Recurring Bumps in the Armpit: Causes and Solutions - Dermatology

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Multiple lumps in the armpit?


In the past few months, I have frequently developed bumps under my left armpit.
They go away when I apply medication, but they keep recurring.
Recently, in the last three days, I noticed that there are many more bumps, about five or six, that are about to emerge.
What could be causing this?

Fanrao Ren, 40~49 year old female. Ask Date: 2014/08/08

Dr. Wu Yuxin reply Dermatology


Hot weather and excessive sweating can easily lead to bacterial growth, which is a primary cause of skin issues.
Generally, topical treatments are sufficient for treatment; however, if the condition is severe, oral medications may also be considered for quicker results.

Reply Date: 2014/08/08

More Info


Recurring bumps in the armpit can be a frustrating and uncomfortable issue. These bumps, often referred to as "lumps" or "bumps," can arise from various causes, and understanding these can help in finding effective solutions.

One common cause of recurring bumps in the armpit is the presence of ingrown hairs. This occurs when hair follicles become clogged with dead skin cells, oil, or bacteria, causing the hair to grow sideways or curl back into the skin. This can lead to inflammation and the formation of small, painful bumps. Shaving or waxing can exacerbate this issue, especially if proper techniques are not used.

Another potential cause is hidradenitis suppurativa (HS), a chronic skin condition characterized by the formation of painful lumps, abscesses, and scarring in areas where skin rubs together, such as the armpits. HS can be triggered by factors such as hormonal changes, obesity, and friction. If you suspect this condition, it is crucial to consult a healthcare provider for a proper diagnosis and treatment plan.

Additionally, bacterial infections, such as folliculitis, can lead to the development of bumps in the armpit. Folliculitis occurs when hair follicles become infected, often due to bacteria like Staphylococcus aureus. This can result in red, swollen bumps that may be itchy or painful. In some cases, these infections can resolve on their own, but persistent or severe cases may require antibiotic treatment.

Allergic reactions or irritations from deodorants, soaps, or laundry detergents can also cause bumps in the armpit. If you have recently changed your personal care products, consider reverting to your previous products or trying hypoallergenic options to see if your symptoms improve.

To manage and potentially reduce the occurrence of these bumps, consider the following strategies:
1. Maintain Hygiene: Regularly wash the armpit area with a gentle cleanser to keep the skin clean and free from excess oil and bacteria.

2. Avoid Irritation: If you suspect that your deodorant or other products are causing irritation, switch to fragrance-free or hypoallergenic options. Additionally, avoid tight clothing that may cause friction in the armpit area.

3. Exfoliate: Gently exfoliating the skin can help remove dead skin cells and prevent clogged hair follicles. However, be cautious not to over-exfoliate, as this can lead to irritation.

4. Hair Removal Techniques: If you shave or wax, consider using proper techniques to minimize the risk of ingrown hairs. Using a sharp razor, shaving in the direction of hair growth, and moisturizing the skin afterward can help.

5. Warm Compresses: Applying warm compresses to the affected area can help reduce inflammation and promote drainage if the bumps are due to infection.

6. Consult a Healthcare Provider: If the bumps persist, worsen, or are accompanied by other symptoms such as fever or significant pain, it is essential to seek medical advice. A healthcare provider can evaluate your condition, perform necessary tests, and recommend appropriate treatments, which may include topical or oral antibiotics, corticosteroids, or other medications.

In conclusion, recurring bumps in the armpit can stem from various causes, including ingrown hairs, hidradenitis suppurativa, infections, and allergic reactions. By maintaining proper hygiene, avoiding irritants, and consulting a healthcare provider when necessary, you can effectively manage this condition and reduce the likelihood of recurrence.

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