing, dull, intermittent pain in the groin without a clear localization.

In addition, groin pain can be caused by:

cryptorchidism;
groin injury;
tumor diseases;
vesiculitis;
proptosis;
colliculitis;
lipoma of the spermatic cord;
epididymitis;
varicose vein located in the great saphenous vein of one of the lower extremities.

Child's groin pain

Pain in the groin in a child can be due to many reasons. The cause of pain in the groin in girls can be trauma, inguinal hernia, or an increase in inguinal lymph nodes. The latter is often due to catarrhal inflammation of the uterine appendages.

Pain in the groin in a boy may be associated with:

with trauma;
with inguinal hernia;
with testicular torsion;
with orchitis;
with hydrocele;
with varicocele formation.

One way or another, in the presence of one or more symptoms of such pain in a child, it is necessary to consult a doctor.

Pain in left groin

Pain in the left groin may be due to either an inguinal hernia or renal colic. Inguinal hernia is a disease mainly of men, and women rarely suffer from it. Pain on the left in the groin with this disease is accompanied by the appearance of swelling in the groin, noticeable in a standing position and painful when touched.

The cause of the disease is the displacement of the loops of the intestines from the abdominal cavity to the groin, due to weak muscles and ligaments of the anterior abdominal wall. Advanced cases are characterized by a pinched inguinal hernia, accompanied by symptoms such as a sharp pain in the groin on the left side and in the lower abdomen.

The cause of renal colic, characterized by sudden acute pain in the groin, lumbar region and bladder region, is urolithiasis, complicated by the release of a stone from the kidney and moving it along the ureter. Sharp and excruciating pain in the left groin and thigh in this case is accompanied by frequent urge to urinate.

Pain in right groin

Pain in the right groin may accompany inguinal hernia, renal colic, and appendicitis. Pain in the right groin with appendicitis increases gradually, originating in the epigastric region, and falling lower and lower.

General pain in this case is aggravated when lying on the left side, there is pain in the groin on the right when walking, and sometimes the pain is localized in the rectum. If you have at least one of these symptoms, you should consult a doctor for qualified medical help.

Pain in the lymph nodes in the groin

It is well known that the lymph nodes filter the lymph and control its composition, and therefore they are the first to suffer when an infection enters the body. Thus, pain in the lymph nodes in the groin, accompanied by their compaction, indicates a threat to human health.

Pain in the inguinal lymph nodes can signal the presence in the body of:

fungal infections;
sexually transmitted diseases;
diseases of the genitourinary system;
tumors of any etiology.

Pain treatment

Any treatment for groin pain is impossible without first contacting a specialist. It involves medical or surgical elimination of the causes that caused the disease. It is impossible to simply drown out such pain with analgesics due to the fact that it can be a sign of serious diseases leading to pathological changes in the body.

Men often come to the doctor with right-sided abdominal colic. The specificity of the structure of the inguinal region creates many prerequisites for the development of pathological processes. The causes of pain are varied and only an integrated approach will correctly diagnose the disease. A significant indicator is the type and location of pain. A dull character indicates a chronic disease, an acute character indicates a life-threatening pathology and the need for urgent surgical intervention.

Causes of groin pain

Right-sided pain in men in the groin is due to malfunctions of the nervous, reproductive and urinary systems, the musculoskeletal system (OMS) and the gastrointestinal tract (GIT). Each of them has its own characteristics, which the doctor must know for a correct diagnosis. The appointment of treatment is permissible only after a complete examination of the patient.

Let us consider in more detail the common diseases accompanied by pain:

Digestion

A right-sided inguinal hernia occurs when the peritoneum or internal organs enter the inguinal canal. Development is facilitated by thinned places of the walls of the peritoneum in the groin - deepening of the inguinal spaces.

Note!

A protrusion with an inguinal hernia is not always accompanied by pain, and infringement, that is, squeezing the hernial sac, will always be a source of pain. It is blurry and localized.

The figure shows the types of hernias and places of their manifestation.

irritable bowel syndrome- disruptions in intestinal motility, digested food moves very quickly or slowly. The place of piercing pain determines the localization of the affected area.

Intestinal obstruction- Improper movement of food in the intestines. The pain is growing sharp, and the place of pain determines the localization of the lesion.

chronic constipation– problematic and very rare emptying. The patient is worried about distension, abdominal pain.

colon cancer. At first, it is asymptomatic, but later there is aching pain at the site of neoplasm development.

urinary system

Urolithiasis disease- the appearance of stones in the urinary system. During obstruction in the lumbar region, acute colic occurs in the right ureter. In parallel with it, blood appears in the urine, digestion is disturbed.

Cystitis called inflammation in the bladder. Expressed by punctate colic, which is aggravated by emptying.

Appendicitis. Pathology is accompanied by a piercing pain in the lower abdomen, transmitted to the groin and right leg. The appendix is located in the iliac region on the right. Nausea and fever often occur.

bladder cancer- neoplasm on the walls of the bladder. Until the spread of malignant cells to nearby organs, the disease does not manifest itself.

urethral cancer- a tumor in the urethra.

