A lump in the armpit?
Hello, I noticed a lump in my left armpit after my menstrual period ended around September.
It was painful when pressed, and I initially thought it was a personal hygiene issue since I have a problem with body odor.
I usually shave my armpit hair weekly, but I missed a week due to being busy.
After I shaved my armpits, I noticed that the lump had decreased in size and was no longer painful.
I thought it might disappear on its own by the next month.
However, by October, the lump had neither disappeared nor increased in size, and it remained painless.
In November, while I was accompanying my mother during her hospitalization for surgery and also had my menstrual period, I noticed that the lump suddenly increased in size.
It became painful to touch lightly, and I experienced pain when raising my arm or applying slight pressure.
This condition has persisted for three days now.
Should I seek medical attention immediately, or should I continue to observe it to see if it decreases in size? The lump has not changed color; it appears to be a swelling of the skin, measuring approximately 3 cm by 1 cm.
For context, I am currently in a study preparation phase, so I usually go to bed around midnight, and I have a history of diabetes.
Thank you for your response, and I appreciate your help.
Niming, 20~29 year old female. Ask Date: 2022/11/09
Dr. Wu Yuxin reply Dermatology
First, seek medical attention and undergo an examination to make a preliminary assessment of the issue.
Reply Date: 2022/11/09
More Info
When it comes to painful lumps in the armpit, it’s essential to approach the situation with caution, especially given your recent experiences and medical history. Based on your description, it seems that you initially noticed a lump in your left armpit after your menstrual cycle, which became less painful after grooming. However, the lump has since grown larger and more painful, particularly after a stressful event, such as your mother's surgery.
Understanding the Symptoms
The lump you are experiencing could be a swollen lymph node, which is a common reaction to various factors, including infections, inflammation, or even stress. Lymph nodes can swell in response to infections in the body, and they often become tender when they are reacting to something. In your case, the lump's fluctuation in size and pain level could correlate with hormonal changes during your menstrual cycle or stress from your mother's hospitalization.
When to Seek Medical Advice
Given that the lump has increased in size and is now painful, it is advisable to seek medical attention. Here are some specific reasons why you should consider seeing a healthcare provider:
1. Persistent Symptoms: The lump has not resolved on its own and has actually worsened. Any lump that changes in size, especially if it becomes painful, warrants further investigation.
2. Duration: Since the lump has persisted for several months, it is crucial to have it evaluated. Lumps that last longer than a few weeks should be assessed by a healthcare professional.
3. Pain and Discomfort: The fact that the lump is painful, especially when you move your arm or touch it, indicates that there may be an underlying issue that needs to be addressed.
4. Underlying Conditions: Given your history of diabetes, it is essential to monitor any changes in your body closely. Diabetes can affect your immune response, making you more susceptible to infections.
What to Expect at the Doctor's Office
When you visit a healthcare provider, they will likely perform a physical examination and may order imaging tests, such as an ultrasound, to get a better understanding of the lump's characteristics. They may also check for other symptoms, such as fever or systemic signs of infection.
Self-Care and Monitoring
While waiting for your appointment, you can monitor the lump for any changes. Keep track of its size, any changes in pain level, and any other symptoms that may arise. Avoid any activities that may aggravate the area, and consider using over-the-counter pain relief, such as ibuprofen or acetaminophen, to manage discomfort, but consult with a healthcare provider regarding their use, especially considering your diabetes.
Conclusion
In summary, while it may be tempting to wait and see if the lump resolves on its own, the combination of increased size, pain, and your medical history suggests that seeking medical advice is the best course of action. Early intervention can lead to better outcomes, especially if there is an underlying condition that needs to be addressed. Please prioritize your health and make an appointment with a healthcare provider as soon as possible.
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