Severe spinal stenosis pain - now using 100 mg of Fentanyl patch every 72 hours as well as having epidural treatment from anasthesiologist every 3 months for last few years and tramadol up to four times daily. Recently have noticed a pea sized lump in my armpit, a very, itchy skin rash on my legs and arms, which is difficult to keep from scratching under control, continuing difficulty with constipation for which I am using double dosage skin softeners and severe night sweats which make my nightie, sheets and pillows completely soaked. I have also been diagnosed with sleep apnea, using a CPAP nightly, atrial fibrillation and heart arrythmia and a racing heartbeat for which i take blood thinners and appropriate medications prescribed by a heart specialist. I also see a rheumatologist every few months who has diagnosed me with connective tissue disease, fibromyalgia, rheumatic and osteoarthritis for which I take prednisone, methotrexate and tramadeol. I have begun the severe night sweats, the lump in my armpit and the very itchy skin rash quite recently and have not yet informed my doctors as I have not seen them since their development. could you please advise me. Thank you, Marilyn Bouthot, Langley, B.C., Canada .