Lumps in the Armpit: When to Seek Medical Attention - Surgery

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When it comes to lumps in the armpit, particularly when they are accompanied by symptoms such as redness, swelling, pain, or itching, it is essential to approach the situation with caution. In your case, the lump you described as a round swelling in your left armpit, which has changed in size and sensation over the past few days, warrants further attention.

Firstly, it is important to understand that lymph nodes, which are part of the immune system, can become swollen for various reasons. Common causes include infections (such as bacterial or viral infections), inflammatory conditions, or even malignancies. The fact that your lump was previously assessed as a lymph node and was small at that time is a good sign, but the recent changes in size and symptoms suggest that it may be reacting to something more significant.

The symptoms you described—redness, swelling, pain, and itching—could potentially be related to an infection, especially if you have recently taken antibiotics. Antibiotics can sometimes lead to changes in the body's flora, which might result in secondary infections or reactions. Additionally, hormonal changes related to your menstrual cycle can also affect lymph nodes, causing them to swell or become tender.

Given the progression of your symptoms, it is advisable not to wait until after your menstrual cycle to seek medical attention. Instead, you should consult a healthcare provider sooner rather than later. A healthcare professional can perform a physical examination and may recommend further diagnostic tests, such as blood tests or imaging studies, to determine the underlying cause of the lump.

In terms of which specialty to consult, a visit to a primary care physician is a good starting point. They can evaluate your symptoms and, if necessary, refer you to a specialist, such as an infectious disease expert or an oncologist, depending on their findings. If the lump is indeed an infected lymph node, a healthcare provider may prescribe additional antibiotics or other treatments to address the infection.

It is crucial to monitor your symptoms closely. If you experience any of the following, seek immediate medical attention:
1. Rapid increase in size of the lump.

2. Severe pain that does not improve with over-the-counter pain relief.

3. Fever or chills, which could indicate a systemic infection.

4. Persistent itching or changes in the skin over the lump, such as ulceration or discharge.

In summary, while some lumps in the armpit can be benign and related to normal bodily functions, the recent changes in your lump's characteristics suggest that it is prudent to seek medical advice promptly. Early evaluation can help ensure that any potential issues are addressed before they develop into more serious conditions.