Swelling in Lymph Nodes Underarm: Symptoms, Causes, and Treatment
What causes swollen lymph nodes in the armpit? How to identify the symptoms? What are the treatment options for swollen lymph nodes? Discover the answers to these questions and more.
Understanding Swollen Lymph Nodes in the Armpit
Lymph nodes are an essential part of the body’s immune system, acting as filters that trap bacteria, viruses, and other harmful substances. When these nodes become swollen, it can indicate an underlying infection or condition requiring medical attention. Swollen lymph nodes in the armpit, also known as axillary lymph nodes, are a common occurrence and can have a variety of causes.
Symptoms of Swollen Lymph Nodes in the Armpit
The primary symptom of swollen lymph nodes in the armpit is a noticeable lump or swelling in the area. These swollen nodes may be painful or tender to the touch. Other symptoms that may accompany swollen lymph nodes include:
- Redness or warmth at the site of the swollen node
- Fever or chills
- Fatigue or malaise
- Difficulty moving the arm on the affected side
Causes of Swollen Lymph Nodes in the Armpit
Swollen lymph nodes in the armpit can have a variety of causes, ranging from common infections to more serious conditions. Some of the most common causes include:
Viral Infections
Viruses such as the flu, mononucleosis, and HIV can cause the lymph nodes to swell as the body’s immune system responds to the infection.
Bacterial Infections
Bacterial infections, such as cellulitis or Lyme disease, can also lead to swollen lymph nodes in the armpit as the body works to fight off the infection.
Cancer
In some cases, swollen lymph nodes in the armpit can be a sign of a more serious condition, such as lymphoma or breast cancer. These types of cancers can cause the lymph nodes to swell as the disease progresses.
Injury or Trauma
Swollen lymph nodes can also occur as a result of an injury or trauma to the arm or upper body, such as a cut or bruise.
Diagnosis and Treatment of Swollen Lymph Nodes in the Armpit
If you notice swollen lymph nodes in your armpit, it’s important to seek medical attention. Your healthcare provider will perform a physical examination and may order additional tests, such as imaging studies or a biopsy, to determine the underlying cause.
The treatment for swollen lymph nodes will depend on the underlying cause. In many cases, the swollen nodes will resolve on their own as the body’s immune system fights off the infection or condition. Over-the-counter pain medications and warm compresses can help alleviate any discomfort.
In more serious cases, such as those involving cancer or a severe infection, your healthcare provider may prescribe antibiotics, antiviral medications, or other treatments to address the underlying condition.
Preventing Swollen Lymph Nodes in the Armpit
While it’s not always possible to prevent swollen lymph nodes, there are some steps you can take to reduce your risk:
- Practice good hygiene, such as washing your hands regularly and keeping any cuts or scrapes clean and covered.
- Get vaccinated against viruses that can cause swollen lymph nodes, such as the flu and measles.
- Avoid exposure to ticks, which can transmit Lyme disease and other infections that can lead to swollen lymph nodes.
- Maintain a healthy lifestyle, including a balanced diet and regular exercise, to support a strong immune system.
When to Seek Medical Attention
If you notice any swelling or tenderness in your armpit, it’s important to consult with your healthcare provider. While many cases of swollen lymph nodes are not a cause for concern, it’s important to rule out any underlying conditions that may require medical treatment.
Seek immediate medical attention if you experience any of the following symptoms:
- Persistent or worsening swelling in the armpit
- Fever, chills, or other signs of infection
- Difficulty moving the affected arm
- Unexplained weight loss or other concerning symptoms
Your healthcare provider can help determine the cause of your swollen lymph nodes and provide the appropriate treatment to address the underlying condition.
Swollen lymph nodes in armpit: Symptoms, causes, and treatment
Lymph nodes are part of the body’s immune system. A swollen lymph node in the armpit may be a sign of a bacterial or viral infection, an injury, or a serious health condition, such as cancer.
The possible causes of lymph node swelling range in severity from common infections that typically resolve on their own to more serious conditions, such as lymphoma.
In this article, we look at why lymph nodes swell, the most common causes of this symptom, and when to consult a doctor.
When a person has an infection or injury, the lymph nodes may swell as they start to filter unwanted cells from the lymph.
Lymph is a watery fluid that carries oxygen to the cells and transports waste products away from them. It also contains white blood cells, which help fight infections.
As the lymph nodes begin to work harder to remove waste, they can enlarge. This enlargement is more common in certain areas of the body, including the neck, armpits, and groin.
