Persistent Lump and Unexplained Symptoms: Seeking Answers After Two Months
For the past six weeks, I have been dealing with a lump in my groin that is rigid and immobile. Alongside this, I’ve experienced ongoing pelvic discomfort and consistent swelling in the knee of the same leg since the beginning of August. It feels like something might be obstructing proper function, particularly since other areas on the right side of my body, including my breast and armpit, have started to flare up. I lead an active lifestyle, with a low heart rate during cardio workouts since I live at altitude, and this swollen knee is unusual for me. I didn’t suffer any injury, and this issue arose simultaneously with my other symptoms six weeks ago. Before diving into this situation, it's worth mentioning that my previous emergency room visit occurred back in the fall of 2015—nearly ten years ago! In the last week, I developed urinary incontinence, but I have neither a urinary tract infection nor am I pregnant. My pelvic pain returned in full force today, accompanied by back pain. I’ve found myself needing to change my underwear 5-6 times due to leakage, and pads have only made me self-conscious about odors. I went to the emergency room again but left without any answers. A CT scan didn’t reveal anything from late July, such as fatty liver deposits or an enlarged lymph node, where the lump has been persistent. Going back to July 31, I sought emergency help due to severe pelvic pain and malaise on my way to the airport. Initially, I considered it to be related to PMS, but the car ride intensified my discomfort, leading me to suspect a possible cyst or ectopic pregnancy. My white blood cell and red blood cell counts were low, likely indicative of a viral infection. The following day, I experienced flu-like symptoms and a facial rash, which were eventually diagnosed as parvovirus and coxsackie virus—such a surprise to me, as I hadn’t been around anyone with these conditions, nor had I been in contact with children for months. Shortly thereafter, I experienced severe joint pain, fevers, night sweats, and a new lump appeared on my neck near the parotid gland. I have documentation of these developments. The neck lump remains, now smaller, but I'm experiencing ongoing night sweats (which I initially dismissed as PMS) and my body makes noises reminiscent of an older person’s joints. Three weeks after the appearance of the lump, I consulted an ENT who was concerned enough to request a biopsy rather than a fine needle aspiration, emphasizing the need for a core sample to rule out lymphoma given my fluctuating weight and other symptoms. He noticed another cyst on the opposite side of my neck that I had not been aware of. Although he ordered a CT scan, it returned normal results, showing no enlargement. However, when I arrived for the biopsy, I was disappointed to find that it was an FNA, not the core sample he had specified. I chose not to proceed with that procedure since it didn’t align with the original request and would cost $4,000 between personal expenses and insurance. Since then, I have yet to hear from the practice about subsequent steps, but he had suggested I follow up on my enlarged lymph nodes in the armpit and groin. On July 18, just eleven days prior to my ER visit on July 31, I was in good health, apart from common premenstrual symptoms. That’s when I discovered a hard, round lump in my armpit; it was noticeable during exercise. Though it felt tender when prodded, it wasn’t painful. My primary care physician speculated it might be an infection after asking about any recent vaccinations. Blood tests returned normal results, and an ultrasound showed an enlarged lymph node that appeared benign. Afterward, just days later, I experienced severe chest pain that felt as though someone was continuously stabbing me near my right breast, and my pulse dropped into the low 40s—a concerning change for me. My husband insisted on taking me to the ER, but once again, no underlying issue was found. At that point, I was simply relaxing and felt no particular stress. Looking back over the next eight weeks, it all spiraled into chaos with three canceled trips and overwhelming medical expenses. Now, I’ve been to the ER three times over these past two months, with the last visit being a decade after my previous one. There seems to be a prevailing belief that I might be exaggerating my symptoms due to their systemic nature. Interestingly, a nurse practitioner at the ER referred to my urinary incontinence as “supposed” when I inquired about the decision to conduct only a lumbar MRI rather than an abdominal or pelvic scan. To clarify, in 2024, I only attended my annual check-up with lab tests—everything had been normal and I felt healthy aside from typical life fatigue and PMS. Earlier this year, I complained of severe breast pain on the right side and underwent imaging in March; aside from this recent six to eight-week ordeal, I had no further issues. In 2022, I noticed a lump while on my honeymoon, which was stable on ultrasound for a year until it grew larger in September 2023. I had been frustrated by the lack of a biopsy at the outset but calmed my concerns upon seeing its stability. This year, I had my first mammogram, revealing dense breast tissue, which led to another ultrasound. I then learned, through discussions with a physician in my family, that the original area at 9:00/2cm never received thorough examination—it was only investigated at 9:00/4cm. Around the time of the parotid biopsy this past August, shortly after my menstrual cycle ended, my right breast became swollen and expressed significant pain. It remains swollen and intermittently painful even now. After a recent visit to a walk-in clinic, they conducted a breast examination and discovered a lump under my nipple around 10:00. The clinician even inquired whether my skin had always appeared as it does now; unsure, I suggested it might be remnants from the recent viral illnesses. I'm currently scheduling further imaging and specialist consultations. Interestingly, it’s notable that most of these issues are concentrated on the right side of my body, whether they involve lymph nodes, pain, or swelling. This has been an overwhelming journey, and I'm truly at my wits' end. If necessary, I'm ready to resort to wearing adult diapers and managing discomfort with pain relievers like Tylenol and ibuprofen, as I have been doing. Given my family's medical background and their examination of my symptoms so far—along with the inconsistencies in testing results—it's leading to feelings of anxiety, particularly as we reflect on a family friend who tragically passed from triple-negative breast cancer at 28. It’s difficult being separated from family during this time. Any insights would be greatly appreciated! The incontinence is incredibly distressing and heightens my uncertainty about everything else happening to my body.
