Armpit Inflammation: When to Seek Further Medical Attention - Surgery

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Axillary erythema and swelling?


I have recently been experiencing redness, swelling, and inflammation in my armpit, which is painful.
The last time I visited a surgeon, the doctor mentioned it was a sebaceous cyst issue and advised me to keep it clean and take medication.
However, in the past few days, it has started to swell significantly again.
Should I continue seeking medical attention?

Xuan Xuan, 20~29 year old female. Ask Date: 2016/01/30

Dr. Li Zhonghuai reply Surgery


Hello! If it is a sebaceous cyst, surgical removal is necessary for a complete cure.
If it ruptures and comes into contact with tap water, it may become infected.
It is recommended to have it removed as soon as possible.
Changhua Hospital cares about you!

Reply Date: 2016/01/30

More Info


When it comes to armpit inflammation, especially when accompanied by redness, swelling, and pain, it is essential to understand the underlying causes and when to seek further medical attention. In your case, it seems that you have been diagnosed with a sebaceous cyst (commonly referred to as a "pilar cyst" or "wen") by your surgeon. While these cysts are generally benign and can often be managed with simple hygiene and medication, there are certain circumstances that warrant further evaluation.


Understanding Sebaceous Cysts
Sebaceous cysts are typically non-cancerous lumps beneath the skin that can occur when a hair follicle or oil gland becomes blocked. They can become inflamed or infected, leading to symptoms such as redness, swelling, and tenderness. In many cases, conservative treatment, including proper cleaning and possibly antibiotics, can resolve the issue.


When to Seek Further Medical Attention
1. Persistent Symptoms: If you notice that the inflammation and pain persist despite following your doctor's advice, it may be time to return for a follow-up. Continuous symptoms could indicate that the cyst is infected or that there is another underlying issue.

2. Increased Size or Severity: If the cyst or the surrounding area becomes significantly larger or the pain intensifies, this could be a sign of infection or complications that require medical intervention.

3. Fever or Systemic Symptoms: If you develop a fever, chills, or other systemic symptoms, this could indicate a more serious infection that may require immediate medical attention.

4. Changes in Appearance: If the cyst changes in color, becomes more painful, or begins to drain pus or other fluids, these are signs that you should seek further evaluation.

5. Recurrent Issues: If you find that the cyst keeps recurring despite treatment, it may be beneficial to discuss surgical options with your healthcare provider. Sometimes, complete removal of the cyst is necessary to prevent recurrence.

6. Concern for Other Conditions: If you have any concerns about the nature of the lump or if it feels different from what you have experienced before, it is always prudent to seek a second opinion or further evaluation.


Conclusion
In summary, while sebaceous cysts are often manageable with conservative treatment, it is crucial to monitor your symptoms closely. If you experience persistent or worsening symptoms, or if you have any new concerns, do not hesitate to return to your healthcare provider for further evaluation. They may recommend imaging studies or even a minor surgical procedure to address the cyst if necessary. Your health and peace of mind are paramount, so advocating for yourself in these situations is essential.

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