Swollen Lymph Node Groin and Other Pains

[needadvice1911]

I have searched this site high and low and have gotten great advice, but no definitive answers.  Here is a quick recap.  June 2013 I get terrible pain in behind right testicle.  Diagnosed with Epididymitis.  Standard testing is done and no bacterial/STD cause can be found.  Shortly after a lymph node in groin swells.  First notice July 8, 2013.  Doctor says it is reactive to whatever is causing epididymitis.  over the next few weeks the testicle starts hurting less, but the node starts hurting more.  Lymph node causing pressure in groin, pain radiates to my right thigh, up through my belly on the right side, my right hip and my right flank.  The thigh, hip, flank pain is intermittent but always feeling at least one.  July 31, 2013 I get ultrasound done on groin.  result is "enlarged lymph node 19mm x 11mm x 6mm.  Mostly benign features, likely reactive.".  Now my doctor has one look at this and declares it reactive and says it will go away.  September 3 go back to the doctor to discuss increased pressure in groin and intermittent pain in extensions (thigh, flank, hip) continue and are getting a little stronger at times.  Again, doctor says it is reactive and will clear up eventually.  Here it is now October 2, 2013.  The bulge is still in my groin, hurts more now than before.  Where it was a pressure feeling when it started, now has become painful with sharp stabbing pain once in a while.  In addition, not sure if it matters or not but I have been getting up to urinate everynight between 3 and 4 am since this started.  Never used to happen before.  I'm 34 years old.  I'm not asking to get diagnosed here.  But i'm looking for next steps.  What would you suggest I do next regarding seeing a doctor and what kind of tests would you suggest I ask for?  I have got great advice in some forums here, but am still at a loss.  my doc is not worried at all.  Of course, I jump to worse case scenario and assume the lymph node is lymphoma.  My doctor thinks anxiety is getting the better of me.  I wish i could agree. However, I can't explain a swollen lymph node for over three months when no infection is found.  Please provide your thoughts if possible.
Thank you.

[needadvice1911]

Thanks doctor.  I was supposed to get the results from the ultrasound last thursday (october 24).  I called my doctors practice.  they told me that results came in they did not see anything of significance.  they only call if you need to come in for results that show something wrong.  I booked an appointment for next week as i want to know what the results are.  I will update next week.

Thanks again!

[Dr Santos]

Hi,
Thanks for the updates. It is good that initial test results were negative. How was the ultrasound result? If there has been no physiological cause, this could indeed be due to psychological issues including anxiety. If this is the case, medical management and psychotherapy may be indicated. Take care and best regards.

[needadvice1911]

Doctor Santos, I have done a full blood (CBC, WBC, etc..) and urine test, including PSA to test out prostate and a sed test on the blood.  all came back negative.  I had an ultrasound on the enlarged node in my groin yesterday.  I am awaiting results.  The radiologist was able to identify the node, but would not give me any details about what he found.  I am waiting for my results to be delivered to my doctor.  I still worry about lymphoma.  I have had three doctors tell me they are not even considering that based on my current symptoms and results.  am i too worried?  is anxiety taking over?

[Dr Santos]

Hi,
I understand your concern regarding your symptoms. Frequent urination at this time may be attributed to infection as well as prostate issues.  Urine tests as well as request for repeat imaging studies may help at this point. If the lymph node swelling persists, further evaluation may be done and seeking another urologist's opinion may also help. Take care and do keep us posted.