Hard Lumps Under the Armpit: Causes and Treatments - Dermatology

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There is a hard lump in the armpit?


Recently, while taking a shower, I thought I had a pimple or a blackhead in my armpit.
I didn't squeeze it, and it was fine (just sitting there), but after I squeezed it, it became swollen and painful (before squeezing, it felt like a pimple or blackhead but wasn't painful).
What medication should I apply or what should I do?

Xiao Li, 10~19 year old female. Ask Date: 2019/04/12

Dr. Wu Yuxin reply Dermatology


Without actually seeing the lesion, it is impossible to determine the issue.
If it is very concerning, please seek medical attention as soon as possible.
A proper examination is necessary to understand the problem and to be able to address it.

Reply Date: 2019/04/12

More Info


Understanding hard lumps under the armpit can be concerning, especially when they appear suddenly and cause discomfort. These lumps can arise from various causes, and it’s essential to understand the underlying reasons to determine the appropriate treatment.

One common cause of hard lumps in the armpit area is swollen lymph nodes. The lymphatic system plays a crucial role in the body’s immune response, and lymph nodes can swell in response to infections, inflammation, or even malignancies. If the lump feels firm and is tender to the touch, it could indicate that your body is fighting off an infection, such as a bacterial or viral illness. In some cases, the lump may be related to a skin condition, such as an abscess or cyst.
In your case, since you mentioned that the lump felt like a pimple or blackhead before you squeezed it, it’s possible that you may have caused irritation or inflammation in the area, leading to a localized infection or an inflamed cyst. Squeezing or picking at lumps can introduce bacteria and exacerbate the situation, leading to increased swelling and pain.

Here are some steps you can take to manage the lump under your armpit:
1. Avoid Squeezing: As tempting as it may be, avoid squeezing the lump further. This can worsen inflammation and increase the risk of infection.

2. Warm Compress: Applying a warm compress to the area can help reduce swelling and promote drainage if there is an underlying infection. Use a clean cloth soaked in warm water and apply it for about 15-20 minutes several times a day.

3. Topical Treatments: If the lump is indeed an inflamed cyst or a minor skin infection, over-the-counter topical antibiotics (like Neosporin) may help prevent further infection. However, if the lump persists or worsens, it’s essential to consult a healthcare professional.

4. Pain Relief: If you experience pain or discomfort, consider taking over-the-counter pain relievers such as ibuprofen or acetaminophen, following the recommended dosage on the package.

5. Monitor Symptoms: Keep an eye on the lump. If it continues to grow, becomes increasingly painful, or is accompanied by other symptoms such as fever, night sweats, or unexplained weight loss, seek medical attention promptly.

6. Consult a Healthcare Provider: If the lump does not improve within a week or two, or if you have any concerns about its nature, it’s crucial to consult a healthcare provider. They may perform a physical examination and, if necessary, imaging studies or a biopsy to determine the exact cause of the lump.

In summary, while hard lumps under the armpit can be benign, they can also indicate underlying issues that may require medical evaluation. It’s essential to approach the situation with caution, avoid self-manipulation of the lump, and seek professional advice if symptoms persist or worsen. Your health and well-being should always be the priority, and timely medical intervention can help ensure the best outcomes.

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