Painful Lumps: When to See a Specialist - Oncology

More Info

---

It sounds like you are experiencing a concerning issue with a painful lump located under your left arm, which has persisted for four days without improvement. Given the symptoms you described—pain upon pressing the lump, discomfort when raising your arm, and a sensation of something pressing against the area—it's important to take this seriously.

First and foremost, the lump you are feeling could be a variety of things, ranging from a benign cyst or lipoma (a fatty tumor) to a swollen lymph node or even an abscess. The fact that it is painful and has not improved over several days suggests that it may require further evaluation. Pain in the area could indicate inflammation or infection, especially if there is tenderness upon palpation.

In terms of what type of specialist you should see, I would recommend starting with a visit to a primary care physician (PCP). They can perform a physical examination and assess your symptoms in detail. Based on their findings, they may refer you to a specialist, such as a surgeon or an orthopedic specialist, if they suspect that the lump is related to a musculoskeletal issue. If they suspect an infection or lymphatic issue, they might refer you to an infectious disease specialist or a hematologist.

During your visit, be prepared to discuss the following:
1. Duration and Characteristics of the Lump: Mention how long you have noticed the lump, its size, and whether it has changed in size or shape.

2. Pain Level and Triggers: Describe the pain's intensity, what makes it worse (e.g., movement, pressure), and if there are any other symptoms like redness, warmth, or swelling in the area.

3. Medical History: Share any relevant medical history, including recent illnesses, infections, or injuries that could be related.

4. Associated Symptoms: Note if you have experienced any other symptoms, such as fever, night sweats, weight loss, or fatigue, which could indicate a more systemic issue.

In the meantime, to manage your discomfort, you might consider applying a warm compress to the area, which can help reduce pain and inflammation. Over-the-counter pain relief medications, such as ibuprofen or acetaminophen, may also provide temporary relief. However, it is crucial to avoid self-diagnosing or treating without professional guidance, especially since the lump has been persistent and painful.

If you notice any worsening of your symptoms, such as increased pain, swelling, or the development of fever, seek medical attention promptly. Early intervention can often lead to better outcomes, especially if there is an underlying issue that needs to be addressed.

In summary, given your symptoms and the duration of the lump, it is advisable to see a primary care physician first. They can evaluate your condition and determine the appropriate next steps, including any necessary imaging studies or referrals to specialists. Your health and well-being are paramount, so do not hesitate to seek medical advice.