Swollen, Painful Lumps in the Neck: What You Need to Know - Oncology

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There is a sliding sensation in the neck muscle, accompanied by pain, heat, swelling, and a feeling of fullness?


Hello Doctor, I noticed a movable, soft, painful, warm, swollen lump on the muscle under my left neck, just below my ear.
Occasionally, my throat feels itchy.
Two days ago, I had two mouth sores while I was out of town.
I consulted a local nurse friend, and she suggested that I take Amoxicillin for 5 days, three times a day.
Could you please tell me what these symptoms might indicate? I am very anxious about this.
Thank you very much, Doctor.

Yi, 30~39 year old female. Ask Date: 2016/10/12

Dr. Lai Yicheng reply Oncology


Hello Ms.
Yi: The physician cannot provide a diagnosis or treatment without a personal examination and physical assessment.
If you are very concerned, you may visit a larger medical facility or a specialty clinic for consultation.
Please consult a dermatologist or a general surgeon.
Thank you.
Changhua Hospital cares about you.
Radiation Oncology Department, Dr.
Lai Yi-Cheng.

Reply Date: 2016/10/12

More Info


Hello! Based on your description of the swollen, painful lump in your neck, there are several potential causes that we should consider. The symptoms you mentioned—swelling, tenderness, heat, and occasional throat itchiness—could indicate a few different conditions, most commonly related to lymph nodes or infections.

1. Lymphadenopathy: The lump you feel could be an enlarged lymph node. Lymph nodes can swell in response to infections, inflammation, or other immune responses. Given that you mentioned having mouth sores, it is possible that your body is reacting to an infection in your oral cavity or throat, which could lead to lymph node enlargement in the neck.
2. Infection: The fact that the lump is warm and painful suggests that it may be associated with an infection. This could be a localized infection, such as an abscess, or a systemic infection that is causing your lymph nodes to react. The recommendation to take Amoxicillin is a common approach for bacterial infections, particularly if a bacterial cause is suspected.

3. Viral Infections: Sometimes, viral infections (like the common cold or mononucleosis) can also cause lymph nodes to swell. These infections may not always require antibiotics, as they are not effective against viruses.

4. Other Causes: While less common, other causes of swollen lymph nodes can include autoimmune diseases, certain cancers, or other systemic conditions. However, these are typically accompanied by additional symptoms.

Given your symptoms, it is important to monitor the lump closely. If it continues to grow, becomes increasingly painful, or if you develop additional symptoms such as fever, difficulty swallowing, or persistent sore throat, you should seek medical attention promptly.
In the meantime, here are some recommendations:
- Continue with the prescribed Amoxicillin: If your healthcare provider has prescribed this antibiotic, it is important to complete the full course, even if you start to feel better before finishing it.

- Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain and reduce inflammation.

- Hydration and Rest: Ensure you are drinking plenty of fluids and getting adequate rest to support your immune system.

- Avoid Irritants: If your throat is itchy, try to avoid irritants such as smoke or strong odors that could exacerbate your symptoms.

- Follow-Up: If there is no improvement after a few days of antibiotic treatment, or if your symptoms worsen, it is crucial to follow up with a healthcare professional for further evaluation. They may recommend imaging studies or a biopsy if there is concern about the nature of the lump.

In conclusion, while your symptoms could be indicative of a common infection, it is essential to remain vigilant and seek further medical advice if necessary. Your health and peace of mind are important, so don’t hesitate to reach out to a healthcare provider if you have any concerns.

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