Painful Lumps in the Armpit: Causes and Treatments - Surgery

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When you notice a painful lump in your armpit that is red and releases fluid when pressed, it can be concerning. There are several potential causes for this type of lump, and understanding them can help you determine the best course of action.


Possible Causes of Painful Lumps in the Armpit
1. Lymphadenopathy: One of the most common causes of lumps in the armpit is swollen lymph nodes. Lymph nodes can become enlarged due to infections (like a cold or flu), localized infections (such as an abscess), or even systemic conditions (like autoimmune diseases). When lymph nodes are swollen, they can feel tender and may be accompanied by redness if there is an infection.

2. Abscess: An abscess is a collection of pus that can form in response to infection. If the lump is painful, red, and has fluid that can be expressed, it may be an abscess. Abscesses often require drainage and may need antibiotics to clear the infection.

3. Folliculitis: This is an infection of the hair follicles, which can occur in the armpit due to shaving or friction. It can cause red, painful bumps that may ooze pus.

4. Cysts: Sebaceous cysts can develop in the armpit area. These are generally non-painful unless they become infected. If a cyst becomes inflamed or infected, it can become painful and may release fluid.

5. Skin Conditions: Conditions like hidradenitis suppurativa can cause painful lumps in the armpit. This chronic skin condition leads to the formation of lumps, abscesses, and scarring.

6. Tumors: While less common, both benign and malignant tumors can present as lumps in the armpit. If the lump persists, changes in size, or is associated with other symptoms (like weight loss or night sweats), further evaluation is necessary.


When to Seek Medical Attention
Given that your lump is painful, red, and discharges fluid, it is advisable to seek medical attention. A healthcare provider can perform a physical examination and may recommend imaging studies or a biopsy if necessary. Here are some signs that warrant immediate medical attention:
- The lump is rapidly increasing in size.

- You experience fever or chills.

- There is significant pain or discomfort.

- You notice other systemic symptoms, such as unexplained weight loss or night sweats.


Treatment Options
The treatment for a painful lump in the armpit will depend on the underlying cause:
- For infections: Antibiotics may be prescribed, and if an abscess is present, it may need to be drained.

- For cysts: If a cyst is infected, it may also require drainage and antibiotics. Non-infected cysts may be monitored unless they cause discomfort.

- For skin conditions: Treatment may include topical or systemic medications to manage symptoms and prevent flare-ups.

- For tumors: Further evaluation and possibly surgical intervention may be necessary.


Conclusion
In summary, a painful lump in the armpit that is red and discharges fluid can be caused by various conditions, including infections, abscesses, cysts, or skin disorders. It is essential to consult a healthcare provider for an accurate diagnosis and appropriate treatment. Early intervention can prevent complications and ensure better outcomes. If you notice any alarming changes or persistent symptoms, do not hesitate to seek medical advice.