Answers (1)
9/13/2025, 10:02:25 AM
OpenHealth AI
I understand that you are experiencing a complex array of symptoms, including a persistent lump in your groin, pelvic discomfort, knee swelling, urinary incontinence, and other physical changes. It’s clear this situation is both confusing and distressing for you, especially after seeking medical attention multiple times without feeling like you’ve received satisfactory answers. Let's break down your symptoms and focus on actionable steps you can take while you navigate this challenging situation.
Main Points:
- Persistent Lump and Localized Symptoms: The lump in your groin and associated symptoms may indicate a need for further evaluation, especially with changes like nighttime sweats and weight fluctuations.
- Urinary Issues and Pelvic Pain: The recent onset of urinary incontinence, alongside pelvic pain, can be concerning and needs careful attention.
- Next Steps: Keeping a detailed symptom diary and seeking appropriate follow-up imaging or specialist opinions are essential actions.
Explanation:
Your situation includes multiple interconnected symptoms, many of which emerged following viral infections (e.g., parvovirus and coxsackie virus) that may have triggered an autoimmune response or inflammatory conditions. The chronic swelling in your joints, including your knee, could be related to systemic issues, possibly connected to underlying conditions like lupus or other autoimmune disorders.
The lump you’ve described could represent an enlarged lymph node due to chronic inflammation or infection. Given your history of changes in lumps and persistent symptoms on the right side of your body, it could warrant further investigation. Your urinary incontinence, especially in the context of your pelvic symptoms, needs careful assessment as well.
Next Steps:
-
Symptom Diary: Start a diary to track your symptoms, including pain levels, location, frequency of urinary incontinence, and any other changes in your health. Documenting these details can help healthcare providers better understand your case.
-
Follow-Up Imaging: Schedule the recommended imaging studies (e.g., ultrasound of groin, CT scan of the abdomen/pelvis, or an MRI) to better evaluate the lump and explore the cause of your pelvic discomfort and urinary issues.
-
Seek Specialists: Consult with specialists such as a urologist for urinary incontinence and a rheumatologist for your systemic symptoms. Additionally, staying connected with the ENT for follow-ups on the lump will be important.
-
Pain Management: Continue using over-the-counter pain relief as needed, knowing that both Tylenol (acetaminophen) and ibuprofen can help manage discomfort. Be mindful of dosage and frequency, particularly if symptoms persist.
-
Mental Health Support: Given the considerable anxiety surrounding your condition, consider reaching out to a mental health professional who can help you manage stress and anxiety as you navigate these health concerns.
It's crucial to advocate for your health, and it’s perfectly fine to seek second opinions if you feel that your symptoms are not being adequately addressed. While you may feel overwhelmed, focusing on structured next steps can help manage your journey. Please remember that you are not alone, and there are avenues for support and resolution.
Related Questions
Understanding Kidney Pain: Should You Be Concerned?
