[74M] With intermittent right groin burning pain and swelling

What might be happening

Based on the information provided, possible diagnoses include:

• Inguinal Hernia: This condition occurs when part of your intestine or fat pushes through a weak spot in your abdominal wall, often in the inguinal canal located in the groin. The symptoms can include a bulge in the area on either side of your pubic bone, discomfort or pain in your groin, especially when bending over, coughing or lifting, and a burning or aching sensation at the bulge.

  • Treatment: If the hernia is small and isn't bothering you, your doctor may recommend watchful waiting. If the hernia is causing pain or has enlarged, surgery may be recommended.

• Lymphadenopathy: This refers to nodes that are abnormal in size, consistency or number. In your case, it could be related to your history of prostate and testicular cancer.

  • Treatment: The treatment depends on the cause. If it's due to a bacterial infection, antibiotics may be prescribed. If it's related to a condition like lupus or HIV, treatment would focus on managing the underlying condition.

• Femoral Hernia: This type of hernia causes a bulge in the upper part of the thigh near the groin and is more common in women than in men. Femoral hernias are particularly at risk of becoming irreducible and strangulated.

  • Treatment: Surgery is usually necessary to repair a femoral hernia.

What you can do

1. Avoid heavy lifting or straining which might aggravate the hernia if that is the cause.
2. Over-the-counter pain relievers might help with the pain.
3. Wear loose clothing to avoid any pressure on the swollen area.

What you should look out for

Reasons to seek immediate medical attention:

• If the pain becomes severe or sudden
• If the swelling becomes very hard or red
• If you start to vomit or have a fever

Please remember that while I strive to provide accurate information, I am an AI and not a doctor. You should consult with a healthcare professional who can examine you and take a full history.