Urethritis- Infectious or non-infectious inflammation of the urethra. A feeling of heaviness appears in the groin, and when urinating - burning and colic.

reproductive system

Acute prostatitis- infectious inflammation of the prostate gland due to the penetration of microbes. Pain in the groin and perineum will be stabbing. The urge to void becomes more frequent and problematic.

BPH- strong growth of glandular tissue. There is a squeezing of the bladder, pain increases during emptying.

Prostate cancer is a malignant growth of epithelial tissue. In the later stages, there are spastic pains and repeated urge to empty.

Vesiculitis- Infectious inflammation of the seminal vesicles. Pain in the perineum, passing into the groin; intensity increases with emptying, filled bladder, ejaculation.

Epididymochitis- inflammation of the testicles and appendages. The disease is acute: the temperature is above 38 degrees, there is acute pain in the scrotum.

Testicular torsion- twisting of the seminal canal when turning the testicle. Piercing pain causes vomiting, dizziness.

Venereal diseases. Caused by sexually transmitted infections. Symptoms depend on the pathogen.

Nervous and ODS

Groin injuries. They are more common among professional athletes. Increased pain with movement, slight swelling is visible.

Nerve damage in the lumbar plexus. In the groin, colic is felt, extending to the upper surface of the thigh and lower abdomen, sensitivity decreases.

Video

In the video, the doctor of ultrasound diagnostics will talk about the main culprits of inguinal pain, which are detected during ultrasound.

Causes of pulling pain

In most cases, pulling pain is characteristic of chronic diseases. The most common culprit is prostatitis. Long-term statistics state the fact: 1/3 of reproductive men suffer from prostatitis. Most of the cases were detected at late stages and complicated by concomitant diseases.

The main culprit is the pathogenic microflora that appeared in the prostate gland. Signs: colic during bowel movements, small discharge, discomfort in the perineum.

Reasons for the appearance:

damage to the small pelvis;
sexual abstinence;
the presence of infections in the urinary system;
bad habits;
hypothermia;
stress;
hormonal disruptions.

Dull pain indicates a sprain of the inguinal ligaments after excessive exertion.

Causes of aching pain

A number of pathologies do not have pronounced manifestations and are detected by chance during a routine examination. A person occasionally feels aching pain of a weak nature, but in the future it becomes more pronounced.

Aching pain is a companion of the following diseases:

cryptorchidism- hormonal imbalances, problems with conception, delayed puberty in adolescents;
prostatitis- problems with urination and potency, the appearance of adenoma, infertility;
crayfish- weight loss, fever, feeling unwell, feeling of a foreign body inside;
cyst- unilateral testicular enlargement;
lymphadenitis- single and multiple swelling with adhesions;
abscess- impurities in the urine, rash, problematic emptying, discharge.

Aching pain will be the main symptom of acute cystitis. This is an acute inflammation localized on the mucosa of the bladder. The culprits of the acute form are various infections. Manifestations of an acute form: cloudy urine, aching pain, frequent urination with pain, the appearance of blood discharge in the urine, nausea, high fever.

The likelihood of developing cystitis is increased by:

trauma to the surface of the bladder;
hormonal disruptions;
simple blood in the pelvic veins;
lowering of protective functions;
hypothermia.

Aching pain is provoked by malignant neoplasms in the rectal mucosa. She talks about the growth of the tumor and the spread of malignant cells to the tissues of nearby organs, the process becomes irreversible. Symptoms: constant constipation, decreased appetite, bloating, bloody discharge in the stool, feeling weak, pale skin.

Causes of sharp (stabbing) pain

Acute pain often indicates the need for emergency surgery. The threat to health is not only the disease, but also the pain syndrome. Treatment will necessarily include pain relief measures.

Stitching pain occurs with diseases:

Infringement of a hernia with a small diameter of the hernial ring. The natural process of tissue nutrition is changing, which leads to necrosis.
Appendicitis - the right side of the abdomen hurts, sometimes under the rib or on the left with an abnormal location.
Testicular torsion accompanied by swelling of the scrotum.
Urolithiasis is characterized by paroxysmal pain, the intensity of which gradually increases.
Intestinal obstruction also has a paroxysmal nature of pain, accompanied by indigestion.
An abscess has a throbbing pain that gets worse all the time.

Pain in the lymph nodes

Lymph nodes filter the lymph and control its immunological composition. They are the first to feel the appearance of infection in the human body. If there was colic in the groin, the lymph node became denser, then something threatens the body. Inflammation of the lymph nodes is possible group, determined by the infectious focus.

Lymph nodes hurt when:

sexually transmitted diseases;
fungal infections of the lower extremities;
the appearance and development of tumors in the pelvis;
primary stage of syphilis.

If there is pain in the lymph nodes, it is not difficult to recognize the presence of inflammation:

the lymph node is pea-sized, easily moved;
during palpation, severe pain is felt, the lymph nodes are not soldered to nearby tissues;
heat;
redness of the skin indicates suppuration.

Treatment involves surgery.

Video

In the video, a dermatovenerologist and urologist Lenkin Sergey Gennadievich will talk about the causes of inflammation in men of the lymph nodes in the groin and methods of treating this disease.

Actions for pain in the right groin

For any pain, seek emergency medical attention. A favorable outcome is possible only after determining the causes of its occurrence. The doctor needs to determine the severity of the process and choose the right treatment method. However, in many cases, diagnosis is difficult. The reason may be not only organs close to the groin, but also located outside the "epicenter" of pain.

