Tag Archives: Swelling

What Are the Symptoms of Lymphatic Diseases

Lymphatic diseases cover any disorder that impairs lymph-vessel drainage or nodal function. The most common manifestation is lymphedema—chronic swelling of body tissues—but other signs vary with cause (infection, tumours, trauma, malformation). Typical features include:

  1. Pitting or non-pitting swelling
    Protein-rich fluid collects in the sub-cutis, producing enlargement of the limb, face, genitals or trunk; early swelling pits with pressure, later becomes hard and non-pitting .
  2. Heaviness and tightness
    Patients describe a constant “weight” or bursting sensation in the affected part, worse toward evening and relieved only by elevation or compression.
  3. Reduced range of motion
    Swelling around joints limits flexion and walking; long-standing disease leads to flexion contractures.
  4. Recurrent skin infections
    Stagnant lymph predisposes to cellulitis and lymphangitis—red, hot, painful plaques with fever that appear unpredictably and damage remaining lymphatics .
  5. Skin changes
    Progressively dry, thickened (hyperkeratotic) skin; cobble-stone papules, deep folds, and leak of milky lymph fluid (lymphorrhea) develop in advanced stages .
  6. Cosmetic and psychological impact
    Enlarged limbs or facial distortion cause embarrassment, anxiety and social withdrawal; prompt counselling is part of care .
  7. Complication flags
    Sudden increase in size, purple discoloration, severe pain, or open weeping suggest acute infection or, rarely, lymphangiosarcoma and require urgent assessment .

Early recognition, lifelong skin care, compression, exercise and weight control slow deterioration; any new swelling persisting >4 weeks merits specialist referral and imaging.

SymptomUsual Chronic PatternUrgent Complication
SwellingPits early, non-pitting lateSudden enlargement, purple hue
HeavinessAching toward eveningSevere pain, fever
SkinDry, thick, papillomasRed hot plaques → cellulitis
MovementMild limitationJoint contracture
PsychosocialEmbarrassment, low moodRapid deterioration
SystemicUsually absentSepsis, lymphangiosarcoma

What Are the Symptoms of Scalp Lacerations

Scalp lacerations are tears of the scalp skin produced by blunt or sharp trauma. Because the scalp is richly vascularized, even small wounds can bleed profusely. Typical features include:

  1. Immediate heavy bleeding
    Bright-red blood often streams down the face and neck; arterial spurting is possible if the deep temporal or occipital vessels are injured.
  2. Visible gap or flap
    The wound edges gape open, revealing sub-cutaneous fat, galea, or occasionally bone; hair may hide smaller defects.
  3. Pain and localised tenderness
    Sharp pain at the site, worsened by jaw movement or palpation; surrounding bruising and swelling develop quickly.
  4. Swelling and hematoma
    Rapidly forming soft or boggy mass under the scalp; a sub-galeal collection can extend across the entire forehead or occiput.
  5. Matted hair and clot
    Blood clots dry and glue hair together, forming a hard crust that can mask the true wound size.
  6. Signs of deeper injury
    Persistent clear fluid leakage (CSF), palpable skull depression, or visible bone fragments suggest associated skull fracture and warrant imaging.
  7. Systemic effects
    In infants, elderly, or anticoagulated patients, continuous oozing may lead to haemorrhagic shock: pallor, tachycardia, hypotension, and altered mental state.

Any scalp wound that continues to bleed after 10 minutes of direct pressure, exposes bone, or is accompanied by neurological symptoms requires urgent evaluation and layered closure.