A swollen lymph node may be painful and tender to the touch. In some cases, it will be visibly enlarged under the skin, but in others, it will be smaller or deeper in the body and only apparent when touching the area.
Many viruses can cause swollen lymph nodes. These include:
- varicella-zoster virus, which causes chickenpox
- measles
- mumps
- rubella
- HIV
Infections with these viruses usually produce other visible symptoms, such as a rash.
However, other viral conditions can cause swollen lymph nodes with no other visible symptoms. These include:
Influenza (flu)
The flu is a respiratory infection that can also cause the lymph nodes to swell. The symptoms of the flu are similar to those of other respiratory viruses, but they tend to be more severe. They also often develop suddenly rather than gradually.
Other symptoms of the flu include:
- fatigue
- sore throat
- a cough
- runny or stuffy nose
- body aches
- headaches
- fever or chills
Vomiting and diarrhea can also occur, but these symptoms are more common in children.
While a person has the flu, they should stay at home and rest, avoiding contact with others. Most people recover from the flu without treatment, but it can sometimes cause complications.
People who are most at risk of complications include:
- young children
- adults over 65 years of age
- pregnant people
- people with underlying health conditions
People in these groups may need antiviral medication to prevent severe symptoms. Getting a flu vaccine each year is the best way to avoid getting the flu.
Infectious mononucleosis
Infectious mononucleosis, also known as mono or glandular fever, is the result of a viral infection. It can cause lymph nodes in the neck and armpits to swell. Mono also causes symptoms such as:
- extreme fatigue
- fever
- swelling in the liver, spleen, or both
- sore throat
- body aches
- headaches
Mono will eventually go away on its own. Most people recover in 2–4 weeks, but some experience symptoms for longer. Resting, drinking fluids, and taking over-the-counter (OTC) pain relievers can help during recovery.
Bacterial infections can also cause the lymph nodes to swell. Some examples of infections that could affect the nodes in the armpit include:
Cellulitis
Cellulitis is a skin infection. It occurs when bacteria penetrate the skin and infect the deeper layers, potentially as a result of an injury that led to an area of broken skin.
Cellulitis may cause nearby lymph nodes to swell. For example, an infection in the arm may cause the lymph nodes in the armpit to enlarge. Common symptoms of cellulitis at the infection site include:
- pain and swelling
- skin sores
- skin that is warm to the touch
- redness, which may be less apparent in people with dark skin tones
- hardening of the skin
- fluid collection under the skin
Additional symptoms of cellulitis may include:
- fever or chills
- body aches
- muscle and joint pain
- vomiting and nausea
- fatigue
Doctors treat cellulitis with antibiotics. A person may need to stay in the hospital if the infection is severe or they require IV antibiotics, which a doctor administers directly into a vein.
Lyme disease
Lyme disease spreads via the saliva of certain species of tick, which are small insects that can bite humans. One of the early symptoms of Lyme disease is swollen lymph nodes, which may appear 3–30 days after the tick bite occurred.
Other early symptoms include:
- a circular rash resembling a bull’s-eye at the site of the bite
- fever
- chills
- joint or muscle aches
- fatigue
- headaches
A doctor will typically prescribe antibiotics to treat Lyme disease. Anyone who suspects that they have this condition should seek medical attention promptly.
Other bacterial infections that can cause swollen lymph nodes include:
- chlamydia
- syphilis
- tuberculosis
However, these infections typically affect the lymph nodes in other areas of the body, such as the neck or groin. They are less likely to cause swelling in the armpits.
Bacteria and viruses are not always responsible for swollen lymph nodes in the armpit. Other possible causes include:
Rheumatoid arthritis
Rheumatoid arthritis (RA) is one of several autoimmune conditions that can cause swollen lymph nodes.
RA occurs when the body’s immune system mistakenly attacks the lining of the joints, causing stiffness, pain, and warmth.
A 2019 review article states that RA affects the lymph nodes, reducing their capacity to drain fluid from nearby inflamed joints. This impairment may lead to local lymph node enlargement.
Doctors treat RA with medications that reduce inflammation and relieve pain. Physical therapy may also help. In some cases, a doctor may recommend surgery to replace or repair affected joints.
Cancer
In some cases, swollen lymph nodes are a symptom of cancer.
Cancer that begins in the lymphatic system is known as lymphoma. There are several types of lymphoma, including:
- Hodgkin lymphoma
- non-Hodgkin lymphoma
- non-Hodgkin lymphoma in children
- Waldenström macroglobulinemia
- lymphoma of the skin
In addition to swollen lymph nodes, the symptoms of lymphoma can include:
- unintentional weight loss
- feeling tired
- fever
- night sweats
Other types of cancer that have spread to the lymph nodes, such as breast cancer, can also cause swelling in these parts of the body.