Note!

Painkillers should not be taken before a medical examination, as they will make it difficult to determine the true cause of the pain. It is also not recommended to make warm compresses or apply a heating pad so as not to provoke the spread of inflammation. To reduce pain, it is permissible to apply ice for a short time.

The doctor will prescribe a series of studies: laboratory tests, ultrasound (genital organs, abdominal cavity, retroperitoneal space), uroflowmetry. Consultations with other highly specialized specialists are not excluded.

Important! It must be understood that self-medication and refusal to visit a doctor will aggravate the situation. When the listed diseases are launched, doctors are left to fight not for recovery, but for the life of the patient. Chronic forms are not treatable even with modern medical means.

Pain diagnostics

To diagnose pathologies that provoke inguinal right-sided pain in men, methods are used:

collection of anamnesis;
examination by the doctor of the patient;
diagnostics with special preparations;
delivery of various analyses.

Diagnosis begins with an anamnesis (questionnaire):

The beginning of pain.
Moment and conditions of occurrence of pain symptom.
The nature of the pain.
Intensity.
duration.
Localization and reflection.
Associated symptoms.

For groin pain are important:

the nature of sexual life;
hereditary diseases in relatives;
past illnesses;
bad habits;
working conditions;
allergy;
quality and quantity of food eaten.

After the interview, the doctor begins an objective examination - palpation (palpation), general examination, auscultation (listening) and percussion (tapping).

Laboratory studies include:

biochemical, general analysis of blood and urine;
prostate secretion analysis;
taking a smear from the urethra.

Collection of some tests and examinations is possible only under certain conditions. After the appointment, you should definitely ask your doctor about preparatory measures.

Instrumental diagnostics may consist of:

X-ray diagnostics;
ultrasound;
endoscopy.

The doctor does not always prescribe all of the listed examinations. In most cases, ultrasound, blood and urine tests are sufficient. Prescribe medication to eliminate the symptoms and eliminate the underlying cause of the disease. In severe cases, with a threat to life, surgical intervention is performed, after which a certain period of rehabilitation is required.

The causes of right-sided pain in men are varied. The doctor can determine them correctly only after a series of studies. Untimely treatment leads to the development of chronic forms of diseases that disrupt a normal lifestyle and begin to threaten a person's life. Timely examinations and early detection greatly simplify treatment.

(Total 74,776, today 23)

There are many reasons for this kind of pain. It can occur with subluxation of the hip joint, it can appear when the muscle is stretched. Babies are very mobile people. But despite the increased hypermobility of the joints due to young age, there is always a risk of injury to the ligaments and joints. But the most formidable reason for pain in the groin in a child may be an inguinal hernia.

Symptoms

In the case of dislocation and inguinal hernia, the extra load on the muscles leads to an increase in compression of the inflamed area.

Pain in the groin of a boy

Son 3.5 today complained of pain in the groin on the right. There is no pace. There are no external changes. When pressed, it hurts, when squatting and standing on tiptoe, it hurts too. The pain is not acute, his condition is normal, he went to bed as usual.

Tomorrow, of course, we will make our way to the pediatric surgeon.

Has anyone experienced this? What they were doing?

It may be an inguinal-scrotal hernia, or it may simply be an accumulation of calcification. Definitely you need to see a surgeon, well, observe: if outwardly it increases in this place, then there may be an infringement, then immediately call an ambulance

All rights to the materials posted on the site are protected by copyright and related rights and cannot be reproduced or used in any way without the written permission of the copyright holder and putting an active link to the main page of the Eva.Ru portal (www.eva.ru) next to with the materials used.

Social network

Contacts

Password recovery

New User Registration

Pain in the groin of a boy.

Moms, throw an idea, please, what can disturb the child. what is the cause of the pain?

My son is 5 years old, the last year sometimes (about 3 times this was a year) he complains of pain in the groin from the side of the thigh. This is extremely rare and is not always associated with increased physical activity.

Visually, until now, there have been no changes in either the testicles, or the skin, or the bone, or the muscles.

Today I complained, I examined and found a small swelling in the groin on the side of the thigh, it is felt only with fingers, it is almost invisible to the eye, but when compared with a similar place on the other thigh, there is still a swollen area

What could it be?

Can in parallel children's surgeon advise attentive and good? Better at the bottom of the gray and orange branches.

Groin pain in children

Pain in the groin, as a rule, indicates a hernia in this area. This phenomenon is possible due to pinching of the segment of the intestinal loop by the muscles. When the muscles weaken for some reason, the prolapse of the intestinal loop into the weakened zone becomes possible. This is how a hernia or, as it is also called, a strangulated hernia is formed.

But not only it can cause pain in the groin. Some infectious diseases cause exactly the same symptoms, only a doctor can distinguish one from the other. Kidney stones can also cause groin pain.

Diseases by symptoms

Any symptom is a signal of the body that any organ, department or whole system is disturbed. To find out why there is pain in the groin area, you need to exclude some diseases. Make sure that your baby undergoes timely diagnostics, check with the doctors why the pain in the groin area appeared, and how to quickly and effectively improve the child's condition.

