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Treatment for INDIRECT INGUINAL HERNIA with palpable lump.

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Hi there,

I am a 24 year old female and i have had a small painless lump in my groin area for over a year now i have been to the doctor and have had an ultra sound done but if you don't mind id like to write what the results were down below an if you could it explain it to me it would be great as my doctor didn't say much except put me on antibiotics an also told me about a small hernia they also found which i should be careful of.

Here is what the results said;

"The palpable lump in the right groin corresponds to a 1.4 x 0.5cm x 1cm size lymphnode which is not enlarged by size criteria. Hilar fat and vascularity are also noted. These are most likely reactive. In addition, there is a small fat containing irreducible indirect inguinal hernia which is an incidental finding. The hernia neck measures 5mm wide. No femoral hernia."

My doctor semi explained it but not properly she put me on antibiotics an sent me on my way but the lump is still there. It has been 7 months since these results and i have just been monitoring it, it has not changed in size or anything but I'm just not sure if i should get further tests done or weather the lump i can feel is infact the hernia that they found and not a swollen lymphnode, I'm just confused as to why it is still there but i do know a hernia will never go away unless operated on. Are you able to offer any advice?

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 30 Doctors Online

Thank you for your query at
I understand your concern.
From the ultrasound findings, it is clear that you have an enlarged inguinal lymph node. The size is extremely small, and it can't be considered significant. Inguinal lymph nodes can be enlarged due to various causes, such as UTI, vulvar/vaginal infections, fungal infections, e.t.c. If one single lymph node is found to be enlarged in the inguinal area, it can be safely ignored. Because at times even in aymptomatic people one or two inguinal lymph nodes are found to be enlarged, even in absence of infections.
Now regarding the hernia. The hernia neck as defined in the ultrasound is very small,and it is highly unlikely that there will be further descent of the abdominal contents, through the neck. Indirect hernia, occus in young individuals due to muscular deficiency and if it's not enlarging in size, then no further treatment is required. Since it was well over 7 months back, it will be better if you can get another ultrasound done, just to assess the size of the neck of the hernia.
Now the lump you're feeling can be either of them, but most likely it will be the hernia. Because you already took antibiotics, and the lymph node should have disappeared. Since you have monitored and it has not increased in size, there is no reason to worry as of now. However, i will still like to see a recent ultrasound.
Once you get the ultrasound done, you can upload the report and i will guide you further,

Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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