Unexplained pain in the left armpit and around the collarbone?
Hello Doctor: I have swelling under my left armpit extending to the area around my collarbone, with intermittent sharp pain.
There are no symptoms on the right side.
I have self-checked my skin and pressed on the area, but I haven't found anything unusual.
I haven't engaged in any recent exercise or overexertion.
If this doesn't improve, should I see a doctor for an examination? Which specialty should I consult? A few days ago, I received the Moderna vaccine; I'm not sure if this is related.
Thank you!
Yun, 20~29 year old female. Ask Date: 2021/07/23
Dr. Xiao Yongxun reply Family Medicine
Dear Ms.
Cloud:
1.
The differential diagnosis for the unexplained pain in the left axilla and around the clavicle includes lymphadenitis, cellulitis, neuromuscular injury, breast tumors, pulmonary lesions, among others.
It is also possible that it could be related to the Moderna vaccine; however, this should resolve in the short term.
2.
I recommend discussing this with your primary care physician before making any decisions, or you may go directly to a general surgery outpatient clinic at a regional hospital for evaluation.
Reply Date: 2021/07/23
More Info
Unexplained pain and swelling under the left armpit can be concerning, especially when it is accompanied by discomfort that radiates to the collarbone area. Given that you have no symptoms on the right side and have not engaged in any recent strenuous activity, it is prudent to consider several potential causes for your symptoms.
Firstly, it is important to note that localized swelling and pain can be attributed to a variety of factors, including but not limited to infections, lymphatic issues, musculoskeletal problems, or even reactions to vaccinations. Since you mentioned receiving the Moderna vaccine a few days ago, it is possible that your symptoms could be related to a mild immune response to the vaccine. Vaccines can sometimes cause localized swelling and tenderness in the area where they were administered, although this typically resolves within a few days.
However, if the swelling and pain persist or worsen, it is advisable to seek medical attention. You should consider visiting a healthcare provider who specializes in internal medicine or a primary care physician initially. They can perform a thorough evaluation, which may include a physical examination and possibly imaging studies, such as an ultrasound or CT scan, to assess the underlying structures in that area.
In some cases, if there is a suspicion of a more specific issue, such as a lymphatic obstruction or an infection, you may be referred to a specialist, such as a surgeon or an oncologist, depending on the findings. If there are signs of infection, such as fever, redness, or warmth in the area, it is crucial to seek immediate medical attention, as this may require prompt treatment with antibiotics.
Additionally, if you experience any systemic symptoms, such as unexplained weight loss, night sweats, or persistent fatigue, these could be red flags that warrant further investigation.
In summary, while your symptoms may be benign and possibly related to the recent vaccination, it is essential to monitor your condition closely. If there is no improvement or if your symptoms escalate, do not hesitate to consult a healthcare professional. Early intervention can often lead to better outcomes, especially if there is an underlying condition that needs to be addressed.
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