The list of diseases in which children experience pain in the groin area:

Pain in the groin occurs due to various reasons that only a specialist can establish. Do not risk the health of the child, and do not try to treat yourself at home, as pain in the groin can be symptoms of serious illness.

In some cases, these symptoms appear as a reaction to increased gas formation. All this will be clarified by the doctor, and if necessary, he will prescribe the appropriate treatment. In more serious situations, such as a strangulated hernia, surgery may be indicated.

Treatment and specialists

Groin pain in children should only be treated by a qualified specialist. Only a doctor can tell you how to treat pain in the groin in a child, how to get rid of complications from pain in the groin and prevent it from appearing in the baby in the future.

The following doctors can answer the question of what to do if your child has groin pain:

The child, as a rule, can show where it hurts and describe the severity of pain. But only a specialist can determine the nature of the phenomenon. In order to avoid serious complications and not aggravate the situation, it is recommended that in case of moderate pain in the groin, immediately contact a specialist in the clinic.

It will not be superfluous to remind once again that a disease detected at an early stage is treated faster and more efficiently than neglected conditions. Medications are prescribed by a doctor in accordance with the age of the child.

Arm yourself with knowledge and read a useful informative article about groin pain in children. After all, being parents means studying everything that will help maintain the degree of health in the family at the level of “36.6”.

Find out what can cause the disease, how to recognize it in a timely manner. Find information about what are the signs by which you can determine the malaise. And what tests will help to identify the disease and make the correct diagnosis.

In the article, you will read all about the methods of treating such a disease as groin pain in children. Specify what effective first aid should be. How to treat: choose drugs or folk methods?

You will also learn how untimely treatment of groin pain in children can be dangerous, and why it is so important to avoid the consequences. All about how to prevent groin pain in children and prevent complications.

And caring parents will find on the pages of the service full information about the symptoms of the disease, pain in the groin in children. How do the signs of the disease in children at 1.2 and 3 years old differ from the manifestations of the disease in children at 4, 5, 6 and 7 years old? What is the best way to treat groin pain in children?

Take care of the health of your loved ones and be in good shape!

Why does a child have an allergy in the tongue?

When a child complains of pain, do not ignore such appeals for help. After all, any, even minor, complaint can indicate significant problems with the health of the baby. What to do if the child complains of pain in the groin?

Symptoms

With pain in the lower abdomen, the child becomes capricious, restless, crying. He may not have an appetite. Before coming to the doctor, pain medication for children can be given to relieve the baby's condition. The child should be at rest, lie down.

Causes of pain in the groin

The first thing that causes pain in the groin is a hernia. It appears when the tissues become weak and can no longer hold the bowel loops. It is especially visible when the child is standing. Depending on what type of hernia it is, you may need surgery. Therefore, it is best to immediately seek the advice of a doctor if the baby is worried about pain in the groin.

If there is swelling of the lymph nodes, but there is no pain, then this may indicate the development of cancer or a benign tumor.

What to do?

If your child complains of pain in the groin, then the first thing you need to do is seek help from a doctor. This is necessary because there are many diseases that can lead to pain. This may be a pediatrician first, who will most likely give you a referral to a pediatric surgeon. The doctor examines your baby and, based on the tests, will be able to make the correct diagnosis. After which you will need to start treatment. Do not ignore any of your child's complaints as this can lead to very serious health problems.

Pain in the groin of a teenage boy

My son has been complaining for a good couple of weeks about severe aching pain in the groin area - according to him, it’s even difficult to rearrange his legs, let alone roll over from side to side during sleep. My husband and I are very worried, because we still don’t have the opportunity to see a doctor, and we ourselves don’t even know what can cause pain in the boy’s groin! Help out urgently - help figure out how to act in this situation!

Well, it's very sad that at the moment you cannot consult a specialist, because with such things, first of all, it is better to go to the doctor!

But since it comes to that, try to start by remembering whether your son has been overloading himself in any way physically lately, because one of the possible manifestations of such pain may well be an inguinal hernia. However, again, whether it is a hernia or something else, only a specialist can tell you, so my advice to you is: rather find this very “opportunity” to visit a doctor!

Sudden groin pain in boys

The reproductive system of boys is very vulnerable. Rarely, but boys have serious injuries of the external genital organs that threaten their male health in the future.

Pain in the groin in boys may occur due to testicular torsion or torsion. Testicular torsion most often occurs with age. With an injury to the inguinal scrotum and area, sudden tension of the abdominal press, sudden movements, persistent coughing, masturbation, the testicle can turn around a horizontal or vertical axis. When the testicle is twisted, blood circulation in the epididymis with the testicle is disturbed. An acute violation of the lymph and blood flow, which occurs due to compression of the vascular pedicle, can cause a total hemorrhagic infarction. If blood circulation is not restored in the near future, irreversible pathological changes may occur in the testicle. Testicular necrosis in children occurs quickly - after 6-10 hours from the onset of the disease. In other words, testicular necrosis can happen very quickly.

Testicular torsion symptoms

pronounced swelling of the scrotum;
the testicle is enlarged;
spermatic cord painful;
the child shows anxiety;
the baby has an elevated body temperature;
vomiting and nausea;
sudden sharp pain in the groin;
acute urinary retention.