As a 15-year-old assigned female at birth (AFAB), I've been dealing with acid reflux, although I've been neglecting to take any supplements. I also have scoliosis, which I doubt is linked to my current issue. Recently, I have been experiencing pain in my kidney area, specifically in my back, where my kidneys are situated. My mother suggested that this discomfort might indeed stem from my kidneys. For several months now, I haven't pinpointed the cause. I typically consume about 1 to 1.5 liters of water daily, and occasionally I drink cola, though I've reduced that due to my reflux. I sometimes have peach juice or plain tea, but those drinks have become quite infrequent. Despite my fluid intake, it seems my pain level remains consistent regardless of what I drink. The pain primarily affects my right kidney, but during more intense episodes, I also feel discomfort in my left kidney. I've tried lying down and applying gentle pressure to the area, which provides a bit of relief. Aside from occasional bladder discomfort today, I haven't experienced any additional pain that relates to my kidneys, aside from the persistent back pain from scoliosis and the usual stomach and chest pains from my reflux. Is it necessary for me to consult a doctor about this concern? 🥺 I am hesitant to go unless it's truly serious because I was hospitalized last summer due to undiagnosed tics and twitches—likely anxiety-related—and I spent the entire winter seeing doctors for this issue and my scoliosis. I’m also worried about missing school due to more medical appointments, especially since my doctor has a packed schedule, and I'm uncertain if she would prioritize my concern if it doesn't seem urgent. When I was hospitalized last summer, tests including urine and blood analysis showed no significant issues, so I'm unsure whether this warrants another visit now.
Persistent Shin Discomfort
For the past year, I have been grappling with ongoing discomfort in my shins. Despite consulting multiple physiotherapists and doctors, I have yet to find a solution to my problem. My routine has included extensive strength training targeting my hips, glutes, calves, and lower leg muscles. I've also taken steps to improve my running form and have experimented with various recovery techniques, such as foam rolling and using massage devices. No matter what I try, the pain persists, specifically on the inner side of my lower legs. Initially, I suspected that I was suffering from shin splints. However, given my varied attempts at treatment and the lack of improvement, I am starting to believe that the issue might be something different. Even mundane activities, like walking around at home, have become increasingly uncomfortable, not to mention my inability to ride a stationary bike without experiencing pain. If anyone has any insights or recommendations that could assist me in alleviating this issue, I would be extremely grateful. Thank you for your help! I'm a 20-year-old male, standing at 5 feet 8 inches and weighing 70 kilograms.
Experiencing Uncertainty: Possible Ischemic Attack?
Greetings, everyone, including healthcare professionals. For the past year, I've been managing high blood pressure, and I'm currently prescribed a regimen that includes Amlodipine at 10 mg and Bisoprolol at 5 mg. At 44 years old, I’m a woman who is classified as overweight and also deals with hypothyroidism, low ferritin levels, liver issues, and slightly elevated cholesterol levels. Typically, my medications maintain my blood pressure within a range of 110/70 to 140/80. However, two days ago, I experienced a stressful episode, causing my systolic pressure to spike to 155/95. Upon standing, I sensed weakness in my left arm, which felt as if it were slightly twisting. A wave of panic hit me, and I feared I might be incapacitated or having a stroke. Despite my anxiety, I was still able to grasp a glass and tightly close my fist. Briefly, my right arm felt a mild sensation that lasted only a second. This peculiar feeling persisted for roughly a minute. I then consumed some mint tincture mixed with alcohol and engaged in deep breathing exercises, which remarkably alleviated my symptoms and brought my blood pressure back to a stable level. I contacted my physician, who inquired about my symptoms and their duration. Aside from the discomfort in my arm, I wasn't experiencing any additional issues. A second doctor relieved me of any immediate concerns regarding the necessity for an MRI, and since I underwent one a month prior that showed no abnormalities in my cranial blood vessels, I felt some reassurance. Now, back home and with lingering fears of having experienced an ischemic attack, I wonder if an ultrasound of the neck arteries is warranted. Do my symptoms indicate a potential attack? What steps should I take next? Has anyone faced a similar situation? Thank you all for your insights.
