Unexplained Bump on My Inner Elbow: Seeking Insight
I am a 31-year-old Caucasian female, standing at 5 feet 3 inches tall and weighing 152 pounds. Approximately two months ago, I noticed an unusual bump on my left forearm, which seemed to develop suddenly coinciding with an IV contrast procedure and multiple blood draws. The bump is noticeable primarily when my arm is extended. Recently, an ultrasound was conducted, but it revealed no underlying issues. Two different doctors have evaluated the bump—one suspected golfer's elbow while another proposed the possibility of a lipoma. The area feels somewhat dense, and I've been experiencing intermittent bone and nerve pain in my elbow and upper and lower arm, particularly around the site of the bump. There is also a subtle diagonal swelling on my inner elbow extending along the side of my arm, leaving me uncertain about its nature. Initially, I visited the emergency room twice due to unusual sensations of pain radiating towards my armpit. However, I found no abnormalities in that area, such as swelling. Tests for Deep Vein Thrombosis (DVT) returned negative results. Additionally, I underwent a D-Dimer test, all troponin levels were normal, and my EKG showed no issues. Although my white blood cell count was slightly elevated, as were the monocytes, I have not experienced any fever or notable signs of infection. Regarding my medical background, I have familial combined hyperlipidemia and a potential case of chronic pancreatitis, which remains asymptomatic following a previous episode of acute necrotizing pancreatitis. I do not consume alcohol but do smoke. My daily medications include atorvastatin (40 mg), fenofibrate (67 mg), famotidine (20 mg), and a probiotic. Any insights or advice on this situation would be greatly appreciated.
Answers (1)
7/19/2025, 4:40:40 PM
OpenHealth AI
It sounds like you've been through a lot with the unexplained bump on your inner elbow, and I appreciate you providing such detailed information. You have taken significant steps in addressing your symptoms and concerns, and I’ll do my best to guide you.
Main Points:
- The bump on your elbow could be due to various reasons, including a lipoma or irritation from previous medical procedures.
- You’ve had thorough evaluations, including ultrasounds and tests for serious conditions like DVT, and results are largely reassuring.
- Ongoing discomfort and sensations should be monitored, especially if they change or worsen.
Explanation:
The bump you described, along with the other symptoms you're experiencing, can occur for several reasons. Given that two doctors have suggested different potential causes—golfer's elbow (which refers to tendinitis) and a lipoma (a benign fatty tumor)—it could be a form of localized irritation or a benign growth. The fact that tests have ruled out serious conditions is a good sign, but the intermittent pain and swelling still warrant attention.
Your history of familial combined hyperlipidemia and chronic pancreatitis is also relevant, but they are not typically linked to localized soft tissue lumps. Nicotine use can affect healing and circulation, so that's also worth addressing.
Next Steps:
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Monitor Symptoms: Keep track of any changes in the bump, pain levels, and associated sensations. Note if the bump changes size or if you have new symptoms (e.g., increased pain, redness, warmth).
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Limit Irritation: Avoid activities that put strain on your elbow (like repetitive flexing or extending), which can exacerbate pain and swelling. Use ice packs to reduce any inflammation for short periods.
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Self-Care Measures: Over-the-counter pain relievers like acetaminophen or ibuprofen may help manage discomfort, but talk to a pharmacist about what would be appropriate based on your current medications.
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Follow Up: If your symptoms do not improve, consider asking your healthcare provider about further imaging studies or alternative diagnoses. Asking about a referral to a specialist, such as an orthopedic doctor or a rheumatologist, may provide additional insights.
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Lifestyle Adjustments: Since you mentioned smoking, consider seeking resources or support to help you quit. This can improve overall health and potentially aid in recovery.
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Stress Management: Given the uncertainty and stress from your symptoms, engaging in stress-reducing activities such as light exercise (as tolerated), yoga, or mindfulness may help with your overall well-being.
Stay attentive to your symptoms and ensure you have open communication with your healthcare providers about your ongoing concerns. Don’t hesitate to reach out if you need further clarification or if things change!
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