Swelling in the Armpit: Causes and When to Seek Help - Breast and Thyroid

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Swollen underarm?


Hello Doctor: For the past couple of days, I've noticed that my left armpit feels swollen compared to my right armpit.
There is no pain when I press on it, and there are no lumps.
Occasionally, I experience brief pain, which lasts only a few seconds, and it seems to be either nerve or muscle-related.
The left side feels slightly more uncomfortable than the right.
My menstrual period just ended a week ago.
I would like to know what could be causing this and whether I need to get it checked.
Thank you, Doctor!

Nìmíng, 10~19 year old female. Ask Date: 2022/08/05

Dr. Yuan Tianmin reply Breast and Thyroid


You can get a breast ultrasound examination.
I'm considering that it might be the accessory breast tissue in both armpits that is causing the pain.

Reply Date: 2022/08/05

More Info


Hello! Thank you for reaching out regarding your concerns about swelling in your left armpit. It's understandable to feel anxious when you notice changes in your body, and I'm here to help clarify potential causes and guide you on when to seek medical attention.

Swelling in the armpit can arise from various factors, and it's essential to consider both benign and more serious conditions. Here are some common causes:
1. Lymphadenopathy: The lymph nodes in the armpit can become swollen due to infections, inflammation, or even malignancies. Infections, such as a cold or flu, can lead to swollen lymph nodes as your body fights off the illness.
2. Injury or Strain: If you've recently engaged in physical activity that involves your arms or upper body, you might experience muscle strain or inflammation, leading to localized swelling.

3. Hormonal Changes: Since you mentioned that your menstrual period just ended, hormonal fluctuations can sometimes cause temporary swelling or discomfort in various parts of the body, including the armpits.

4. Infections: Conditions like folliculitis (inflammation of hair follicles) or abscesses can cause localized swelling and discomfort. If there's an infection, you might notice redness, warmth, or pus.

5. Cysts: Sebaceous cysts or other types of cysts can form in the armpit area, leading to swelling. These are usually benign but can become infected.

6. Allergic Reactions: If you've used new deodorants, soaps, or lotions, an allergic reaction could cause localized swelling and discomfort.

7. More Serious Conditions: While less common, conditions such as lymphoma or breast cancer can present with swollen lymph nodes in the armpit.
Given that you mentioned the swelling is not painful and there are no lumps, it may be less concerning, but it's still important to monitor your symptoms. Here are some guidelines on when to seek medical attention:
- If the swelling persists for more than a week without improvement.

- If you develop additional symptoms such as fever, night sweats, unexplained weight loss, or persistent pain.

- If you notice any new lumps or changes in the area.

- If the swelling increases significantly or becomes painful.

In the meantime, you can try some self-care measures, such as applying a warm compress to the area, which may help reduce any inflammation. However, if you're feeling uncertain or anxious about your symptoms, it's always a good idea to consult with a healthcare professional. They can perform a physical examination and may recommend imaging studies or blood tests if necessary to rule out any underlying conditions.

Remember, while many causes of armpit swelling are benign, it's essential to listen to your body and seek help if something feels off. Your health and peace of mind are paramount, so don't hesitate to reach out to a healthcare provider for further evaluation. Take care!

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