Underarm Swelling and Pain: Which Specialist to Consult? - Family Medicine

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When experiencing underarm swelling and pain, it is essential to consult a healthcare professional who specializes in the relevant area of concern. The most appropriate specialist to see in this case would typically be a primary care physician or a dermatologist. If the swelling and pain are suspected to be related to lymph nodes, which can occur due to infections, inflammation, or other underlying conditions, a general surgeon or an oncologist may also be involved in your care.


Initial Steps to Take
1. Primary Care Physician (PCP): Your first step should be to visit your primary care physician. They can perform a thorough examination, take your medical history, and determine if further testing is necessary. They can also assess whether the swelling is due to an infection, an allergic reaction, or another cause.

2. Dermatologist: If the swelling is associated with skin changes, such as rashes or lesions, a dermatologist would be the right specialist to consult. They can evaluate skin conditions that may cause swelling and pain in the underarm area.

3. General Surgeon: If there is a concern about swollen lymph nodes or if a lump is detected, a general surgeon may be consulted. They can perform procedures if necessary, such as biopsies or drainage of any abscesses.

4. Oncologist: If there is a suspicion of malignancy (cancer), particularly if there are other concerning symptoms or risk factors, an oncologist may be involved in your care.


Possible Causes of Underarm Swelling and Pain
- Infections: Conditions such as bacterial or viral infections can lead to swollen lymph nodes in the underarm area, often accompanied by pain. Common infections include abscesses or cellulitis.


- Allergic Reactions: Allergies to deodorants, soaps, or other products can cause localized swelling and irritation.

- Lymphadenopathy: Swollen lymph nodes can indicate an immune response to infection or, in some cases, malignancy.

- Cysts or Lipomas: Benign growths such as cysts or lipomas can occur in the underarm area and may cause swelling and discomfort.

- Muscle Strain: Overexertion or injury to the muscles in the shoulder or upper arm can sometimes cause referred pain to the underarm area.


When to Seek Immediate Care
You should seek immediate medical attention if you experience any of the following:
- Severe pain or swelling
- Fever or chills
- Redness or warmth in the area
- Difficulty moving your arm
- Any other concerning symptoms that worsen over time

Conclusion
In summary, the best course of action for underarm swelling and pain is to start with a visit to your primary care physician. They can guide you through the diagnostic process and refer you to the appropriate specialist based on their findings. Early evaluation is crucial, especially if the symptoms persist or worsen, to rule out any serious underlying conditions. Remember, timely medical intervention can lead to better outcomes and alleviate your concerns.