How to help with testicular torsion?

If your baby has such signs, immediately call an ambulance! With testicular torsion, the results of treatment depend on the degree of torsion, the duration of the disease, and destructive changes in the testicle. In many cases, it is possible to save a baby's testicle for 6-8 hours after torsion. But already 24 hours after torsion, the testicle is usually not viable. To save a twisted testicle from necrosis can only unwind the spermatic cord. This can be achieved by two methods - surgically and conservative manipulatory unwinding in the opposite direction. The prognosis for timely surgical intervention is most often favorable. Remove the testicle only with its complete necrosis.

Groin pain

Causes of pain in the groin

The causes of groin pain in women can be as follows:

bowel disease (diverticulitis; bowel cancer; intestinal obstruction, accompanied by abdominal pain, constipation or diarrhea, bloating, vomiting and fever);
diseases of the uterine appendages of an inflammatory nature, accompanied by acute pain in the groin, deterioration of the general condition, fever, pain in the lower abdomen during palpation;
torsion of the legs of an ovarian cyst or its rupture. They may be accompanied by unilateral, acute and severe pain in the groin, fever, vomiting, a sharp decrease in blood pressure;
ectopic pregnancy, characterized by cramping, gradually increasing pain in the groin, combined with pain in the abdomen, radiating to the anus (in case of rupture of the fallopian tubes, the pain becomes unbearable);
pregnancy, characterized by pulling, aching pains. Their appearance is associated with the physiological separation of the pelvic bones before childbirth and with stretching of the ligaments that hold the uterus against the inner walls of the pelvis;
algomenorrhea (pain before menstruation). Such pain can be aching, cramping, starting 1-2 days before menstruation.

Causes of pain in the right groin in men (as well as on the left side and in the center):

inguinal hernia, characterized by unilateral pain;
chronic prostatitis, manifested by constant aching pain;
vesiculitis;
orchitis, accompanied by severe pain, aggravated by movement, as well as redness and swelling of the scrotum;
acute epididymitis (symptoms are similar to orchitis);
spermatic cord cyst, accompanied by aching pain (observed in middle-aged and elderly men);
testicular torsion, which can occur after making sudden movements during sports. It can be accompanied by acute severe pain, an increase in half of the scrotum and blue skin on it, as well as nausea, vomiting and fever;
varicocele (bloating or swelling in the veins of the penis). It can manifest itself in pressing, dull, intermittent pain in the groin without a clear localization.

In addition, groin pain can be caused by:

genital herpes;
cryptorchidism;
groin injury;
tumor diseases;
vesiculitis;
proptosis;
colliculitis;
lipoma of the spermatic cord;
epididymitis;
varicose vein located in the great saphenous vein of one of the lower extremities.

Child's groin pain

Pain in the groin in a boy may be associated with:

with trauma;
with inguinal hernia;
with testicular torsion;
with orchitis;
with hydrocele;
with varicocele formation.

One way or another, in the presence of one or more symptoms of such pain in a child, it is necessary to consult a doctor.

Pain in left groin

Pain in right groin

Pain in the lymph nodes in the groin

Pain in the inguinal lymph nodes can signal the presence in the body of:

fungal infections;
sexually transmitted diseases;
diseases of the genitourinary system;
primary stage of syphilis;
tumors of any etiology.

Pain treatment

Causes, degrees and symptoms of varicocele in adolescents

Varicocele is a disease associated with increased pressure in the renal artery, which leads to the expansion of the veins of the spermatic cord.

The disease is diagnosed in adult men and adolescents, but there are many cases when it manifests itself at an earlier age.

Due to the structure of the body, varicose veins are usually seen on the left side of the scrotum. Less commonly, varicocele occurs in the veins of both testicles.

If the venous expansion appeared on the right, an additional medical examination of the teenager is required, since it may be the result of other diseases, including tumors of the peritoneum.

Today we’ll talk about varicocele in a teenager: what it is, causes and symptoms.

What does testicular varicose veins look like in teenagers?

At the zero stage, varicocele in children and adolescents does not outwardly manifest itself in any way. Expansion of the veins is not noticeable during examination, but it can be detected during ultrasound or phlebography.

If the boy does not undergo such examinations for some other reason, then the beginning varicocele will not be detected during a routine examination. Pain in the groin area is usually absent.

With grade 1 varicocele in adolescents, swelling of the scrotal veins is observed only with increased intra-abdominal pressure. Adolescents may complain of pain in the groin area and adjacent tissues.

Pain occurs after a hot shower or bath, after lifting weights, with tension in the abdominal muscles, after sexual intercourse. Sometimes the pain appears when running and walking fast. These are unpleasant, pulling pains that disappear at rest and in a supine position.

To diagnose the disease, the urologist may perform a Valsalva test. If the patient strains, pushes and holds his breath, and his veins swell in the scrotum, then most likely he has a stage 1 varicocele.

If the disease has reached the second stage, it is easily determined by examining a teenager who is in an upright position. The doctor detects an increase in the veins in the scrotum on palpation. At the 2nd stage of a varicocele, quite severe pain, a violation of potency, increased sweating, and a burning sensation in the groin area can appear.

