Left Armpit Pain, Fever, and Potential Causes - Family Medicine

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Swelling and pain in the left armpit accompanied by fever?


Hello, doctor.
Starting from Sunday the 23rd, I began to feel a vague pain and discomfort under my left armpit.
By Monday, I noticed soreness and tingling in my left shoulder and arm.
That evening, I went to a breast surgery clinic for an ultrasound, and the doctor indicated it was nerve pain.
On Tuesday, I started to feel a mild burning sensation on the skin of my upper body, similar to having a fever.
I also experienced occasional muscle aches, and sometimes a specific area would feel hot and painful, then the sensation would disappear.
Some areas would become red and itchy, resembling a rash; I could tolerate it without scratching, and after a while, the itchiness would subside.
That evening, I visited a dermatology clinic, and the doctor said it was an allergy, although he did not find my skin hot.
He prescribed medication for me.
Since Tuesday, my body has been in a state of mild warmth, but my temperature is 36.7°C.
Previously, I often experienced insomnia at night, leading to a reversed sleep schedule, but I have since adjusted to sleeping normally at night, only to experience insomnia again, causing my schedule to become irregular.
Since I adjusted to sleeping at night this week, the aforementioned symptoms have occurred.
I am unsure if this is related.
If I need to see a doctor, which specialty should I consult? Or is this similar to a cold, where resting for a few days would suffice? I input some keywords and found potential cancer symptoms, which makes me very worried.

yiyi, 20~29 year old female. Ask Date: 2020/08/26

Dr. Wu Zongying reply Family Medicine


Hello: Based on the situation you described, I cannot determine the specific disease without a personal examination.
I recommend that you first adjust your routine and maintain a normal sleep schedule.
If the symptoms persist, it is advisable to consult a specialist in endocrinology.

Reply Date: 2020/08/26

More Info


Understanding left armpit pain, fever, and associated symptoms can be complex, especially given the variety of potential causes. Based on your description, it seems you have been experiencing a range of symptoms, including pain in the left armpit, discomfort in the shoulder and arm, skin sensations resembling fever, and localized redness and itching.
First and foremost, it’s important to recognize that pain in the left armpit can stem from various sources. These may include musculoskeletal issues, nerve compression, or even referred pain from other areas, such as the heart or lungs. Given your age and the absence of any significant past medical history, serious conditions like heart problems are less likely, but they should not be entirely ruled out, especially if you have risk factors or a family history of cardiovascular disease.

The symptoms you describe, particularly the pain radiating from the armpit to the shoulder and arm, could suggest a nerve-related issue, such as thoracic outlet syndrome or a pinched nerve in the cervical spine. These conditions can cause pain, tingling, and weakness in the arm and shoulder area. The ultrasound you underwent, which indicated nerve pain, supports this possibility.

The sensation of your skin feeling warm or "feverish," along with localized redness and itching, could indicate an inflammatory response, possibly due to an allergic reaction or skin condition. Allergies can manifest in various ways, including hives or rashes, which can cause localized itching and redness. If a dermatologist has evaluated your skin and suggested an allergic reaction, it may be worth following up with them to ensure that the treatment is effective.

Your mention of sleep disturbances and fluctuating sleep patterns could also play a role in your symptoms. Sleep deprivation can exacerbate pain perception and lead to increased sensitivity to discomfort. It can also affect your immune system, potentially making you more susceptible to infections or inflammatory conditions.
Given the complexity of your symptoms, it would be prudent to consult with a healthcare provider who can perform a thorough evaluation. A primary care physician would be a good starting point, as they can assess your symptoms in a holistic manner and determine if referrals to specialists, such as a neurologist or rheumatologist, are necessary.
In the meantime, consider the following self-care strategies:
1. Rest and Sleep Hygiene: Prioritize good sleep habits to help regulate your sleep cycle. Aim for a consistent sleep schedule and create a restful environment.

2. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help alleviate discomfort. However, consult with a healthcare provider before starting any new medication.

3. Gentle Stretching and Exercise: Engage in gentle stretching exercises to relieve tension in the shoulder and arm. Avoid activities that exacerbate your pain.

4. Monitor Symptoms: Keep track of your symptoms, noting any changes or patterns. This information can be valuable for your healthcare provider.

5. Stay Hydrated and Nourished: Ensure you are drinking enough water and eating a balanced diet to support your overall health.

While it’s natural to feel concerned about your symptoms, especially with the mention of cancer-related searches, it’s essential to approach this situation with a level-headed perspective. Many conditions can cause similar symptoms, and most are treatable. Seeking medical advice will provide clarity and help you address your concerns effectively.

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