Pulling in the groin (lat. "Inguen") is usually a term
used to describe unpleasant, painful complaints in the area of the transition
from the stomach to the thigh. The groin region is bounded upwards by the
two iliac crests, downwards by the upper edge of the pelvis and towards the
middle by the straight abdominal muscle. In this area lies the 4-6 cm long
inguinal canal, in which, among other things, lymph nodes, blood vessels, in
men the spermatic cord (funiculus spermaticus) and in women the uterine ligament
(ligamentum teres uteri) are located. The sensitive structures inside are
protected from injuries by surrounding muscles, ligaments and connective
tissue. Nevertheless, there are natural "weak points" in the
area of the inguinal canal, which can result in heavy pressure loads (e.g.
heavy lifting, carrying,
Causes
of pulling in the bar
Various causes such as
irritation, inflammation or a pinched nerve come into consideration for the
symptoms. For example, swelling of the lymph nodes in the groin is possible, which often occurs as a result
of an acute infection such as a cold (flu-like infection) or an inflammation of
the urinary tract. In addition to this, one or more thickened lumps under
the skin can indicate an abscess, among other thingsor indicate an injury to the foot, for
example, an inflammation of the toenail caused by an ingrown toenail is
possible. In addition, an excess leg in the hip joint (ganglion) or an
infection such as the so-called "cat scratch disease" (bartonellosis),
which is transmitted from animals to humans and vice versa (zoonosis), is also
possible.
Even in the early
stages of the sexually transmitted disease syphilis (syphilis), swollen lymph nodes in the groin are
characteristic, and inflammatory rheumatic diseases can also be the
cause. It is also possible that the lymphatic system itself is affected by
an illness. Here, for example, the relatively rare Hodgkin's disease comes into
consideration, which is a malignant or malignant lymphoma, which is often
referred to colloquially as "lymph gland cancer". In addition,
rheumatic diseases can also be the trigger, with the swelling of the lymph
nodes usually occurring in several areas of the body.
Groin pulling is also
often caused by a urinary stone, joint wear (osteoarthritis) and hip or bone
diseases such as femoral head necrosis or osteoporosis(Bone
loss). Especially with athletes such as football players, cross-country
skiers or tennis players, complaints often arise from muscle strain,
overstretching or pubic bone inflammation. Likewise, incorrect or
overloading of muscles and tendons in strength or endurance sports (e.g.
jogging) can quickly lead to pain and uncomfortable pulling. Other
possibilities are changes in the blood vessels (e.g. varicose veins, weak veins,
blood clots) or a bursitis of the hip joint, which can arise, for
example, from permanent overloading of the joint in sport or at work, injuries
to the bursa or metabolic diseases such as gout .
Groin
drawing on the right side
The background can
also be diseases in the abdomen. In the case of right-sided complaints,
for example, appendicitis or appendicitis can be considered, although it is not the
appendix itself that is affected, but the so-called
"appendix". In appendicitis, initially dull, stabbing, pulling
and / or pressing navel pain occurs, which in the further course typically migrates to
the right side, but is sometimes also felt on the left side. The symptoms
usually increase when a shock occurs due to coughing, sneezing, jumping, etc.,
and there are usually other signs of illness such as a slight fever , nausea and vomiting, Loss of appetite, or excessive sweating (especially at
night).
Appendicitis can have a variety of reasons, but it can often be
traced back to a blockage of the appendix, which can be caused, for example, by
thickened stool ("fecal stones"), strands of scars or foreign bodies
(e.g. fruit pits). As a result, secretions accumulate in the appendage of
the appendix, which is up to ten centimeters long, in which bacteria from the
large intestine can optimally multiply and ultimately trigger
inflammation. In addition to this, appendicitis can in rare cases also be
caused by a bacterial infection (e.g. with enterococci or coli bacteria) or
occur in connection with chronic inflammatory bowel diseases such as Crohn's
disease and ulcerative colitis.
Drag
in the left bar
If the pulling occurs
mainly on the left side, there may be so-called "diverticulitis", for
example, which is an inflammation of protuberances in the intestinal wall
(diverticulum). Intestinal diverticula generally occur in large numbers in
the large intestine, especially in older people (“diverticulosis”), although
these usually do not cause any symptoms and are therefore often not recognized
at all. In around 20 percent of cases, however, the protuberances in the
wall of the intestine become inflamed, although it cannot be predicted in whom
and when this development will occur. However, it is often suspected that
there is a connection with a lack of exercise and a low-fiber diet, which leads
to firm, hard bowel movements or a blockage occurs. As a result, there is an increased
internal pressure in the intestine, which in combination with the weakening
connective tissue in old age leads to the mucous membrane being turned inside
out. If fecal residues now collect in the protuberances, inflammation can
quickly develop, which remains limited to the diverticula, but can also spread
to the surrounding intestine.