The pains can have an unpleasant pulling character. On palpation, the doctor can detect a decrease in the elasticity of one of the testicles and a decrease in its size. The testicle, located in the affected side of the scrotum, begins to move down. Part of the scrotum may have a bluish tinge.

At the third stage of varicocele development, the appearance of the scrotum changes; during a preventive examination at school, the doctor can detect swollen veins. The veins are visible through the skin of the scrotum. The skin on the affected side often becomes cyanotic, the testicle is located much lower than on the healthy side. The disease is accompanied by pulling pains, burning, decreased potency.

When conducting deeper studies in the second and third stages of the disease, atrophic changes in the vessels inside the testicle and changes in the germinal epithelium can be detected. When examining adolescents, as a rule, they do not make a spermogram; this diagnostic method is suitable for older men.

Why is varicocele dangerous in adolescents 14 years old - 16 years old?

Constant pain prevents the young man from playing sports, doing physical work, they can lead to a decrease in potency. In addition, a young man may feel inferior due to the fact that his genitals are deformed.

This disease is not life-threatening, but can greatly impair its quality, as it ultimately leads to male infertility. According to statistics, in 20-30% of cases, the man is “to blame” for the childlessness of the family.

The disease, which manifests itself in flight, can progress and lead to a limitation of fitness for military service. During the first examination by the doctors of the draft board (at the age of 16), a teenager with varicocele in the second and third stages is given a referral for examination and surgery.

If he refuses in writing the operation, then he is recognized as temporarily unfit for service. If the doctor of the military registration and enlistment office detects varicocele at the first stage, and the disease does not manifest itself as pain (there were no several visits to the urologist during the year), then the young man will be recognized as fit for service.

For young men who want to enter military schools, do military service, it is extremely important to cure this disease before the age of 18.

Why does the disease occur?

One of the causes of varicocele in adolescents is the body's innate predisposition to this disease. The location of the veins and their structure are purely individual. The weakness of the walls of the vessels and the expansion of the venous lumen leads to the fact that the blood in the circumferential vessels circulates poorly, stagnates, so the veins gradually expand.

Other causes may also contribute to the occurrence of varicocele. Excessive tension of the abdominal muscles during weightlifting, bodybuilding, performing heavy physical work contribute to the fact that the internal organs and blood vessels are shifted down.

Vessels leading to the testicle are pinched, which prevents blood circulation, and the veins increase in diameter. It can also happen with constipation, severe coughing, with the growth of prostate adenoma.

To prevent varicocele, parents should monitor the health of a teenager. Physical exercise at this age should be varied and moderate. Boys and adolescents under 18 years of age should not be involved in work related to lifting and moving heavy loads.

Treatment of varicocele in adolescents

Constant contact of the doctor with the teenager's parents will help to cope with the disease. In the treatment of varicocele, the young man should be observed by a urologist and come for scheduled examinations. Your doctor may prescribe medication, exercise therapy, or recommend surgery.

Scheduled inspections

If a varicocele is detected in the zero or first stage, the urologist will register the teenager and recommend that they come for scheduled examinations at regular intervals (usually every six months). If there is no pain, then no treatment is prescribed. The doctor should simply observe the patient so as not to miss the time to start treatment.

Physiotherapy

A doctor may prescribe a mild testicular massage and special exercises for the legs and lower body for the teenager. Exercise and massage will ensure even circulation of blood in the abdomen and pelvis. In physical education classes at school and in sports sections, a young man should not experience extreme stress and strongly strain the abdomen.

Medical treatment

Parents of teenagers are afraid of the upcoming operation, so they often turn to the urologist with a request to prescribe medicines for oral administration. Many urologists consider the treatment of varicocele in adolescents without surgery to be ineffective, so they use it only at a very early stage.

Varicocele in a teenager: is surgery necessary?

The operation is prescribed if the testicle began to decrease in volume or stopped growing, with constant pain in the scrotum, as well as with a bilateral form of the disease (stages 2 and 3). The operation is indicated if a difference in the consistency of the testicles has become noticeable (the testicle on the affected side has become softer).

The decision on the operation is made separately for each specific case, taking into account the opinion of the teenager's parents. If for some reason it was decided to postpone surgery, then the teenager should be re-examined by a urologist in six months.

During the operation, a constriction of the spermatic vein is performed, after which the supply of blood to the testicle will occur through other vessels. Ligation of one artery does not lead to testicular atrophy. There are three ways to access blood vessels - retroperitoneal, subinguinal and inguinal.

The operation can be performed on an open cavity, done through a small incision (from a mini-access), at present, endoscopic operations are increasingly being performed on adolescents. Less common is the operation to sclerotize the spermatic cord. To restore normal blood circulation, microsurgical testicular revascularization is also performed.

As a rule, the patient is discharged from the hospital on the third or fourth day, after a week he can attend school. The doctor appoints the time of scheduled appointments to remove the sutures and monitor the condition of the young man.

For several months, the urologist monitors the condition of the teenager in order to take timely action in case of complications. After recovery, the patient must constantly visit the doctor and independently monitor changes.

Timely identified varicocele will help a teenager avoid many unpleasant moments in the future, timely treatment will relieve discomfort and help in the future to experience the joy of fatherhood.

