[59M] Experiencing groin pain and frequent urination

Patient Description

A 59-year-old male reports aching pain in the groin area, specifically in the hip flexor region extending to the thigh and pubic area, which has been persistent for approximately 6 months. The pain is predominantly nocturnal and is somewhat alleviated by movement. The patient also experiences frequent urination and has noticed a random odor from the urine, but no fever, chills, or blood in the urine. The patient's medical history includes type 2 diabetes diagnosed 2 months ago and follicular lymphoma diagnosed 5 years prior. Current medications include Jardiance (25mg daily), aspirin, and unspecified blood pressure medications. There are no known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Urinary Tract Infection (UTI): UTIs can cause frequent urination, discomfort in the lower abdomen, and changes in urine smell. They are more common in women, but can occur in men, especially in those with diabetes, which can affect the immune system.

    • Treatment typically involves antibiotics prescribed by a doctor.
  • Prostatitis: This is inflammation of the prostate gland, which can cause pain in the groin, frequent urination, and changes in urine. It is more common in men over 50.

    • Treatment usually involves antibiotics, pain relievers, and sometimes medications to relax the prostate.
  • Hip Osteoarthritis: This is a degenerative joint disease that can cause pain in the hip and groin area, especially at night or after prolonged sitting or lying down. It is more common in older adults.

    • Treatment usually involves pain relievers, physical therapy, and sometimes surgery.
  • Inguinal Hernia: This is a condition where part of the intestine or fat pushes through a weak spot in the abdominal wall, causing a bulge and pain in the groin area. It is more common in men and can be exacerbated by straining or lifting heavy objects.

    • Treatment usually involves surgery.

What you can do

You should schedule an appointment with your doctor to discuss your symptoms. They may want to perform some tests, such as a urine test or imaging of your hip, to help determine the cause of your symptoms. In the meantime, here are some things you can do:

  1. Drink plenty of fluids to help flush out your urinary system.
  2. Avoid activities that exacerbate your groin pain.
  3. Over-the-counter pain relievers may help with your discomfort, but always check with your doctor or pharmacist before starting a new medication.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe pain that is not relieved by rest or over-the-counter medication
  • Blood in your urine
  • Fever or chills
  • Difficulty urinating or complete inability to urinate
  • A bulge in the groin area

Please remember that while I strive to provide accurate information, I am not a doctor. Always consult with a healthcare professional for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common symptoms of a urinary tract infection (UTI) in men?

Common symptoms of a UTI in men include frequent urination, a strong urge to urinate, a burning sensation during urination, cloudy or strong-smelling urine, and discomfort in the lower abdomen or groin area.


How does prostatitis affect urination and what are its common symptoms?

Prostatitis can cause symptoms such as pain in the groin, pelvic area, or genitals, frequent urination, difficulty urinating, and changes in urine flow. It may also cause flu-like symptoms if it's bacterial.


What are the typical signs of hip osteoarthritis and how is it managed?

Hip osteoarthritis typically presents with joint pain and stiffness, especially after periods of inactivity or at night. Management includes pain relief with medications, physical therapy to improve joint function, and in severe cases, surgical options like hip replacement.


What is an inguinal hernia and how can it be treated?

An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles, causing a bulge in the groin area. Treatment often involves surgical repair to prevent complications.


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