Armpit Swelling: When to See a Specialist

Axillary swelling and pain?

Hello, I would like to ask about a problem I have been experiencing.
I usually have swelling and pain in my armpits before my menstrual period, which resolves after it ends.
However, in the past few days, I have noticed lumps in both armpits, and one side has not only a small lump but also axillary swelling.
Should I be concerned about lymphatic issues, or should I see a breast specialist? Thank you.

li, 20~29 year old female. Ask Date: 2016/11/26

Dr. Li Zhonghuai reply Surgery

Hello! It is recommended to see a breast surgeon to rule out any tumor issues.
Take care! Changhua Hospital cares about you.

Reply Date: 2016/11/26

More Info

Understanding armpit swelling can be crucial for identifying underlying health issues, especially when it involves changes in size, shape, or pain in the lymph nodes or surrounding tissues. The symptoms you describe—swelling and pain in the armpits, particularly before your menstrual cycle, and the recent development of lumps—warrant a closer examination.

Firstly, it’s important to recognize that lymph nodes in the armpit (axillary lymph nodes) can swell for various reasons. Common causes include infections, inflammation, or even malignancies. In your case, the swelling coinciding with your menstrual cycle suggests a possible hormonal influence, which can lead to temporary swelling of lymph nodes due to increased blood flow or fluid retention. However, the persistence of swelling after your menstrual cycle and the presence of lumps necessitate further evaluation.

Given your symptoms, it is advisable to consult a healthcare professional, preferably a specialist in breast health or a general practitioner who can assess your condition. They may perform a physical examination and possibly recommend imaging studies, such as an ultrasound, to evaluate the nature of the lumps. If there is any suspicion of a more serious condition, a biopsy may be warranted to rule out malignancy.

In terms of when to see a specialist, consider the following guidelines:
1. Duration of Symptoms: If the swelling persists beyond a few weeks or does not resolve after your menstrual cycle, it is essential to seek medical advice.

2. Changes in Size or Shape: Any noticeable changes in the size or shape of the lumps, especially if they become larger or more painful, should prompt a visit to a healthcare provider.

3. Associated Symptoms: If you experience additional symptoms such as fever, night sweats, unexplained weight loss, or fatigue, these could indicate a more serious underlying condition and warrant immediate medical attention.

4. Family History: If you have a family history of breast cancer or other related conditions, it is prudent to consult a specialist sooner rather than later.

5. Self-Examination: Regular self-examinations can help you become familiar with your body and identify any unusual changes. If you notice anything concerning, do not hesitate to seek medical advice.

In conclusion, while hormonal changes related to your menstrual cycle may explain some of the swelling, the recent development of lumps and persistent swelling necessitates a thorough evaluation. Consulting a specialist in breast health or a general practitioner will help determine the cause of your symptoms and guide you toward appropriate treatment if necessary. Early detection and intervention are key to managing any potential health issues effectively.

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