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What does a lump in the crook of elbow indicate? - Online Doctor Chats

Date : 28-Feb-2014
User rating for this question
Very Good Posted in: Lump
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1721 Questions
User:I just noticed a new and large lump (about 2" wide) in the crook of my elbow. I had bronchitis and asthma and just finished a regimen of Biaxin and Prednisone.
Doctor:let me read your query
User:I just wrote a long list of additional health information. Do you have that?
Doctor:yes, I have read it
Doctor:I do not see the additional information
Doctor:You have a new large lump on the elbow
Doctor:and had bronchitis and asthma for which you just finished the treatment
Doctor:Please let me know about your query now?
Doctor:Would you like to discuss on the lump in the crook of elbow?
User:Yes, I just noticed the lump. The only other symptom I notice is a flushing of my skin in my face. I am an obese 72 year old woman with a post-operative girdlestone procedure from 2010. I have health issues stemming from that illness and the
User:The skin on my hands and arms has also been itching. I have not slept except for short periods since I started the prednisone 7 days ago. I finished both medicines yesterday.
User:Could this be a result of taking the medicines?
Doctor:Your lump problem is not related to both the medicines that you finished yesterday
Doctor:NO, both are unrelated
Doctor:neither biaxin nor prednisone can cause the lump
Doctor:The lump is a separate entity that has popped up
Doctor:It could be due to trauma or insidious in onset
Doctor:what is the consistency of the lump?
Doctor:Is it soft or hard?
User:It is firm, not squshy
Doctor:how is the dimensions of it?
Doctor:was there any trauma to your elbow prior to this?
User:I have a small lump under in my right armpit that has been there for years ... doesn't change much. The new lump is about 1-1/2 to 2 inches in circumference and raised about 1/2"
User:No trauma to my body except wracking cough spasms due to illness
User:Looks like a large ganglia cyst to me. I have had one of those on my wrist before.
Doctor:yes, it is possible to be a ganglion
Doctor:If it is painless or not bothersome, you can leave it alone
User:What brings them on and do they appear this large this fast?
Doctor:The onset can be insidious
Doctor:for no reason
Doctor:They do not appear large this fast
Doctor:perhaps it was pre-existing, and enlarged now due to hemorrhage inside it
Doctor:or acute inflammation setting in, in the last 2 days
Doctor:there is no specific cause for it
Doctor:however certain risk factors like pre-existing osteoarthritis, tendon or joint injury can predispose one to ganglion
User:I do not think it was there before today. There is no redness, just itching around it. It is not painful ... just worried because I now have health issues due to the infection and surgeries I had on my hip. Vanomycin and Invanz for 12 weeks caused kidney problems and I have had a bladder/urinary problem that has defied diagnosis. I don't know when to worry about infection and when not to worry.
Doctor:I understand
User:I cannot take NSAIDs for inflamation
Doctor:it must be difficult for you
Doctor:yes, you cannot in view of your age
Doctor:I would suggest you to give hot fomentation locally to the lump area thrice daily for next 2 days
Doctor:it should mostly subside by then
Doctor:Do not fiddle with it
Doctor:It is not infection
Doctor:It seems to be a benign lump
Doctor:that should go away soon
Doctor:You do not need to take medicines or need active management of this swelling at this moment
Doctor:Wait and watch for a few days
User:okay, I will do that for this. Another question? I have not been able to sleep prone because of the breathing difficulties this past week ... much better today. Could sleeping in a recliner cause problems?
Doctor:did you get the text that I just typed in?
Doctor:A recliner should help you sleep better
User:Treating the asthma with Abuterol in nebulizer three times a day, QVAR, Singulair, and Serevent Diskus. Have seen the pulmonary doctor within the week.
Doctor:Your head end has to be elevated to more than 45 degrees for you to sleep and breathe better
Doctor:Continue the treatment for asthma
Doctor:you are on the right drugs
User:I got the message about not treating the lump except for heat to it. Not an infection and should go away soon. No management or medicines needed at this time.
Doctor:all right
Doctor:you have got most of my points
Doctor:please ask me other queries that you may have
User:I guess that is all ... all other issues are being addressed by my doctors. We are due for snow and I wanted to be sure I didn't have to call or see a doctor right away.
Doctor:are you there?
Doctor:no, you do not need to see a doctor right away
Doctor:take care as you are due for snow
Doctor:Keep yourself warm at all times
Doctor:with warm surrounding as well
User:Everyone is a specialist and you can't address all concerns in visits to them ... leaves a lot of unanswered questions when things come up.
Doctor:A vigilant caretaking on your behalf, can prevent most of health problems
Doctor:Yes, that is right
User:Thank you. I am not alone or in need. I was just worried.
Doctor:You may not be able to discuss all with the specialist
Doctor:nothing to be worried
Doctor:You may relax
Doctor:You should be better soon
Doctor:wish you good health
Doctor:it's my pleasure to chat with you
Doctor:Shall we end the chat now?
User:Not when you begin to experience multiple illnesses. Other than my kidneys, weight, and disability I have no other major issues or major illness that I know of. Thank you. Yes we can end.
Doctor:all right
Doctor:take care then
Doctor:Bye for now
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