Thanks

The site provides reference information for informational purposes only. Diagnosis and treatment of diseases should be carried out under the supervision of a specialist. All drugs have contraindications. Expert advice is required!

Introduction

There are many reasons causing pain in the groin. Often pains in this area are radiating, i.e. transmitted from another area outside the groin. If you experience any pain in the groin, you need to consult a doctor to determine the cause of the pain, and prescribe the appropriate treatment.

Possible Causes of Groin Pain

Groin pain can be caused by many reasons.

Diseases of internal organs:
1. Pathologies of the genitourinary system:

kidneys (urolithiasis);
gynecological diseases (adnexitis, endometriosis, endometritis, painful menstruation, tumors of the female genital organs);
acute cystitis;
diseases of the male genital organs (orchitis, epididymitis, vesiculitis, spermatic cord cyst, prostatitis, testicular torsion, varicocele).

2. Intestinal pathologies:

appendicitis;
intestinal obstruction;
intestinal colic.

Diseases of the musculoskeletal system:
1. Spine:

sciatica of the sacro-lumbar;
compression of the nerve root between the vertebrae (5th lumbar and 1st sacral);
compression of the 4th lumbar nerve root.

2. Hip joint:

Perthes disease;
coxarthrosis;
arthritis, etc.

3. Muscle relaxation:

inguinal hernia;
proptosis of the abdomen (deformation of the anterior wall of the abdomen due to muscle weakness).

Diseases of the nervous system: pinching of the genital nerve.

Diseases of the lymphatic system and the circulatory system:
1. Inguinal lymphadenitis (inflammation of the lymph nodes).
2. Aneurysm (expansion) of the femoral artery.

Other diseases:
1. Injury to the groin.
2. Tumors of various localization.
3. Genital (genital) herpes in men.
4. Psoas abscess (a focus of suppuration in the tissue covering the iliopsoas muscle).
5. varicose vein of the leg saphenous vein.

Unilateral (right or left) groin pain

Pain in the groin on one side - on the right or left - most often can occur for three reasons:
1. With inguinal hernia.
2. With renal colic.
3. With appendicitis.

Vesiculitis (inflammation of the seminal vesicles) is also accompanied by pain in the groin, testicles, perineum, above the pubis.

Acute inflammation of the testicles (orchitis) can be a complication of an infection, an inflammatory disease of the genitourinary organs, or a consequence of an injury. This causes intense pain in the groin and testicles, aggravated by movement. Pain is accompanied by swelling and redness of the scrotum. The general condition of the patient worsens, body temperature rises, headache appears, sometimes vomiting.

Acute epididymitis (inflammation of the epididymis) is accompanied by similar symptoms. Pain in the groin and testicles in chronic epididymitis is not so strong, it occurs periodically, but often enough, aggravated by walking.

A cyst of the spermatic cord causes aching pain in the groin in middle-aged and elderly men. Young men with this pathology usually do not experience pain, and accidentally discover a spherical formation on their scrotum.

Testicular torsion can occur with sudden movements during sports. In this case, the patient experiences severe pain in the groin and testicles. Half of the scrotum rapidly increases in size due to edema. The skin of the scrotum turns blue. A twisted testicle is elevated higher than a healthy one. Nausea and vomiting may occur. Body temperature rises.

Expansion of the testicular veins (varicocele) is characterized by pressing, dull, intermittent pain in the groin, which do not have a clear localization. Varicocele can be right- or left-sided, and pain is perceived by the patient from the opposite side, or extends to the entire groin. Often the patient experiences just a feeling of heaviness, discomfort in the groin.

Any pain in the groin in men requires an appointment with an andrologist, because. many of these diseases, if left untreated, can cause a decrease in sexual activity, the development of impotence and even male infertility.

In children

In girls, pain in the groin can be caused by trauma, an inguinal hernia (a rare pathology) and an increase in inguinal lymph nodes, usually associated with catarrhal inflammation of the uterine appendages.

A number of causes of pain in the groin in boys are much wider:

Trauma (including trauma to the scrotum during childbirth).
Inguinal (inguinal-scrotal) hernia. As in adults, a hernia has the appearance of a swelling in the groin, on the right or left. When pressed, the swelling disappears, but when crying, laughing or coughing, it increases in size.
Orchitis (testicular inflammation) - often occurs as a complication after suffering mumps (mumps), infectious mononucleosis, chickenpox, etc.
Testicular torsion is characterized by sudden, severe pain in the groin. The skin of the scrotum turns red or blue, and the twisted testicle is located in the groin above the other, healthy one. The cause of torsion in a child may be tension in the abdominal muscles or a sudden movement.
Dropsy of the testicle (hydrocele) is rarely accompanied by pain. Pain in the groin occurs only in case of infection dropsy. The scrotum of a boy with dropsy of the testis is enlarged in size (entirely or only one half). The color of the skin of the scrotum does not change.
Varicocele - varicose veins of the testicle. Young boys are most often asymptomatic. Only in adolescence, a child may complain of discomfort or mild pain in the groin.

