Swollen Lymph Nodes In Groin
Posted , 4 users are following.
Hello, I am a 48 year old man who has been having trouble passing urine, I also get a clear discharge after going. I have pain in my pelvic area and Rectum. Recently I had a PSA test done and over the last 6 years my PSA has gone down. It was at .36 at first then .34 and now .32, these are really good numbers and yet I am having symptoms of BPH. Now I see that my Lynph Nodes are swollen on the right side groin area. What are the chances that it could be PC? I have no idea why my nodes are swollen, as far as I can tell I don't seem to have an infection. I am a bit scared as I have been having some bad issues with my Prostate and with that I would have thought my PSA would have been elevated. Now, my father has BPH and had to have a TURP done, but even when he was having trouble his PSA was also very low, so it seems like in my case PSA isn't a very good diagnostic tool. I have an appointment with my GP tomarrow and will see what sort of tests she orders. I am just really scared.
0 likes, 10 replies
uncklefester craig84609
Posted
craig84609 uncklefester
Posted
That is it, I was told that if you had BPH you will have a high PSA as well. It doesn't seem to be true, as I have symptoms of BPH and even almost needed to go to the hospital to be cathed, but my PSA is super low. My dad as I said needed a TURP, because he had BPH so bad that he could no longer pass urine, but his PSA was low as well. Granted it wasn't as low as mine, but still very low for someone with severe BPH. So, I kinda wonder just how good is the PSA test at predicting ones risk?
paul96555 craig84609
Posted
I have gained a strong impression from reading many men's stories, and research, that whereas a high PSA has poor information content - it is often not P Ca - a low PSA like yours has good information content, it is not impossible but really unlikely that you have P Ca. There is no reason to fear that. I had PSA 16.92. Similarly, a high (bad)score from mri of say 4 out of 5 has poor information content but a low safe mri after a bad high PSA is safe and lets you avoid a stupid biopsy. The BPH is worrisome but no cancer risk, even most healthy men have PSA 0.7 or 2.3 or whatever, yours is extraordinarily low !!
craig84609 paul96555
Posted
Thanks for the reply. Yes, my PSA is low, but it may be low due to being on 10 mg of Prednisone daily. There was a study done that showed Prednisone can lower ones PSA as much as 80%. Even then my PSA is still low, but I have such trouble urinating and I have pain in all the areas that one would get if they have PC or Prostatitis. I was on Cipro for a month to make sure it wasn't an infection, so I may need to have some kind of corrective surgery in the near future. It is fun to get old.
nealpros craig84609
Posted
Your nodes indicate that something serious may bo going on. You really need to find out what that is. It can be infection, cancer or nothing at all, but it is a serious symptom. If I were you, I would get myself to a good oncologist and find out what is going on, rather than worry about it. One thought you didn't mention is an infection or cancer NOT in your prostate. Get it checked out. If a doctor tells you it's nothing, get a second or third opinion.
Neal
paul96555 nealpros
Posted
Actually that is darned good advice. Also check virchov's node or the signal node in the pit on left of your neck yourself, compare to pit on right. If it is up that is bad.
craig84609 nealpros
Posted
I wen't to see my doctor and they had gone down. I do have a serious skin rash in that area and my doctor said it can be from that, or even from my active IBD. I was put on an antibiotic for a few days to see if it helps. I doubt if it's cancer, but I have pain in front near my bladder, but that is also where I have my bowel disease that is active. I would think that if it were caused by cancer the nodes wouldn't go down at all. Then I would be probably going to a cancer specialist. Do to the Crohn's disease I am prone to fistula's or rectal abcess. It could be any of these things so I am going back in for a colonoscopy as well. Still don't understand why it is so difficult to urinate at times. I think it is all connected some how.
nealpros craig84609
Posted
For the prep for the colonoscopy, you will be given a laxative to take which will cause you to defecate many times. Each time, before you defecate cover the area around your rectum with an over the counter triple antibiotic. When you defecate a lot in a short time, your feces become strongly acidic and will turn your rectum into painful hamburger. The ointment protects your skin from the acid.
Good luck,
Neal
craig84609 nealpros
Posted
Yea, I have had several of these horrible tests, but I was wrong. I am going in for a Sigmoid instead. Less prep. I just ahve to take a couple of small fleet enemas before hand. Still I hate these invasive painful exams. If I wasn't in so much pain I would just say no.
paul96555 nealpros
Posted