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Swollen right inguinal lymph nodes & mild urinary issues

Hello, I'm a 35 year old male and have had one persistently swollen inguinal lymph node on my right groin and multiple other swollen lymph nodes in the same area (and one or two on the left side) that come and go at various times (they seem to become bigger and more of them swell after lifting weights or having sex). The one persistently swollen one has remained at the same swollen size for 17 weeks. It hurt at first but the pain is now only an occasionally ache. I was put on antibiotics (Keflex) for 10 days near the beginning (about 16 weeks ago) but this did not reduce the swelling. I had a blood test- the white blood cell count is normal, the urinary analysis is normal and I tested negative for all STDs. In addition, my PSA was 1.1 (normal). About a year ago I went to a urologist due to my urinary symptoms and mild testicular pain and he said that I had Epididymitis. This was many months before my lymph nodes became swollen. But how can I have Epididymitis without STDs or infection? Should I get a biopsy to rule out lymphoma?
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replied November 25th, 2018
Thank you for asking at Ehealth forum!

I read your question and I understand your concern.
Yes,its possible to have epididymitis.
Before going for biopsy, just have serum lactate dehydrogenas level followed by FNAC.
I hope it helps. Stay in touch with your healthcare provider for further guidance as our answers are just for education and counselling purposes and cannot be an alternative to actual visit to a doctor.
Take care

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