The type and stage of the cancer, as well as a person’s age and overall health, will affect what treatment doctors recommend.
However, it is worth remembering that there are many causes of swollen lymph nodes that are not related to cancer.
A doctor can determine the cause of swollen lymph nodes in the armpit and recommend the best treatment. They may ask about the person’s symptoms, review their medical history, and perform a physical examination.
In some cases, a doctor may also carry out diagnostic tests, such as blood tests, a biopsy, or medical imaging.
In most cases, the swelling in lymph nodes under the armpit will resolve within 1–2 weeks.
If the swelling lasts for longer or worsens over time, a person should speak with a doctor.
Swollen lymph nodes can be painful. While a person receives medical treatment, they can also try certain techniques at home to ease any tenderness.
For instance, a person can apply a warm compress to reduce pain. They can run warm or hot water over a washcloth and wring it mostly dry before placing it on the swollen lymph node.
People can also take OTC pain medications, such as acetaminophen or ibuprofen, to relieve pain. A person should talk with their doctor if they are not sure what medications are best for them.
Anyone with swollen lymph nodes in their armpit should talk with a doctor. Swollen lymph nodes have many potential causes, and a doctor can rule out possibilities that require prompt treatment, such as Lyme disease.
Although swollen lymph nodes often result from an infection, it is important for a person to schedule an appointment if:
- the swelling continues for more than 2 weeks or worsens after this time
- the lump feels hard or does not move when a person touches it
- there is swelling in lymph nodes in more than one area — for example, in both the neck and armpits
- the swollen lymph nodes are not painful
- there are other symptoms, such as fever, night sweats, or unexplained weight loss
A person should also consult their doctor about swollen lymph nodes if they have previously had cancer treatment.
Swollen lymph nodes in the armpit can be a sign of common viral infections, such as the flu or mono. They can also occur as a result of a bacterial infection or RA. In some cases, swollen lymph nodes are a symptom of cancer.
Warm compresses and OTC pain medication can ease any pain or tenderness. However, a person should talk with a doctor if they have swollen lymph nodes with no clear cause.
Swollen Lymph Nodes in the Armpit: Pictures, Treatments, & More
Swollen lymph nodes in the armpit may indicate an infection, injury, or disease that requires medical attention. However, it’s usually not a sign of cancer.
Read on to learn what it means to have swollen lymph nodes in your armpit.
Lymph nodes are critical parts of the immune system. They filter foreign substances from the body and store white blood cells called lymphocytes. Lymphocytes fight disease and infections.
You have hundreds of small bean-shaped lymph nodes throughout the body, including in your:
- neck
- armpit
- chest
- abdomen
- groin
A lymph node in the armpit that’s only slightly enlarged may be difficult to see, but you may be able to feel it with your fingers. A serious infection or other condition may cause one or more nodes to swell enough that you can see a lump under your skin.
Keep in mind that the armpit contains many nodes, so swelling could occur in the front, center, or back of the armpit, as well as along part of the upper arm near the armpit.
In addition to being swollen, an affected lymph node may also be sore or tender to the touch.
Share on PinterestCT scan showing swollen lymph nodes in armpit.
Ahn, R. W., Mootz, A. R., Brewington, C. C., & Abbara, S.
Share on PinterestSwollen lymph nodes in the armpit due to infection.
Casa nayafana/Shuuterstock
Share on PinterestEnlarged lymph nodes in the armpit due to tuberculosis.
Zay Nyi Nyi/Shutterstock
To check for a swollen lymph node in the armpit, lift your arm slightly and gently place your fingers into your armpit. Press your fingers against the center of the armpit and then around the front and back of the armpit along the chest wall. Do the same on the other side.
Lymph nodes exist in pairs on each side of the body, and typically only one node in a pair will be swollen. By comparing both sides, it may be a little easier to tell if one is enlarged.
If lymph nodes are swollen in more than one part of the body, the condition is known as generalized lymphadenopathy, which suggests a systemic illness. Localized lymphadenopathy refers to swollen lymph node(s) in one location.
The location of swollen lymph nodes usually suggests the cause of the problem. A swollen lymph node in the neck, for example, is often a sign of an upper respiratory infection.
When lymph nodes in the armpit become swollen, your body may be fighting a viral infection, or any of several other conditions. The potential causes of a swollen lymph node in the armpit can include:
Viral infection
Common viruses can trigger swelling in one or more lymph nodes in the armpit. They can include:
- flu
- common cold
- mononucleosis
More serious viral infections that may cause lymph node enlargement include herpes, rubella, and HIV.
