I have inflammatory etiology, I am getting lymph nodes in my both armpits that are painful some time pus is also draining what to do - #12360

Investigation 1) CBC 2) ESR 3) CRP 4) Anti DS Dna 5) Ra Factor 6) Thyroid profile 7) Urine routine examination

Get back with these reports.

Hello dear See as per clinical history it seems some serious infection associated with oral disease or systemic issues like gastric or liver. Iam suggesting some tests Please get them done for confirmation Esr Serum ferritin Serum albumin/globulin ratio Serum tsh CBC Ana screening Culture if recommended by general surgeon You can apply below medication for relief on ulcers Dologel CT twice a day for 5 days Ora heal twice a day for 5 days Avoid hot food from that side Avoid mouthwash Please share the result with general physician in person for better clarity Please take medication ( except for oral ulcer) after recommendation by concerned physician only Hopefully you recover soon Regards

Hello Prerna,

You are having multiple systemic signs and it shouldn’t be ignored.

Kindly do these tests;

CBC, ESR, CRP ANA, Anti-dsDNA Vitamin B12, D, Iron studies Thyroid profile (TSH, T3, T4) Hormone analysis

Avoid squeezing or draining pus at home. It will lead to spreading of bacteria

You have to consult a physician first.

I hope this helps. Feel free to talk Thank you

1. Painful lymph nodes with pus discharge in armpits and groin suggest a chronic skin gland infection called hidradenitis suppurativa or recurrent folliculitis.

2. This happens due to blocked sweat glands and bacterial infection, often triggered by stress, hormonal imbalance, or obesity.

3. Maintain hygiene keep armpits and groin dry, wear loose cotton clothes, and avoid hair removal creams or tight garments.

4. Apply antibacterial ointment like mupirocin and use an antiseptic wash containing chlorhexidine daily.

5. Avoid squeezing or pressing the nodes, as it worsens inflammation and spreads infection.

6. You may need a course of oral antibiotics and blood tests like CBC, ESR, and fasting sugar to look for underlying causes.

7. If lesions are recurrent, consult a dermatologist or immunologist for evaluation of autoimmune or inflammatory conditions such as hidradenitis or lupus.

1. Painful, pus-filled lumps in both armpits and groin that recur suggest a chronic inflammatory skin condition such as hidradenitis suppurativa or recurrent bacterial abscesses.

2. Since you also have mouth ulcers, joint pain, and digestive sensitivity, a deeper autoimmune or inflammatory disorder (like lupus or Behçet’s disease) should be ruled out.

3. Maintain strict hygiene keep armpits and groin dry, avoid shaving, waxing, or tight synthetic clothing.

4. Use antibacterial washes (chlorhexidine or benzoyl peroxide) and apply mupirocin or clindamycin ointment to affected areas.

5. Avoid spicy and oily foods; add anti-inflammatory foods like turmeric, fruits, curd, and plenty of water.

6. You may need blood tests (CBC, ESR, CRP, ANA, thyroid, fasting sugar) and a dermatologist/immunologist review to confirm the underlying cause.

7. If pus discharge persists, a short course of oral antibiotics or isotretinoin (in severe HS) may be required under supervision.

Hello Prerna Your complaints of Recurrent painful lymph nodes in armpits (sometimes with pus), mouth ulcers, joint pain, stomach discomfort, and hormonal/weight issues it is likely inflammatory or autoimmune in nature.

My advice to you is 1 . Keep armpit area clean and dry; use Mupirocin or Clindamycin ointment twice daily. 2. Tab Amoxyclave 625 BD for 5 Days 3. Take B-complex tablet once daily. • Avoid spicy food and stress. 4. Use Paracetamol 500 mg if pain.

5. Get tests: CBC, ESR, CRP, TSH, ANA profile, Vit B12, Vit D, USG Axilla

Than Review with reports — may need dermatologist or rheumatologist follow-up.