Experiencing Widespread Muscle Weakness
I’m a 36-year-old male and have recently been facing a troubling situation where the muscles throughout my body seem to be losing function—including my eyelids. The trouble began in May 2021 when I lifted a heavy garbage can with my right arm in a shrugging action. Following that, I felt a combination of pain and weakness concentrated in my right shoulder blade, as well as my shoulder and collarbone. Soon after, I noticed my shoulder began to pop and click. Afterward, I consulted with an orthopedic specialist who conducted x-rays on both of my shoulders. He informed me that everything appeared normal and dismissed the popping sounds as inconsequential. I also mentioned experiencing neck pain, but he indicated that addressing neck issues wasn’t his area of expertise. He diagnosed me with bilateral shoulder and neck discomfort and recommended physical therapy. The day after my appointment, I attempted to adjust my position in my desk chair by leaning on the left armrest, putting my forearm under the weight of my body. Suddenly, my shoulder jolted, and I felt a sharp weakness in my arm, accompanied by popping and clicking noises, similar to what happened with my right arm. I reached out to the orthopedic office to inform them about this incident, but the physician assistant who responded said the doctor would not see me again simply due to how I was sitting, and suggested I attend physical therapy first. She mentioned that if I continued to experience weakness, a neurologist might be necessary. Feeling concerned, I returned to my primary care physician for a follow-up appointment and recounted my experience. He didn’t appear worried, and my blood tests returned normal results. During the summer of 2021, I began physical therapy where the therapist diagnosed me with strains in my trapezius and rhomboid muscles. The subsequent therapy sessions consisted of painful exercises and stretches, yet I observed little to no improvement in terms of strength or stability. Activities like using the arm bike and weight machine were excruciating, and I frequently inquired whether my symptoms could be attributed to a tear or nerve damage, but the therapist insisted that was not the case and dismissed my concerns. After my tenth session, I decided it was best not to return. In April 2022, I visited a neurologist. I struggled to lift myself onto the examination table and needed assistance from a step stool. He didn't suspect any neurological issues when I asked him about an EMG or other assessments, he declined to proceed with those tests. Disheartened by these experiences, I chose not to pursue further medical consultations. Fast forward to April 9, 2025, I misstepped while descending some stairs, causing my right heel to catch, and I landed hard with my toes pointed. I had no visible signs of injury such as swelling or bruising, but soon after, I began to experience persistent pain and weakness, especially in my toes and the arch of my foot. By April 13, I instinctively elevated the toes on my left foot, and to my dismay, the same pain and weakness emerged, again without any visible signs like bruising. Since then, both feet have lacked strength, and my big toes feel unusually floppy. In July 2025, I had a troubling experience after having my hair washed at a salon. I held my neck in an awkward position for the duration, which resulted in a burning sensation. Regrettably, I didn’t express my discomfort, fearing a scene. Following this, I noticed significant weakness in the muscles at the front of my neck, under my chin, which gave the appearance of a receding chin. Additionally, my facial muscles, particularly in my cheeks, felt weak and could easily be pressed in with minimal resistance. In January 2026, I bought a new game controller for my laptop, having not played video games for a long time. Initially, it was manageable, but soon after, my hands and forearms began to feel uncomfortable and painful. This discomfort escalated significantly to where I had to discontinue use completely; my hands felt drained of energy and experienced achiness, tingling, and numbness. Then, on February 3, 2026, while seated and using my laptop, I noticed a peculiar sensation when moving my eyes. My eyelid muscles felt weak, and one of my eyelids began twitching. I found it increasingly difficult to open my eyes as widely as I used to. I plan to see a primary care physician once more, but I’m uncertain how to communicate all of this effectively to receive proper care. My circumstances have reached a point where my parents must assist me with everyday tasks, including driving, opening doors, and even lifting light objects. My ability to raise my arms above my head has become severely limited as well.
Liver Mass Assessment
Patient Profile: - Age: 61 years - Height: 5'9" - Weight: 240 lbs - Gender: Female - Lifestyle: Non-drinker, non-smoker, no illicit drugs Current Medications: - Atenolol 10mg (morning and evening) - Rosuvastatin 40mg (evening) - Duloxetine 60mg (evening) - Spironolactone 25mg (recently added) - Jardiance 10mg (recently added) Medical History: The patient has a notable history of multiple pheochromocytomas and paragangliomas, having undergone surgery on eight occasions. According to scans performed three years ago, two subcentimeter retroperitoneal masses were identified, suggestive of potential paraganglioma. Additionally, she suffers from secondary polycythemia and possesses the PHD1 gene mutation. Previously, she received treatment at a prominent research institution in the United States. However, her endocrinologist has since retired and returned to their home country. Current Condition: At present, she is mostly asymptomatic. However, in January 2026, she experienced a concerning event requiring an ambulance transport to a local emergency room, where her oxygen levels registered at 88-89%. This incident was unsettling, given her extensive medical history. The emergency physician initially diagnosed her with congestive heart failure (CHF), but upon discharge, her family medicine doctor suggested pneumonia. During her hospital stay, a cardiologist—who has never managed a pheochromocytoma patient—recommended a chemical stress test. A CT scan performed on her chest revealed a 3.2 x 2.5 cm mass located in the left lobe of her liver. Her blood tests typically show elevated levels related to pheochromocytomas; however, the laboratory does not conduct resting catecholamine testing, which leads to unreliable results, despite them being consistent over time. Furthermore, she has received care at major hospitals in Minnesota and both leading hospitals in Cleveland, Ohio. Unfortunately, when she required her last surgery, the tumor board declined her case, citing an unfavorable risk-benefit ratio. This leaves her without a specialist in pheochromocytomas. Request for Guidance: The patient is seeking advice or recommendations for her current health situation and management of her conditions.