Should You See a Doctor for Painful Lumps Under Your Armpits? - Oncology

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Swollen underarm?


There are small round bumps on both sides of your armpits that are painful to touch and press.
Additionally, pressing near the bumps causes some discharge to come out.
Should you see a doctor?

Xiao Bai, 20~29 year old female. Ask Date: 2022/08/01

Dr. Hu Ziren reply Oncology


It may just be axillary folliculitis.
Be sure to keep the underarms clean and dry.
However, if there are accompanying symptoms such as fever and chills, it is advisable to see an infectious disease specialist or a plastic surgeon.

Reply Date: 2022/08/01

More Info


When it comes to painful lumps under your armpits, it is essential to take these symptoms seriously and consider consulting a healthcare professional. The presence of lumps, especially if they are painful and accompanied by discharge, can indicate several potential conditions that require medical evaluation.

Firstly, the lumps you are experiencing could be swollen lymph nodes. Lymph nodes are part of the lymphatic system, which helps the body fight infections. They can become enlarged due to various reasons, including infections (like bacterial or viral infections), inflammatory conditions, or even malignancies. If the lumps are painful and there is discharge, it may suggest an infection, possibly an abscess, which is a collection of pus that can occur when bacteria infect the tissue.

Another possibility is that the lumps could be sebaceous cysts. These are non-cancerous lumps that can form under the skin when sebaceous glands become blocked. While they are usually harmless, they can become inflamed or infected, leading to pain and discharge.
Additionally, hidradenitis suppurativa is a chronic skin condition that can cause painful lumps in areas where skin rubs together, such as the armpits. This condition is characterized by the formation of abscesses and scarring, and it can lead to recurrent infections.

Given the symptoms you described—painful lumps and discharge—it is advisable to see a doctor. A healthcare professional can perform a physical examination and may order imaging tests or lab work to determine the underlying cause of your symptoms. They may also consider a biopsy if there is any concern about the nature of the lumps.

In the meantime, it is essential to avoid squeezing or manipulating the lumps, as this can exacerbate inflammation or lead to further infection. Keeping the area clean and dry is crucial, and over-the-counter pain relievers may help manage discomfort until you can see a doctor.

In summary, while not all lumps under the armpits are serious, the combination of pain and discharge warrants a medical evaluation. Early diagnosis and treatment can prevent complications and provide peace of mind. If you notice any additional symptoms, such as fever, significant swelling, or if the lumps persist or worsen, seek medical attention promptly. Your health is paramount, and addressing these symptoms with a healthcare provider is the best course of action.

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