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.
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 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.
Hello
Treatment recommended - 1) Dologel CT twice a day for 5 days 2) Neurobion forte - daily after food 3) Amoxicillin 625 - once after food 4) Zerodol sp - once after food 5) pantop dsr - empty stomach morning
Investigation 1) CBC 2) ESR 3) CRP 4) Anti DS Dna 5) Ra Factor 6) Thyroid profile 7) Urine routine examination
Thank you
Hello, Before starting any treatment, get these tests done and visit a surgeon. 1. CBC 2. TSH 3. ESR 4. RA FACTOR 5. SERUM URIC ACID
Take care
Your symptoms suggest a possible underlying inflammatory or autoimmune condition. Given the persistence and variety of these symptoms, it’s important to consider conditions like systemic lupus erythematosus, rheumatoid arthritis, or even chronic infections. The recurring painful lymph nodes could suggest an infectious or inflammatory etiology needing further evaluation. Mouth ulcers and joint pain are common in certain autoimmune diseases. It would be worthwhile to get a full blood workup including complete blood count, inflammatory markers like C-reactive protein or ESR, and specific autoimmune panels to narrow down the possibilities. Additionally, consider ruling out an infectious cause with tests like cultures from the pus or specific serologies. Period issues and difficulty losing weight could be endocrine-related, possibly involving thyroid function, so adding a thyroid hormone level test could reveal more insights. Monitoring your diet and maintaining physical activity can also be helpful for managing weight and general health, but they cannot replace proper medical management in cases of systemic conditions. It’s crucial to visit a healthcare professional familiar with autoimmune diseases to tailor the evaluation and treatment to your specific conditions. Persistent stomachaches, if not related to dietary issues, might warrant an evaluation for disorders such as Irritable Bowel Syndrome or gastritis, possibly needing imaging or endoscopy. Immediate attention is necessary if there is severe pain, significant swelling, or if systemic symptoms like fever develop, as these could indicate an acute or serious complication.
I hear you. It sounds really tough dealing with these symptoms for so long. Don’t worry, with the right tests and lifestyle changes, we can definitely work towards relief.
Since you’ve had these symptoms for 5 years, they may be linked to chronic inflammation, nutrient deficiencies, or hormonal imbalance. I’d suggest a complete medical check-up (blood tests, thyroid, vitamin levels, autoimmune markers) along with an anti-inflammatory diet, stress management, and gentle exercise. With proper evaluation and lifestyle support, your symptoms can improve.
Your long-term symptoms suggest an underlying hormonal or autoimmune issue that needs detailed evaluation. Lifestyle stress, nutritional deficiencies, or chronic inflammation could also be contributing factors. Specialist consultation is advised (Endocrinologist or Physician).
Hello Prerna, I understand your issues might be worrisome. But I’m here to help. You symptoms might be due to Autoimmune/Inflammatory disease, chronic infection or hormonal imbalance, etc. Here is how you should approach this -
1. Get these tests done - CBC, ESR, CRP, LFT, RFT, Fasting blood sugar, HbA1c, FT3, FT4, TSH, ANA, Anti-dsDNA, HIV, HBsAg, HCV, Ultrasound of both axillae, Pus culture & sensitivity if draining lesions, Gynecological hormone panel: LH, FSH, Testosterone, Prolactin, DHEAS. Kindly review with these reports.
2. General Measures: Maintain hygiene, daily gentle cleansing of underarms and groin with antibacterial soap (e.g. Cetaphil / Sebamed antibacterial wash). Wear loose cotton clothes and avoid shaving / waxing during flare-ups. Avoid smoking (if applicable) and reduce refined sugars.
3. Meanwhile you can take this prescription - -Gel Clindamycin 1% twice daily over infected areas. -Tab. Ibuprofen + Paracetamol (400/325) twice a day × 5 days - Tab. Multivitamin once daily × 1 month.
4. Dietary & Lifestyle Advice - Follow an anti-inflammatory diet: Avoid fried, sugary, spicy, and processed foods. Include fruits, green vegetables, turmeric, flaxseed, curd, and omega-3-rich foods. Hydrate well (2–3 L/day). Maintain a healthy sleep routine and manage stress, anxiety can worsen inflammation. Consider gradual weight loss through clean diet and light exercise.
5. When to Seek Urgent Help- Fever, chills, or spreading redness. Persistent painful lumps not healing >2 weeks. Excessive fatigue, hair loss, or new rashes.
Feel free to reach out again.
Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Med
