### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Severe spinal stenosis pain - now using 100 mg of Fentanyl patch every 72 hours as well as having epidural treatment from anasthesiologist every 3 months for last few years and tramadol up to four times daily. Recently have noticed a pea sized lump in my armpit, a very, itchy skin rash on my legs and arms, which is difficult to keep from scratching under control, continuing difficulty with constipation for which I am using double dosage skin softeners and severe night sweats which make my nightie, sheets and pillows completely soaked. I have also been diagnosed with sleep apnea, using a CPAP nightly, atrial fibrillation and heart arrythmia and a racing heartbeat for which i take blood thinners and appropriate medications prescribed by a heart specialist. I also see a rheumatologist every few months who has diagnosed me with connective tissue disease, fibromyalgia, rheumatic and osteoarthritis for which I take prednisone, methotrexate and tramadeol. I have begun the severe night sweats, the lump in my armpit and the very itchy skin rash quite recently and have not yet informed my doctors as I have not seen them since their development. could you please advise me. Thank you, Marilyn Bouthot, Langley, B.C., Canada .

### output:

HI, Thanks for the query to Chat Doctor. I went through your story and really astounding health conditions you are going through. I pray fast recovery to normal health. Treatment for severe night sweats and lump in armpit and rash allover arms and legs-In my opinion, its boil in the armpit, which needs to be treated with antibiotics, as you have anti-inflammatory for your fibromyalgia. I would add antihistamines with consultation from ER doctor. Skin rash on arms and legs is due to Militia, due to stool and sweats wetting your bed, leading to secondary infective skin rash. Hope this would help you to plan treatment with ER doctor. Welcome for any further query to Chat Doctor. Hit thanks and write good review if this reply helps your health concerns, for the benefit of new and old patients at my virtual clinic at Chat Doctor. Good Day. Chat Doctor. N.