[26M] Experiencing groin and penis soreness with scab-like spots

Patient Description

A 26-year-old male has been experiencing soreness in the groin and penis area for about a week, rating the pain severity as 7 out of 10. The patient describes the presence of scab-like spots on the penis, which are not fluid-filled and appear to be healing. Additionally, there are swollen lymph nodes in the groin area, but no fever, discharge, or burning sensation during urination has been reported. The patient has not been tested for sexually transmitted infections recently and has no pre-existing conditions or chronic illnesses. No medications are currently being taken.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Genital Herpes: This is a sexually transmitted infection that can cause painful sores on your genital area. The sores can resemble scabs as they heal. Swollen lymph nodes are also a common symptom.

    • Treatment typically involves antiviral medications to help reduce the severity and frequency of outbreaks.
  • Syphilis: Another sexually transmitted infection that can cause sores on your genital area. The sores are usually painless and may resemble scabs as they heal. Swollen lymph nodes can also occur.

    • Treatment typically involves antibiotics, usually penicillin.
  • Chancroid: This is a sexually transmitted infection caused by a bacterium. It can cause painful sores on your genital area and swollen lymph nodes in the groin.

    • Treatment typically involves antibiotics.
  • Contact Dermatitis: This is a skin reaction caused by contact with certain substances. It can cause a rash, itching, or blisters. The sores you described could potentially be a reaction to a new soap, detergent, or other product.

    • Treatment typically involves avoiding the irritating substance and applying creams to help relieve the symptoms.

Please note that these are only possible diagnoses. It's important to see a healthcare provider for an accurate diagnosis and treatment.

What you can do

  1. Schedule an appointment with your healthcare provider as soon as possible. They can examine you and may order tests to determine the cause of your symptoms.
  2. Avoid sexual activity until you have seen a healthcare provider. This can help prevent the potential spread of sexually transmitted infections.
  3. Over-the-counter pain relievers may help alleviate your pain. However, it's important to talk to your healthcare provider before starting any new medication.

What you should look out for

  • If your symptoms worsen or do not improve, seek medical attention immediately.
  • If you develop a fever, severe pain, or other new symptoms, seek medical attention immediately.
  • If you have sexual partners, it's important to inform them about your symptoms so they can also seek medical attention if necessary.

Remember, while I strive to provide accurate information, I'm not a doctor. Always seek advice from a healthcare provider for an accurate diagnosis and treatment.

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8 mo ago


People Also Ask


What are the common symptoms of genital herpes?

Common symptoms of genital herpes include painful sores or blisters on the genital area, itching, and swollen lymph nodes. Some people may also experience flu-like symptoms during an outbreak.


How is syphilis diagnosed and treated?

Syphilis is diagnosed through a blood test or examination of fluid from a sore. It is treated with antibiotics, typically penicillin, which is effective in all stages of the disease.


What causes swollen lymph nodes in the groin area?

Swollen lymph nodes in the groin area can be caused by infections, such as sexually transmitted infections, or other conditions like injuries or inflammation in the lower body.


Can contact dermatitis cause sores on the genital area?

Yes, contact dermatitis can cause sores or a rash on the genital area if the skin comes into contact with an irritating substance, such as a new soap, detergent, or personal care product.

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