Axillary Pain: When to Seek Medical Advice - Oncology

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It sounds like you are experiencing discomfort in your axillary region, which has persisted for almost a year. The presence of small, soft lumps in the axilla (armpit) that are tender to touch can be concerning, especially if they have not changed in size or consistency over time. Here’s a comprehensive understanding of your situation and guidance on what steps to take next.


Understanding Axillary Pain
The axillary area contains various structures, including lymph nodes, fatty tissue, and muscle. The lumps you describe could potentially be swollen lymph nodes, which can occur due to various reasons such as infections, inflammation, or even benign conditions like lipomas (fatty tumors). The tenderness you feel when you press on these areas could be due to irritation or inflammation of the surrounding tissues.


When to Seek Medical Advice
Given that you have experienced this discomfort for nearly a year, it is advisable to seek medical attention. While it is possible that the condition may resolve on its own, persistent pain and tenderness are indicators that further evaluation is warranted. Here are some signs that you should definitely consult a healthcare professional:
1. Persistent Pain: If the pain continues or worsens, it is essential to have it evaluated.

2. Changes in Size or Consistency: If the lumps change in size, become hard, or if new lumps appear, this should be assessed.

3. Systemic Symptoms: If you experience fever, night sweats, unexplained weight loss, or fatigue, these could be signs of a more serious condition.

4. Impact on Daily Life: If the pain interferes with your daily activities or quality of life, it is time to seek help.


What Kind of Doctor to See
For your symptoms, you should consider seeing a primary care physician first. They can perform a physical examination and may refer you to a specialist if necessary. Depending on their findings, you might be referred to:
- A General Surgeon: If there is a need for further evaluation of the lumps or if surgical intervention is considered.

- An Oncologist: If there is a concern about potential malignancy.

- An Infectious Disease Specialist: If an infection is suspected.


Management and Treatment Options
In terms of management, if the lumps are indeed benign and not causing significant issues, your doctor may recommend a watchful waiting approach. However, if there is inflammation or infection, they may prescribe medications such as:
- Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): These can help reduce pain and inflammation.

- Antibiotics: If an infection is suspected, antibiotics may be necessary.

- Corticosteroids: In cases of significant inflammation, corticosteroids might be prescribed.


Conclusion
While it is understandable to be concerned about the nature of the lumps and the persistent pain, many conditions affecting the axillary region are benign. However, given the duration of your symptoms, it is crucial to consult a healthcare professional for a thorough evaluation. They will be able to provide you with a definitive diagnosis and appropriate treatment options based on their findings. Avoiding further manipulation of the area is wise, as it may exacerbate the pain or irritation. Remember, early intervention can often lead to better outcomes, so don’t hesitate to seek medical advice.