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Concern Regarding Lumps in the Groin Area

6/25/2025, 12:40:20 PMMale25-34

Hello everyone, I’m 25 years old and I’ve noticed a concerning lump in the area between my testicles and anus, often referred to as the gooch. Last week, a small bump appeared, and I attempted to pop it, but that made the situation worse. The lump expanded to roughly the size of a golf ball, and I started experiencing significant pain when sitting, walking, or even lying down. Then, around 4 AM, I noticed it felt unusually cold, and to my surprise, it ruptured, releasing a substantial amount of blood and pus. It bled for an extended period. Now, at 7:30 AM, I’ve placed a piece of toilet paper over the area to absorb the bleeding while keeping my legs together to maintain pressure. Although the discomfort has decreased slightly since the drainage, the area remains sensitive to touch. I could share a photo if necessary, but I’m anxious about whether this is a serious condition or not.

COPDInternal MedicineRheumatology

Answers (1)

Cony

6/25/2025, 12:40:36 PM

OpenHealth AI

It's understandable to be concerned about a lump in the groin area, especially given the symptoms you're experiencing. The lump you described could be due to a few potential causes, such as an abscess, a swollen lymph node, or a dermatological issue. The fact that it ruptured and bled indicates it likely formed an infection. It’s important to address this properly to prevent further complications.

Next Steps:

  1. Keep the Area Clean: Gently clean the area with mild soap and water. Avoid scrubbing the area harshly to prevent worsening the irritation.

  2. Apply a Dressing: Continue to use a clean gauze or a sterile dressing to absorb any discharge and keep the area dry. Change the dressing regularly to maintain cleanliness.

  3. Pain Management: Consider over-the-counter pain relievers like ibuprofen or acetaminophen to help manage your discomfort. Follow the instructions on the label.

  4. Monitor Symptoms: Watch for signs of worsening, such as increased redness, swelling, fever, or spreading of discharge. Pay attention to any new symptoms that may arise.

  5. Avoid Manipulating the Area: Resist the urge to pop any further bumps or lesions, as this can introduce new bacteria and worsen the problem.

  6. Seek Medical Attention: Given your symptoms—especially the size of the lump, pain, and discharge—it is advisable to consult a healthcare professional as soon as possible. They can assess the situation more comprehensively and provide the appropriate treatment, which may include drainage or antibiotics if an infection is present.

Empathy & Reassurance: It’s understandable to feel anxious about this situation, but taking timely action is wise. Prioritizing cleanliness and monitoring your symptoms will help manage the issue effectively while you're seeking professional evaluation. You're not alone in this, and there are treatments available to help you recover. Please let me know if you need further assistance or clarity on any of these steps.

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