Swelling Behind the Ear: When to Seek Medical Attention

Swelling of the head?

Last week, I noticed a lump behind my left ear that feels hard and is painful when pressed.
The next day, I found that the lower left side of my head was slightly swollen, and it is painful and tingling when touched.
Over the past few days, I've been experiencing dizziness in my head, which improves after resting for a while.
Which specialist should I see for this? Is it serious?

Amy, 10~19 year old female. Ask Date: 2016/05/09

Dr. Li Zhonghuai reply Surgery

Hello! I would like to know if you have experienced any impact or trauma to your head.
If not, I recommend seeing a general surgeon to evaluate whether it is a hematoma or a ruptured sebaceous cyst.
Take care! Changhua Hospital cares about you!

Reply Date: 2016/05/09

More Info

Swelling behind the ear can be concerning, especially when accompanied by pain and dizziness. Based on your description, it sounds like you may be experiencing a few potential issues that could warrant medical attention.
Firstly, the swelling behind your ear could be due to several reasons, including lymphadenopathy (swollen lymph nodes), infections (such as mastoiditis or otitis media), or even a cyst. The fact that it is hard and painful to the touch suggests that it could be an inflamed lymph node, which often occurs in response to an infection or inflammation in the nearby areas, such as the ear or throat.
The additional swelling on the left side of your head and the dizziness you are experiencing could indicate that the issue is more systemic or related to the central nervous system. Dizziness can arise from various causes, including inner ear problems, vestibular disorders, or even neurological issues. Given that you are experiencing these symptoms concurrently, it is essential to seek medical attention promptly.

In terms of which specialist to see, starting with an Ear, Nose, and Throat (ENT) specialist would be advisable. They can evaluate your ear and surrounding structures thoroughly, perform necessary imaging studies if needed, and determine if there is an underlying infection or other ear-related issues. If the ENT specialist finds that your symptoms may be related to neurological concerns, they may refer you to a neurologist for further evaluation.

It is important not to ignore these symptoms, especially since they have persisted and are affecting your daily life. While it is difficult to predict the severity of your condition without a proper examination, early intervention is crucial in managing any potential complications.
In summary, I recommend that you schedule an appointment with an ENT specialist as soon as possible. They will be able to assess your symptoms, provide a diagnosis, and recommend appropriate treatment. If you experience any worsening of your symptoms, such as increased swelling, fever, or severe dizziness, do not hesitate to seek emergency medical care. Your health and well-being are paramount, and addressing these symptoms early can lead to better outcomes.

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