SymptomTypical FindingsWhen to Suspect Complication
BleedingHeavy, rapid, arterialShock in vulnerable groups
Wound edgesGaping, visible fat/boneCSF leak → basal skull fracture
SwellingLocal hematomaExtensive boggy mass
PainSharp, localisedPersistent → deeper injury
NeurologyUsually intactConfusion, CSF → CT head
Vital signsNormal if smallTachycardia, hypotension → resuscitate

What Are the Symptoms of Cystic Tumors and Cysts

Cystic tumors and cysts are fluid-filled sacs that can arise in any organ or soft tissue. Most are benign and asymptomatic, but enlargement, infection, or malignant change may produce noticeable signs:

  1. Painless lump or swelling
    A smooth, round, compressible mass under the skin or within an organ; usually mobile and grows slowly.
  2. Local pressure or aching
    Dull pain develops when the cyst compresses nerves or adjacent structures, especially if it reaches >3–4 cm.
  3. Sudden sharp pain
    Rapid enlargement, hemorrhage into the cyst, or rupture causes acute localized pain sometimes accompanied by bruising.
  4. Change in organ function
    Ovarian cysts may lead to menstrual irregularity; pancreatic cysts can cause upper-abdominal fullness or steatorrhea; renal cysts can provoke flank pain or hypertension.
  5. Signs of infection
    Warmth, redness, tenderness, fever, and pus formation suggest bacterial contamination requiring drainage and antibiotics.
  6. Emergency features
    Torsion (ovary), obstructive jaundice (liver cysts), or airway compression (neck cysts) present with severe pain, vomiting, dyspnea, or jaundice and need urgent intervention.
  7. Possible malignancy indicators
    Solid components on imaging, thick septations, irregular walls, rapid growth, or associated weight loss raise suspicion for cystic malignancy and mandate biopsy or surgical removal.

Any new, enlarging, or symptomatic mass should be evaluated with ultrasound or cross-sectional imaging and, if concerning, fine-needle aspiration or excision.

SymptomTypical Benign CourseAlarm for Complication/Malignancy
SwellingSoft, mobile, slow-growingRapid enlargement, fixation
PainNone or mild pressureSudden severe or persistent ache
InfectionRare, low-gradeRed, warm, tender, fever
FunctionUsually preservedObstruction, jaundice, torsion
ImagingThin wall, no solidsThick septa, solid nodules
SystemicWell, weight stableWeight loss, night sweats

What Are the Symptoms of Vascular Tumors

Vascular tumors are abnormal growths that originate from blood or lymphatic vessels. Their symptoms depend on location, size, growth speed, and whether they are benign or malignant. Common manifestations include:

  1. Visible skin changes
    Red-to-purple raised patches, nodules, or “strawberry” marks that may enlarge rapidly during infancy and then slowly regress .
  2. Localized swelling or lump
    A soft or firm mass under the skin or within muscles that can expand and distort nearby tissues .
  3. Pain or tenderness
    Intermittent aching or constant sharp pain if the tumor presses on nerves, ulcerates, or becomes thrombosed .
  4. Bleeding or ulceration
    Superficial lesions may crack and bleed with minor trauma; ulcerated areas can form crusts or scars .
  5. Skin discoloration and warmth
    A bluish hue, prominent veins, or increased local temperature suggest high blood flow within the lesion .
  6. Functional impairment
    Tumors near joints, eyes, airway, or digestive tract can limit movement, cause proptosis, produce wheezing, or lead to bleeding in the stool .
  7. Neurological signs
    When lesions involve the brain or spinal cord, patients may develop headaches, weakness, numbness, or vision problems .
  8. Systemic symptoms (malignant forms)
    Fatigue, weight loss, or night sweats may accompany aggressive tumors such as angiosarcoma or Kaposi sarcoma .

Any rapidly enlarging, painful, or ulcerated vascular lesion merits prompt imaging and specialist review to exclude malignancy and prevent complications.

SymptomTypical FeaturesWhen to Suspect Malignancy
Skin markRed-purple, raised, well-definedRapid growth after childhood
SwellingSoft/firm mass, may pulsate>5 cm, deep to fascia
PainIntermittent or constantNight pain, needs analgesia
BleedingMinor trauma → ulcerRecurrent, heavy, or unhealed
DiscolorationBlue, warm, dilated veinsSudden darkening or necrosis
FunctionLimited joint/eye/airway useProgressive loss
NeurologyHeadache, weakness, numbnessNew focal deficits
SystemicFatigue, fever, weight lossB-symptoms + large mass