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Dr. Andrew Rynne

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Exp 50 years

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I have had a large painful pressure mass under skin on arm. What is it and how can I stop it ?

For about 4 days now I have had a painful mass about the size of a Kiwi if cut down center to make flat. It s just below my bicep and just above the opposite side of my elbow. It feels like there is huge pressure. I tried to drain it with an insulin syringe (clean) but only blood came out and though I filled the syringe several times, it did not seem to reduce the pressure. What is it and how can I stop it ? I have been trying to wrap my arm in a heating pad at night and let the hot water from shower run on it as that takes away a little of the pain for a bit, but then it’s back.
Sat, 14 May 2011
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General & Family Physician 's  Response
Hi,
It seems that you have got infection or haematoma at the part.
Do not disturb by syringing or any other way as this may produce more infection and more complication.
Consult your doctor for diagnosis and treatment.
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OBGYN Dr. Minoo Bhagia's  Response
Hi ,
Is the colour of skin is red or dark ? Was there any injury ?
If it is painful , red and hot then it is probably an abscess otherwise lipomas are very common under biceps but they do not cause pressure and are painless.I would suggest you to show it to a surgeon before it gets bad.
Take care
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  User's Response
Michael Loomis's  Response
Injury yes, I was cleaning off a deck with wire brush and leaned over with wet rag after to scrub, however, when I did this a bristle of the wire brush punctured my skin and I think hit the vein on opposite side of elbow as when I pulled it out it bled and bled. Infection? I have a friend who has a Z-Pack who was going to give it to me, would that help? It spread and is more painful today, hard mass growing leaded by a softer mass headed over my bicept now. :-(
  User's Response
Michael Loomis's  Response
Skin coler normal, center vein looks a tad darker then other arm but thats it. I cannot extend my arm out __ only like this \_ or this < but todat I cant even let it hang free the pain is so bad. Thank you for your help everyone!
  User's Response
Michael Loomis's  Response
Thank you all, I went to Dr. today who put me on Augmenton and sent me to get an UltraSound as she was 90% sure it was just infection from the jab, but still 10% worried about clot as if that the case I would need emergency surgery. UltSnd showed infection/haematoma but also revealed an odd, not common, yet not matalic looking clot that was restricting some flow but not all. I have never seen so many people looking at it on screen...1 US tech, 3 Nurse Practitioners, and two MD's. The lead MD at ultra sound place called my GP and they want me to take Augmenton as directed but watch very close as if it gets ANY bigger vs. stay same/decrease or if fingers and/or sholder goes tingley or numb, or if I have shortness of breath I am to call 911 for imediate surgery. Never knew clots were so dangerious! Thank you all for help though, just thought you may want closure on the Dr. day. Ill update next step (hopefully pain gone and pressure drastically reduced by AM! Fingers crossed all. :-)

Michael
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