Pain in the inguinal lymph nodes

An increase in inguinal lymph nodes, their thickening, pain in the lymph nodes of the groin is a signal of trouble in nearby organs. In this case, pain in the inguinal lymph nodes are very acute. Inguinal lymphadenitis (inflammation of the lymph nodes) may indicate the presence of the following diseases:

inflammatory diseases of the urogenital organs (cystitis, urethritis, adnexitis, endometritis, orchitis, etc.);
fungal diseases of the skin of the legs;
benign or malignant tumors of the pelvic organs (in this case, the inguinal lymph nodes increase, remaining painless);
syphilis (primary stage);
sexually transmitted infections (AIDS, chlamydia, mycoplasmosis, genital herpes, ureaplasmosis, etc.).

Therefore, having found an enlarged and painful lymph node (or a group of nodes) in the groin, you need to pay close attention to this symptom and immediately consult a doctor.

The nature of inguinal pain in various diseases

Acute

Such pain can occur when:

urolithiasis;
acute cystitis;
arthrosis of the hip joint;
pinched pudendal nerve;
inflammation of the inguinal lymph nodes.

Strong

Severe pain in the groin area is characteristic of the following pathologies:

algomenorrhea (painful menstruation);
acute adnexitis;
ovarian abscess;
orchitis;
testicular torsion;
malignant tumors.

blunt

Dull, intermittent pain in the groin occurs with varicocele - varicose veins of the testicles.

Pulling, aching

Pain of this nature is typical for chronic gynecological diseases (chronic adnexitis, endometriosis, endometritis) and for chronic prostatitis. Aching pains in the groin may be accompanied by acute cystitis, as well as physiological menstruation.

In addition, pulling pains occur in the groin muscles after excessive overload in sports training.

Pulsating

Throbbing pains are usually concentrated in the right or left side of the groin. Right-sided throbbing pains cause the doctor to suspect, first of all, appendicitis.

Severe unilateral throbbing pain in the groin can also occur when an aneurysm of the femoral artery ruptures (aneurysm is an expansion of a vessel associated with stretching or thinning of its wall). The rupture leads to the accumulation of blood in the surrounding tissues; the pain radiates to the groin.

Pain in the muscles of the groin

Pain in the muscles of the groin and inner thighs often appear in athletes after competitions or intensive training. These muscles experience the greatest load in football players, hockey players, tennis players and basketball players. Muscular pains in the groin have the character of pulling, aching.

Athletes may experience sprains in the groin muscles, and even ruptures of the muscles of the inner side of the thigh. But these injuries are already traumatological, and are accompanied by acute pain.

Pain in the groin when moving (walking)

The most common cause of pain in the groin, aggravated by movement (walking), is coxarthrosis - a chronic disease of the hip joint, accompanied by deformation of the articular tissues.

Pain in the groin with coxarthrosis are more often unilateral, "give" to the thigh. When walking, they first increase, then the patient "paces", and the intensity of the pain decreases. But long walking again leads to increased pain. At rest, the pain subsides.

Pain in the groin caused by acute inflammation of the testicle (orchitis) or its epididymis (epididymitis) is also aggravated by walking.

Pain near the groin (above, below)

Pain localized near the groin can be a sign of diseases such as urethritis, bladder stones, uterine prolapse, endometritis (inflammation of the uterus). An ectopic pregnancy can also cause pain near the groin.

The cause of unilateral (right or left) pain above the groin can be an inguinal hernia. Right-sided pain above the groin is characteristic of appendicitis. Diseases of the bladder may be accompanied by pain above the groin in the center of the lower abdomen.

Pain below the groin (below the groin) is most often muscle pain. Pain of such localization is possible with prostatitis.

Pain in the groin and leg

With a number of diseases, pain in the groin gives off to the leg. In this case, pain may affect part of the leg (thigh) or the entire limb as a whole. For example, pain in the groin, extending to the anterior-lateral part of the thigh, up to the knee, is characteristic of coxarthrosis.

In addition, pain in the leg and groin can occur with tumors (benign and malignant), osteochondrosis of the lumbar spine, inguinal hernia, gynecological and urological diseases, with trauma to the inguinal region.

Lower back pain radiating to the groin

Such a complex of symptoms is possible with osteochondrosis (mainly of the lumbar spine), as well as with prostatitis, with inflammation of the hip joints and sacroiliac joints.

Sometimes such pain is referred to as pain in the back and groin.

What to do with pain in the groin?

Since pain in the groin is most often caused by fairly serious diseases, you cannot simply drown it out with analgesics (pain medications). You need to see a doctor to determine the cause of the pain.

In the presence of an inguinal hernia, the surgeon prescribes treatment. The patient is recommended to wear a special bandage, limit physical activity, and in the future - a planned operation. If there is a risk of infringement of the hernia, the operation is performed urgently.

Which doctor should I contact?

With urolithiasis - examination by a therapist and urologist. Depending on the location and size of the stone, medical or surgical treatment is carried out.

A neurologist is engaged in the treatment of osteochondrosis of the spine. He may refer the patient to a chiropractor, osteopath, physiotherapist, or physiotherapist. In severe cases, surgery is performed by a neurosurgeon.

An increase in inguinal lymph nodes requires a thorough examination of the patient. It would be reasonable to first contact the local therapist, who will prescribe an initial examination (blood and urine tests), and then refer the patient to a urologist, oncologist, gynecologist or immunologist.