Diverticulitis is
similar in its symptoms to appendicitis, with the pain typically occurring on
the left and not on the right ("left appendicitis"). Those
affected often report a sudden pulling and / or dull feeling in the left lower
abdomen, which radiates into the groin and back. In addition to this, many
patients suffer from problems urinating and defecation in the form of diarrhea or constipation,
as well as fever, gas, nausea and vomiting. If the inflammation remains
undetected or untreated, there is a risk of serious complications such as an
abscess in the abdomen, inflammation of the peritoneum (peritonitis) or an
intestinal obstruction (ileus).
Pulling
in the groin in the man
One of the most common
reasons is the so-called “ inguinal hernia ” (medical “inguinal hernia”), which occurs mostly in
adulthood, but sometimes also in babies and children and affects men much more
often than women. An inguinal hernia occurs when fat or parts of the
intestine (contents of the hernia) push through the hernial orifice and bulge
outwards. A distinction is made between a congenital and an acquired
hernia. While the former occurs due to an incomplete internal closure of
the abdominal wall during child development, the latter usually only occurs at
an advanced age, for example as a result of weak connective tissue on. If there is a weak point in the abdominal wall, the
risk of a rupture increases with increasing pressure in the abdominal cavity,
which can arise, for example, from chronic coughing (e.g. with a chronic
obstructive pulmonary disease), constipation, pregnancy, obesity or lifting or carrying
heavy loads
The worn out tissue
creates a typical, soft "bump" in the area of the groin, which can
move and, in many cases, push it away inwards. In addition, there is often
a feeling of pulling or pressure as well as slight abdominal pain , which
intensifies when pressure is applied (from lifting, coughing, sneezing,
defecating, etc.) and can radiate into the scrotum or, in women, into the
labia. Apart from that, those affected usually feel relatively fit and not
restricted, and often there are no complaints at all.
It behaves differently
if the entrails that have emerged are pinched (incarceration). In this
case, the symptoms are usually very pronounced, such as severe groin pain , fever, and
nausea and vomiting. Incarceration is an absolute emergency that requires
immediate surgical intervention to avoid dangerous complications such as an
intestinal obstruction or peritonitis. Accordingly, a doctor should be
consulted immediately if a bump is discovered in the groin.
In addition to this, a
pulling in the groin can be caused by diseases of the genital organs such as
inflammation of the epididymis (epididymitis) or varicose veins in the
testicular area (varicocele). In addition, certain cancers such as
testicular cancer come into consideration, as well as inflammation of the
prostate (prostatitis), which affects around 50 percent of all men at some
point in their lives. The symptoms can be very different depending on the
form and severity, but pain and discomfort when urinating as well as a reduced amount of urine and a strong urge to
urinate occur frequently . In addition, many sufferers
experience pain when defecating, uncomfortable pressure in the area of the
perineum and pulling in the groin and Pain in the lower abdomen , often radiating to the back and genital
organs. Affected men also suffer from erectile dysfunction, pain during
ejaculation, blood in the semen and a loss of libido.
Drawing
pain in the groin in women
In women, the symptoms
often conceal relatively harmless causes such as menstrual pain , which is one
of the most common problems during menstruation and occurs especially in cycles
in which ovulation was not suppressed (by birth control pills, IUDs,
etc.). These are typically characterized by a spasmodic pulling and / or a
dull, pressing feeling of pain in the area of the abdomen, groin and back,
which can occur in very different ways. These are accompanied by many
sufferers by a general malaise, poor circulation and exhaustion as well as nausea, diarrhea and headaches .
In addition to the symptoms during the period, there may also be
a pulling in the groin before or during the ice jump, which takes place in the
middle of the menstrual cycle or about 14 days before the start of the next
menstrual period. The ice jumping pain is often described by those
affected as stabbing or pulling, can either last for a short time or even for
hours and vary in severity from woman to woman. It is typical, however,
that the complaints usually only occur on one side, and other possible options
include pelvic pain, sensitive breasts or nausea.
Another possible cause
is so-called "endometriosis", which is a relatively common, benign
female disease. It is characteristic here that the uterine lining
(endometrium) also grows outside of the uterine cavity. In principle, any
organ can be affect, but the lower abdominal or pelvic area, the ovaries and
the fallopian tubes are often affected. Since the "scattered"
tissue as well as the "normal" mucous membrane are involved in the
menstrual cycle, the symptoms also appear cycle-dependent, but the severity of
the symptoms can be very different. Typical characteristics for
endometriosis are particularly heavy menstrual pain, menstrual disorders, and
infertility, and depending on the location of the foci of endometriosis, for
example, also low back pain, Pain during intercourse or blood in your urine . Around every second woman experiences no or hardly
any restrictions, which means that the disease is often discovered by chance or
not at all.
Acute inflammation of
the fallopian tube and ovaries (adnexitis) can also be a reason if symptoms
such as sudden severe pain and / or pulling in the lower abdomen and groin,
fever, diarrhea, discomfort when urinating or vaginal discharge occur. In
addition, an ovarian cyst is conceivable in women, although this occurs
primarily in young women after puberty and before menopause due to the hormonal
changes .
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