Left axillary pain?
Hello, doctor.
Two weeks ago, I started experiencing pain and swelling in my left armpit.
The pain lasted for three days, after which I went to the hospital and consulted a family medicine doctor.
The doctor diagnosed it as a bacterial infection (I had changed my earrings the day before the pain started, but the doctor said that was too far back to be the cause).
The symptoms included swelling, pain, and a slight fever, lasting for about a week.
The doctor only performed a physical examination and prescribed medication without doing an ultrasound or similar tests.
Later, I was prescribed pain relievers and antibiotics.
After taking the medication for a week, I returned for a follow-up yesterday.
The pain has significantly decreased, but it still persists.
The doctor prescribed the same medication again.
Now, it has been two weeks of pain, and I am worried it might be another condition.
The internet says it should resolve on its own within two weeks, but I am not sure, so I am asking here: 1.
How many days will it take to heal? 2.
How many days until the pain will disappear?
Yu, 10~19 year old female. Ask Date: 2021/02/07
Dr. Liao Yaopan reply Family Medicine
Hello, if the symptoms persist, please have your parents accompany you for a follow-up appointment to discuss the changes in your condition with the treating physician.
Online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatment recommendations.
Changhua Hospital cares about you.
Reply Date: 2021/02/07
More Info
Left armpit pain, especially when accompanied by swelling and fever, can be concerning and may indicate an underlying issue that requires careful evaluation and management. Based on your description, it seems that you have been diagnosed with a bacterial infection, which is a common cause of such symptoms in the axillary region. The fact that you experienced pain, swelling, and a slight fever suggests that your body is responding to an infection, possibly in the lymph nodes or surrounding tissues.
Causes of Left Armpit Pain
1. Infection: As your doctor suggested, a bacterial infection is a likely cause. This could be due to a localized infection in the skin, lymph nodes, or even a deeper tissue infection. The recent change of earrings could potentially introduce bacteria, although your doctor indicated that it was unlikely to be the primary cause.
2. Lymphadenopathy: Swollen lymph nodes in the armpit can occur due to infections, including those from nearby areas (like the arm or breast). This is a common response as the lymphatic system works to filter out pathogens.
3. Muscle Strain: Sometimes, pain in the armpit can be related to muscle strain or overuse, especially if you have engaged in activities that involve lifting or repetitive arm movements.
4. Other Conditions: While less common, other conditions such as cysts, tumors, or even referred pain from other areas (like the chest or abdomen) could also cause similar symptoms.
Treatment and Recovery
You mentioned that you have been prescribed antibiotics and pain relief, which is a standard approach for bacterial infections. Here are some additional considerations regarding your treatment and recovery:
1. Duration of Symptoms: Typically, with appropriate antibiotic treatment, you should start to notice significant improvement within a few days. However, complete resolution of pain and swelling may take longer, often around 1 to 2 weeks, depending on the severity of the infection and your overall health.
2. Pain Management: Continue taking the prescribed pain relief medication as directed. If the pain persists or worsens, it’s essential to communicate this to your healthcare provider, as it may indicate that the infection is not responding to treatment or that another issue is present.
3. Follow-Up Care: Since you have already been back for a follow-up and your symptoms have improved, it’s crucial to keep monitoring your condition. If you notice any new symptoms, such as increased swelling, redness, or fever, or if the pain does not continue to improve, you should seek further evaluation. Your doctor may consider imaging studies like an ultrasound to assess for abscess formation or other complications.
4. Self-Care: In addition to medication, rest and gentle care of the affected area can help. Applying warm compresses may provide relief and promote drainage if there is any localized swelling.
When to Seek Further Medical Attention
If your symptoms do not improve significantly within a week of starting antibiotics, or if you experience worsening pain, fever, or any new symptoms, it is essential to return to your healthcare provider. They may need to reassess your condition and possibly perform further diagnostic tests to rule out other potential causes.
In summary, while it is common for bacterial infections to take some time to resolve, persistent or worsening symptoms warrant further investigation. Your healthcare provider is your best resource for managing this condition, so keep them informed of any changes in your symptoms. With appropriate care, you should expect to see continued improvement in your pain and swelling over the coming days.
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