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Dr. Andrew Rynne

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What causes tingling, pain and swelling under the arms when the ultrasound indicates no swollen lymph nodes?

Answered by
Dr.
Dr. Bhagyesh V. Patel

General Surgeon

Practicing since :1999

Answered : 13161 Questions

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Posted on Wed, 19 Sep 2018 in Lump
Question: Hi
I have a swollen underarm and pain as needle, tingling. I ve done an ultrasound last Monday with no lymph node detected, but still have same pain same swelling.
I am little bit worried
doctor
Answered by Dr. Bhagyesh V. Patel 26 minutes later
Brief Answer:
Inflammation with neuritic pain.

Detailed Answer:
Hello,

* The condition mostly seems inflammatory issue with neuritic pain.

Kindly provide further details so that I can answer your query completely.

1. Swelling - size , extent .
2. Overlying skin changes if any as redness , warm .
3. Associated fever , difficulty in arm movements if any .
4. If possible and no objection kindly upload a photo picture of the swelling as an attachment in follow up session to evaluate it more precisely.

Hope I have answered your query.
Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Bhagyesh V. Patel 26 minutes later
Thank you Dr for your response.
The swelling is with no edges, it s around 1.5 cm, no redness no warm, no fever. Slight pain in shoulder and neck.
doctor
Answered by Dr. Bhagyesh V. Patel 8 minutes later
Brief Answer:
more likely lymph node.

Detailed Answer:
Hello,

* Seems more of axillary lymph nodes with neuronal pain to shoulder and neck.

* Unusual to be not shown up in ultrasound .

Hope I have answered your query.
Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Bhagyesh V. Patel 19 minutes later
Hi Doctor I attached the last report from Emergency it was On Friday 9th February
doctor
Answered by Dr. Bhagyesh V. Patel 9 minutes later
Brief Answer:
Inflammation below the skin area.

Detailed Answer:
Hello,

* As per the narration, it is clear that there is no lymph node enlargement .
* The current issue is likely to be of low grade inflammation below the said area giving discomfort .
* Guidelines at present:

- Keep the part clean with antiseptic liquid , dry .
- Avoid tight clothing .
- Should take anti inflammatory drug as Ibuprofen or paracetamol after meals with antacids .
- Local application of ice pack 3 times a day for 5 minutes each
- Avoid weight lifting with the same arm.

* Follow up after 24 hours or early as per the requirement .

Hope I have answered your query.
Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel,
General Surgeon
Above answer was peer-reviewed by : Dr. Prasad
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