These viruses may also cause lymph nodes in the neck to become enlarged, too. In many cases, rest, fluids, and time are all that you can do while your immune system fights off the virus. For certain viral infections, like HIV, antiviral medications may be necessary.
Bacterial infection
Some common bacterial infections on the arm or surrounding chest wall, including staphylococcus and streptococcus, can lead to an enlarged lymph node in the armpit and elsewhere in the body. Antibiotics and rest are usually enough to overcome a bacterial infection.
Immune system disorder
Flare-ups of autoimmune disorders, like lupus and rheumatoid arthritis, can cause temporary enlargement of the lymph nodes in an armpit. Treatments vary, depending on the cause, but anti-inflammatory medications, pain relievers, and in serious cases, immunosuppressant drugs may be necessary.
Cancer
Certain types of cancer directly involve the lymphatic system. Lymphoma actually originates in the lymph glands. Leukemia, a cancer of the blood cells, can cause inflammation and swelling of the lymph nodes.
Cancers that form in other organs or tissue may spread to the lymphatic system. Breast cancer, for example, can cause swelling of the lymph nodes in the armpit.
An enlarged lymph node near a cancerous tumor is often suspected of also being cancerous. Cancer treatments vary and may include chemotherapy, radiation therapy, surgery, and other approaches.
Medications
In rare cases, certain medications can cause lymph nodes to swell. Among them are:
- ACE inhibitors, beta blockers, and vasodilators to treat high blood pressure
- anticonvulsant drugs, including phenytoin and primidone
- anti-malarial drugs, including quinidine
- uric acid reducers, like allopurinol
Switching medications or adjusting doses may be enough to reduce side effects like lymph node enlargement.
As your body starts to successfully fight off the infection, the swelling in your lymph nodes should start to diminish.
With a typical bacterial infection, for example, a course of antibiotics should start to relieve lymph node swelling and other symptoms within a few days. A stubborn viral infection could take longer.
If your other symptoms are subsiding, but your lymph nodes remain swollen, tell a health professional. You may need additional treatment or a follow-up exam to see if there are other reasons your lymph nodes are still enlarged.
Because swollen lymph nodes are more often signs of an infection, rather than cancer, you may be inclined to dismiss swelling as a temporary symptom that’ll subside as you get over your infection. In many cases, that’s exactly what will happen.
If you’re unsure whether to seek a medical evaluation for swollen lymph nodes, these signs may be reasons to see a medical professional:
- One or more lymph nodes are swollen for no obvious reason.
- The swelling has lasted or gotten worse over a period of 2 or more weeks.
- The affected node feels hard and immovable when you press on it.
- The swollen lymph nodes aren’t painful.
- You have swollen lymph nodes in separate areas, like the armpit and groin.
- You have other symptoms, like:
- redness or fluid oozing around the node
- fever
- cough
- night sweats
- unexplained weight loss
- pain elsewhere in your body
Swollen lymph nodes typically get better once your illness has been treated or goes away on its own. To support your immune system as it responds to the infection or illness, you can rest and drink plenty of fluids. If you are prescribed medication, be sure to take it according to the prescribing doctor’s instructions.
If you feel discomfort or pain due to your swollen lymph node, you can try applying a warm compress to ease discomfort. Over-the-counter (OTC) pain medication, such as acetaminophen (Tylenol), may also help reduce pain.
If your pain gets worse or does not resolve, you may need to consult a doctor for additional treatment or testing.
Most of the time, a swollen lymph node means your body’s immune system is doing its job in responding to an infection or other health problem. That also means you’re dealing with an illness or injury that may require treatment.
If you’re battling a cold, for instance, and you notice slight swelling of a lymph node in your armpit, pay attention to it for a few days and see if the swelling goes down when you start feeling better.
Unexplained swelling or the presence of other serious symptoms should prompt a visit with a health professional for a more complete evaluation.
Armpit enlargement, causes and treatment
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Symptoms
Enlargement of the lymph nodes in the armpits
Enlargement of the lymph nodes in the armpits is a symptom of the lymphatic system, occurs in response to local and pathological processes in the body, and is characterized by an increase, induration, and soreness of the lymph nodes. An increase in the lymph nodes of the armpit of any nature is called axillary lymphadenopathy. Accompanies immune and inflammatory diseases, infections, tumor lesions.
