Right Armpit Pain: Possible Causes and When to Seek Help - Breast and Thyroid

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Right axilla?


Hello doctor, I woke up the day before yesterday and suddenly felt a lot of pain in my right armpit.
There’s no pain when I touch the surface, and I don’t feel any swelling, but when I press hard, I can feel a lump that moves.
It doesn’t hurt when I raise my arm, but I can feel something when I lower it or sleep on my side.
I would like to know if this could be lymphoma or some other condition? Which specialist should I see?

Shan Shan, 20~29 year old female. Ask Date: 2015/08/25

Dr. Zhou Jiazhen reply Breast and Thyroid


Dear Shanshan,
Hello, it may be due to lymphadenopathy.
You can first visit a family medicine clinic for an examination, and based on the results, you can then see a specialist if needed.
If a biopsy or excision is required, you can consult a general surgeon.

Wishing you safety and health.
Sincerely,
Dr.
Chou Chia-Cheng
Director of Surgery, Taoyuan General Hospital, Ministry of Health and Welfare

Reply Date: 2015/08/25

More Info


Hello! It sounds like you are experiencing some concerning symptoms in your right armpit area. Based on your description, there are several potential causes for the pain and the movable lump you’ve noticed. It’s important to understand these possibilities and when to seek medical attention.


Possible Causes of Right Armpit Pain
1. Lymphadenopathy: One of the most common causes of a lump in the armpit is swollen lymph nodes. This can occur due to infections (like a cold or flu), inflammatory conditions, or even more serious issues like cancer. However, the presence of a movable lump does not necessarily indicate cancer. It could simply be a reactive lymph node responding to an infection or inflammation.

2. Muscle Strain: If you have recently engaged in physical activity that involves lifting or using your arms, you might have strained a muscle in the shoulder or upper arm, which can refer pain to the armpit area.

3. Cysts or Lipomas: These are benign growths that can occur in the soft tissue. A cyst is a fluid-filled sac, while a lipoma is a fatty lump. Both can be movable and are generally not a cause for concern unless they become painful or grow significantly.

4. Infections: Skin infections, such as abscesses or cellulitis, can also cause localized pain and swelling. If the area becomes red, warm, or increasingly painful, this could indicate an infection that requires treatment.

5. Nerve Compression: Conditions like thoracic outlet syndrome can cause pain in the armpit due to nerve compression. This is often associated with other symptoms like tingling or weakness in the arm.


When to Seek Help
Given your symptoms, it is advisable to consult a healthcare professional, especially if:
- The lump persists or grows larger.

- You experience additional symptoms such as fever, night sweats, unexplained weight loss, or fatigue.

- The pain worsens or does not improve with rest.

- You notice any changes in the skin over the lump, such as redness or warmth.


Recommended Next Steps
1. Visit a Primary Care Physician: Start with your primary care doctor, who can perform a physical examination and may order imaging studies (like an ultrasound) or blood tests to determine the cause of your symptoms.

2. Consider a Specialist: Depending on the findings, you may be referred to a specialist, such as an oncologist if there is a concern about cancer, or a surgeon if the lump needs to be evaluated further.

3. Monitor Symptoms: Keep track of any changes in the lump or your overall health, including any new symptoms that may arise.


Conclusion
While the presence of a movable lump in your armpit can be concerning, it is not necessarily indicative of a serious condition like lymphoma or other cancers. Many benign conditions can cause similar symptoms. However, it is crucial to seek medical advice to ensure proper evaluation and treatment. Early intervention can lead to better outcomes, so don’t hesitate to reach out to a healthcare provider for a thorough assessment.

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