Right Neck Swelling: Causes and When to Seek Help

Swelling in the right side of the neck?

Hello, doctor.
I would like to ask about a situation that started last week.
Due to nasal congestion, I have been experiencing difficulty breathing, so I visited a clinic.
The doctor mentioned that I have mild rhinitis causing my breathing issues and prescribed anti-inflammatory medication, after which I went home.
However, a few days ago, I accidentally touched my neck and noticed that the area just below the Adam's apple on the right side, above the clavicle, seems to be swollen.
I discovered this on Wednesday, and since then, it hasn't hurt when pressed, nor is there a hard lump; it just sometimes feels a bit uncomfortable when swallowing.
What could this be? I would like to ask: 1.
Which specialist should I see? 2.
Is the swollen area related to my breathing difficulties? 3.
I still have slight nasal congestion, but what bothers me the most is that I always feel like I can't get enough air into my lungs, as if I am at a high altitude where the air is thin.
What could be the reason for this? Thank you.

Mr. Bai, 40~49 year old female. Ask Date: 2017/07/01

Dr. Chen Sirong reply Oncology

Mr.
Bai / 40 years old / Male
Hello, I would like to ask about a concern.
Since last week, I have been experiencing nasal congestion, which has led to difficulty breathing.
I visited a clinic, and the doctor mentioned that I have mild rhinitis causing my breathing issues and prescribed anti-inflammatory medication before sending me home.
However, a few days ago, I accidentally touched my neck and noticed that the area just below my Adam's apple on the right side, above the clavicle, seems to be swollen.
I discovered this on Wednesday, and since then, it hasn't been painful when pressed, nor is there a hard lump; it just feels a bit uncomfortable when swallowing at times.
What could this be?
1.
Which specialist should I see?
A: Based on the location you described, it could be related to the thyroid or something beneath the neck muscles causing the swelling.
You can consult either an Ear, Nose, and Throat (ENT) specialist or an endocrinologist for thyroid concerns.
2.
Is the swollen area related to my breathing difficulties?
A: It is possible.
3.
I still have a bit of nasal congestion, but what bothers me the most is that I always feel like I can't get enough air into my lungs, as if I am at a high altitude where the air is thin.
What could be causing this?
A: This is likely related to your second question; it may be affecting your trachea.
It is advisable to seek in-person medical evaluation.
Wishing you a speedy recovery,
Taoyuan Hospital, Dr.
Chen Si-Rong

Reply Date: 2017/07/01

More Info

Hello! Thank you for your questions regarding your recent health concerns. Based on your description, it seems you are experiencing a few interconnected symptoms, including nasal congestion, swelling in the right neck area, and difficulty breathing. Let's break down your concerns and address them one by one.

1. Which specialist should you see?
Given your symptoms, it would be advisable to consult an Ear, Nose, and Throat (ENT) specialist. An ENT doctor can evaluate your nasal congestion and any potential issues related to your throat and neck. They are well-equipped to assess conditions that may affect your breathing and can perform necessary examinations, such as a laryngoscopy or imaging studies if needed.

2. Is the swelling in your neck related to your breathing issues?
The swelling you described in your neck, particularly just below the Adam's apple and above the collarbone, could be related to several factors. It may be due to lymphadenopathy, which is swelling of the lymph nodes often caused by infections, inflammation, or other underlying conditions. Since you mentioned having nasal congestion, it is possible that your body is reacting to an upper respiratory infection, which could lead to swollen lymph nodes in the neck. However, without a physical examination, it is difficult to ascertain the exact cause. The sensation of something being "stuck" when swallowing could also indicate that the swelling is affecting your throat or esophagus.

3. Why do you feel like you can't get enough air?
The sensation of not being able to breathe deeply or feeling like you are in a high-altitude environment could be linked to a few different factors. It might be due to anxiety, which can often accompany respiratory issues, or it could be a result of nasal obstruction from your congestion. When your nasal passages are blocked, it can lead to a feeling of breathlessness, as you may be relying more on shallow chest breathing rather than deep abdominal breathing. Additionally, if there is any swelling in your throat or neck, it could contribute to a feeling of tightness or restriction.

In summary, I recommend that you see an ENT specialist as soon as possible. They can perform a thorough examination to determine the cause of your neck swelling and assess your breathing difficulties. If necessary, they may refer you to other specialists, such as an allergist or pulmonologist, depending on their findings. In the meantime, try to stay hydrated, and if you experience any worsening symptoms, such as difficulty swallowing, severe pain, or difficulty breathing, seek immediate medical attention.

Remember, it's important to listen to your body and seek help when something feels off. Early intervention can often lead to better outcomes, so don't hesitate to reach out to a healthcare provider. Take care!

Similar Q&A

Understanding Jaw and Neck Swelling: Causes and When to Seek Help

Hello, I have had swelling on the left and right sides of my neck near the jaw for a year, and in the last three weeks, the swelling on the right side has increased! It is not visible to the naked eye and can only be felt when pressed. The swelling on the right side near the jaw ...

Dr. Xiao Yongxun reply Family Medicine
Dear Miss Anonymous: 1. There are many causes for neck masses. Considering your age and description, it is important to consider possibilities such as suppurative masses, lymphadenitis, tuberculous lymphadenitis, thyroiditis, goiter, lipoma, fibroma, sebaceous cyst, benign neur...

Understanding Right Neck Swelling and Pain: Possible Causes and Solutions

Hello Doctor: Recently, I have experienced swelling and pain on the right side of my neck. I feel pain in my throat when swallowing, but it's not severe, just a mild discomfort. Additionally, there is pain when I press on the lower right side of my jaw. What could be the cau...

Dr. Zheng Jueyi reply Otolaryngology
Hello, it is common to experience inflammation of the muscles or lymph nodes. If the condition persists without improvement, it is advisable to seek medical evaluation. Wishing you peace and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyua...

Understanding Swelling in the Right Back of the Neck: Possible Causes and Concerns

I feel a swelling in the right side of my neck (approximately below the back of my head). It doesn't quite feel like a hard lump. Yesterday, when I touched it, it was a bit tender, and after I kept rubbing it, I noticed today that it seems to be a bit inflamed and more swoll...

Dr. Zheng Jueyi reply Otolaryngology
Hello, it is likely not related to sinusitis. The soreness in the right posterior neck may be associated with muscle strain or inflammation of the skin tissue. It is advisable to monitor the situation, and if the pain persists, it is recommended to seek medical evaluation. Wishin...

Understanding Neck Issues: When to Seek ENT or Other Medical Help

Recently, I have noticed a prominent structure on the right side of my neck, and I'm unsure if it is a blood vessel, tendon, or muscle. I often feel a sensation of swelling in that area, and sometimes I experience sharp pain. I would like to ask if this condition is normal, ...

Dr. Zheng Jueyi reply Otolaryngology
If you are concerned or continue to feel unwell, you can first visit a clinic for an evaluation by an ear, nose, and throat specialist or a family medicine physician.