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Causes of swollen lymph nodes under the arms
Swollen lymph nodes under the arms is a common sign of axillary lymphadenitis. The disease develops subject to the presence in the body of a primary acute or chronic focus of inflammation. Infection with the flow of lymph, blood or contact spreads in the body, affects the organs of the lymphatic system. Inflammation of the lymph nodes – a pre-morbid condition or a symptom of diseases such as:
- acute respiratory viral infections;
- inflammatory processes of ENT organs: tonsillitis, sinusitis, sinusitis, otitis media;
- infections of the skin and mucous membranes: purulent wounds, stomatitis, actinomycosis, boils, eczema;
- bacteria, viral infections: diphtheria, mumps, scarlet fever, varicella;
- dental diseases: pulpitis, caries, osteomyelitis;
- venereal pathologies: syphilis, gonorrhea.
Among other reasons why enlarged lymph nodes in the armpit area, the following diseases and pathological conditions are considered:
- dysfunction of the endocrine glands;
- blood disorders;
- malignant and benign tumors of lymphoid tissue;
- axillary metastases;
- breast cancer in women;
- contusion in the armpit, chest;
- diseases of the immune system: dermatomyositis, rheumatoid arthritis, systemic lupus erythematosus;
- drug reaction;
- chronic diseases of the digestive system.
Article checked
Konovalova G. N.
Neurologist • experience 44 years
Publication date: March 24, 2021
Review date: January 20, 2023
Content of the article
Types of armpit enlargement
Quote from CMRT specialist
Ulyanova Daria Gennadievna
Neurologist • Chiropractor • 24 years of experience
Quote from CMRT specialist
Enlarged armpit lymph nodes can be associated with inflammatory or infectious processes, as well as the development of other serious diseases, therefore, it requires an urgent visit to the doctor. It is important to take into account the accompanying symptoms and conduct an up-to-date diagnosis, which will allow an accurate diagnosis.
Ulyanova Daria Gennadievna
Neurologist • Chiropractor • Experience 24 years
Methods of diagnosis
If the axillary lymph nodes are enlarged, it is necessary to contact a lymphologist or phlebologist, or a therapist can be used to establish the underlying disease, the causes of its development. In some cases, you may need to consult an endocrinologist, an infectious disease specialist, an oncologist, a pulmonologist, a mammologist, or a specialist in another field.
The doctor conducts an external examination, during which he assesses the condition of the skin, size, density, cohesion, clarity of the borders of the lymph nodes in the armpits, the severity of pain on palpation.
According to the indications, the diagnostic plan includes diverse examinations:
- laboratory tests: blood and urine tests, biochemical blood tests, bacteriological culture of the material, tuberculin test, diagnostic puncture, biopsy of the lymph nodes;
- equipment: chest x-ray, ultrasound scan of the lymph nodes of the armpit, mammography, computed tomography of the abdominal cavity.
Specialists of the CMRT clinics, in order to identify the reasons for the enlargement of the lymph nodes in the armpits, prescribe the following studies:
Which doctor to contact
Primary diagnosis of the reason why the lymph nodes in the armpits are enlarged is carried out by a therapist. After the diagnosis, he will either prescribe treatment or refer you to a surgeon, mammologist or other doctor with a narrower specialization.
Treatment of enlarged lymph nodes in the armpits
The course of treatment is selected in the case of a particular patient, and depends on the diagnosis. In the early stages and in the non-tumor nature of enlarged lymph nodes, conservative therapy is recommended. To stop infectious and inflammatory processes, to destroy the primary focus of infection, antibacterial drugs are prescribed in accordance with the type of pathogen. Non-steroidal anti-inflammatory drugs, analgesics help to get rid of pain and inflammation, normalize body temperature. Thermal procedures, compresses with Vishnevsky’s ointment, immunostimulants, vitamins are shown.
In case of a purulent form of lymphadenopathy of the axillary lymph nodes, the patient is hospitalized, the purulent focus is opened, followed by drainage and antiseptics. In the presence of indications and tumor forms, surgical removal of enlarged lymph nodes is indicated.
In CMRT clinics, to treat the causes of enlarged lymph nodes in the armpits, conservative therapy and surgical treatment are used:
Consequences
Prevention of swollen lymph nodes under the arms
Article checked
Moskaleva V.V.
Editor • Journalist • Experience 10 years
We publish only verified information
The materials posted on the site are written by authors with medical education and specialists from the CMRT company
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Aspiration biopsy of the bone marrow 90 177 | 11,000 RUB |
Phlebotomy | 5,500 RUB |
Laparoscopic nephrectomy | Installation of radio tags under the control of computed tomography (without the cost of radio tags) 1-3 pcs.![]() |