[36M] With painful hard bumps under armpit

What might be happening

Based on the information you have provided, here are some possible explanations for the painful, hard bumps under your armpit:

• Infected Cyst or Abscess: These are common and can occur when bacteria enter a blocked oil gland or hair follicle. The sudden appearance, pain, redness, and discharge of clear, bloody fluid suggest an infection. The flaky, darkish red skin around the bump could be due to inflammation or the body's response to the infection.

  • Treatment: Typically involves drainage of the abscess by a healthcare professional and antibiotics to clear the infection. Warm compresses can help alleviate pain and promote drainage.

• Hidradenitis Suppurativa: A chronic skin condition that causes small, painful lumps to form under the skin, often in areas where skin rubs together, such as the armpits. These lumps can break open and leak fluid.

  • Treatment: Includes antibiotics, anti-inflammatory medications, and sometimes surgical procedures to remove the affected skin. Maintaining good hygiene and avoiding tight clothing can help manage symptoms.

• Lymphadenitis: Inflammation of the lymph nodes, which can occur due to an infection. The lymph nodes in the armpit can become swollen, painful, and red.

  • Treatment: Depends on the underlying cause but may include antibiotics if a bacterial infection is present. Warm compresses and over-the-counter pain relievers can help with discomfort.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment, here are some steps you can take in the meantime:

1. Warm Compresses: Apply a warm, damp cloth to the affected area for 10-15 minutes several times a day. This can help reduce pain and promote drainage.
2. Keep the Area Clean: Gently wash the area with mild soap and water. Avoid using harsh chemicals or scrubbing too hard.
3. Avoid Popping the Bumps: This can introduce more bacteria and worsen the infection. If a bump does burst, clean the area thoroughly and apply an antiseptic.
4. Over-the-Counter Pain Relief: Non-prescription pain relievers like ibuprofen or acetaminophen can help manage pain and reduce inflammation.
5. Monitor Your Symptoms: Use MDandMe to journal your symptoms, track progress, and share longitudinal medical notes with your provider. This can help your healthcare professional make a more accurate diagnosis.

What you should look out for

Seek medical attention if you experience any of the following:

• Increased Pain or Swelling: If the pain or swelling worsens, it could indicate that the infection is spreading.
• Fever or Chills: These could be signs of a more serious infection that requires prompt medical treatment.
• Red Streaks: Red streaks extending from the bumps could indicate a spreading infection.
• Persistent or Recurrent Bumps: If the bumps do not improve or keep coming back, a healthcare professional should evaluate you for underlying conditions like hidradenitis suppurativa.

Remember, while this information can help you understand your symptoms better, it is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and appropriate treatment.