What to do if…
you notice a new groin bulge with increasing pain and nausea
Short answer
Treat this as urgent. With a new groin bulge plus increasing pain and nausea (especially if you’re vomiting or the bulge is hard/tender), go to A&E now or call 999 if you can’t get there safely.
Do not do these things
- Do not try to “push it back in” or massage the lump if it’s painful, hard, very tender, or you feel sick.
- If you’re heading to A&E / being urgently assessed, avoid eating or drinking unless a clinician tells you to (if you need essential medication, take it with a small sip of water).
- Do not take repeated doses of painkillers to try to “wait it out” instead of getting urgent help.
- Do not drive yourself to hospital if you feel faint, are vomiting, or your pain is escalating.
What to do now
- Check for emergency signs (seconds): go to A&E now. If you feel too unwell to travel safely, symptoms are rapidly worsening, you might faint, or you’re alone without safe transport, call 999:
- sudden or worsening/severe pain, nausea or vomiting
- the bulge is firm/hard, very tender, or cannot be pushed back in
- difficulty pooing or passing wind
- the skin over it turns red/purple/dark, or you develop a fever or feel seriously unwell
- If you’re not sure it’s “A&E right now”, still get urgent help today: call NHS 111 and say clearly:
“New groin bulge, pain getting worse, nausea (and whether you’ve vomited / can’t pass poo or wind).”
Follow their direction (they may send you to A&E). - Get into the safest waiting position: lie down on your back with knees slightly bent, loosen tight clothing, and keep movement minimal (this reduces strain and may reduce pain while you arrange urgent care).
- Make the journey safer: ask someone to take you if possible (or use 999 if you’re worsening). Bring a phone charger if it’s within reach.
- Prepare the key info (2 minutes): your medication list, allergies, major conditions, and any prior hernia or abdominal surgery. Note the time symptoms started and how quickly they’ve worsened.
- If you live alone: message/call someone to stay available and tell them where you’re going.
What can wait
- You do not need to decide whether it’s “definitely a hernia” right now.
- You do not need to research home fixes, supports, trusses, or exercises.
- You do not need to sort work/admin beyond a simple “medical emergency—going to hospital”.
Important reassurance
A new groin bulge with worsening pain and nausea can feel frightening because it may need urgent treatment. You’re not overreacting by getting assessed quickly—these are exactly the kinds of symptoms clinicians want checked promptly.
Scope note
These are first steps to reduce risk and get you into the right care quickly. Diagnosis and treatment decisions happen after an in-person assessment.
Important note
This is general information, not a diagnosis. If symptoms are escalating, you’re vomiting, the lump is firm/tender or discoloured, or you can’t pass poo/wind, seek emergency care immediately.
Additional Resources
- https://www.nhs.uk/conditions/hernia/
- https://www.nhs.uk/nhs-services/urgent-and-emergency-care-services/when-to-use-111/
- https://www.nhs.uk/nhs-services/urgent-and-emergency-care-services/when-to-call-999/
- https://www.england.nhs.uk/wp-content/uploads/2023/11/PRN00250-dst-making-a-decision-about-inguinal-hernia.pdf