<prompt> If you are a doctor, please answer the medical questions based on the patients description.I woke up this morning my left arm was hurting bad. There was a small lump in bend of my arm. It s gotten bigger as day has went on it still hurts. I m light headed, can t keep my eyes open, sick to my stomach look a little pale. Should I go to emergency room?  <response>: Hi, dear , thanks for the query to my Chat Doctor virtual online clinic.Its my pleasure to help you. After the in depth study of your query My diagnosis -is -Impending-Vaso-vagal shock or ? Hypoglycemic Shock-secondary to the painful growing-lump in left arm elbow. Treatment-a-Immediate lying down with leg -Elevated-to re-cover from the impending vaso-vagal or Hypo-glycemic shockb-Shift to ER-URGENTLY and Consult Surgeon urgently., c-Tb-NSAIDs,d-Antibiotics, e-after CBCFBS PPS, Chat Doctor. Dont worry and act fast. This would solve your worrisome query. Hope this would solve your query. Wellcome to my Chat Doctor clinic once again. Have a Good Day. 