instruction: hello doctor I have three medical concerns that I think might be related one is that I have soreness in my left armpit another is that my left ankle has been swollen lately and finally I have a one in circle ark that looks like a faded bruise in my left groin there is no swelling associated with this and no pain the last one has been persistent for a few months and the circle got darker when I went on bactrim for a ti but then got lighter again could these three things be related is there any cause for concern
output: hello since when are you suffering from this condition it may be reactive arthritis reiter syndrome in which urethritis or ti urinary tract infection followed by joint swelling and rash it may be associated with dry mouth and dry eyes it may be a different entity like groin rash which may be a fungal infection joint swelling may be due to arthritis or gout or crystal induced inflammation left axillary pain may be due to herpes foster or boils or shoulder joint arthritis or rotator cuff problem or hypothyearoidism until examination is done it is difficult to say what it is get it done urine culture and sensitivity cop reactive protein ear erythrocyte sedimentation rate and ray of left ankle joint use tablet naproxen 250 my twice a day for five days keep limb on elevation mode while sleeping please review with reports or consult with your physician he will examine and treat you accordingly