Neck Lumps: When to See a Specialist for Concerns

I felt a lump in my neck?

Hello doctor, a few days ago I felt something on the left side of my neck that is soft and movable.
When I press on it, it feels a bit sore, but not too painful.
I noticed it after feeling some warmth and pain in my neck while sleeping.
Additionally, I seem to have some swelling under my right armpit, which can be a bit painful at times.
Initially, there was a lump there that looked like a sore but had no pus, but it seems to have decreased in size, although there is still some swelling.
Should I see a specialist? I've been a bit worried these past few days.
Earlier, I had a lipoma removed at the dermatology clinic, and when I went in yesterday to clean the wound, the doctor checked my neck and armpit.
He simply said that the lymph nodes were not swollen and told me not to worry.
When I asked him what the lump on my neck was, he said it might be a lymph node and advised me to monitor it.
Is it normal to be able to feel lymph nodes? My period is approaching, and a traditional Chinese medicine practitioner mentioned that I have some external pathogens.
I also have generalized bone pain and slight swelling in my gums before my period.
Could this have an impact? I'm asking because I'm a bit concerned, and I apologize for the lengthy message.

Danxin de ren, 20~29 year old female. Ask Date: 2021/02/10

Dr. Hu Ziren reply Oncology

It may just be localized inflammation causing lymphadenopathy; observation is recommended.
It also seems to be related to the menstrual cycle.

Reply Date: 2021/02/10

More Info

When it comes to neck lumps and swollen lymph nodes, it's understandable to feel concerned, especially when you notice changes in your body. Based on your description, it seems you have a soft, movable lump on the left side of your neck that is slightly painful when pressed, along with some swelling in your right armpit. You also mentioned that a previous skin condition was treated, and a healthcare professional examined you recently, suggesting that the neck lump might be a lymph node.

Lymph nodes are part of the lymphatic system, which plays a crucial role in your immune response. They can become enlarged due to various reasons, including infections, inflammation, or more serious conditions like malignancies. It is not uncommon for lymph nodes to be palpable (able to be felt) in certain individuals, especially if they are enlarged due to an underlying issue. In healthy individuals, lymph nodes can sometimes be small and not easily felt, but when they become reactive due to infection or inflammation, they can swell and become more noticeable.

Given your symptoms, here are some points to consider:
1. Observation: If the lump is indeed a lymph node, it may be reactive due to a recent infection or illness. Lymph nodes can swell in response to infections, such as viral or bacterial infections, and may take some time to return to their normal size after the infection resolves. However, if the lump persists for more than a couple of weeks, continues to grow, or is accompanied by other concerning symptoms (such as fever, night sweats, unexplained weight loss, or persistent pain), it would be prudent to seek further evaluation.

2. Pain and Sensitivity: The fact that the lump is tender when pressed could indicate inflammation, which is often associated with infection. However, persistent pain or a significant change in the lump's characteristics should prompt a visit to a healthcare provider.

3. Swelling in the Armpit: The swelling in your right armpit could also be related to lymphatic drainage from the neck area. If there is an infection or inflammation in the neck, it can cause nearby lymph nodes to swell. The previous skin condition you mentioned could also play a role, especially if it was related to an infection.

4. Menstrual Cycle and Other Symptoms: Hormonal changes related to your menstrual cycle can sometimes cause temporary changes in lymph node size or sensitivity. However, if you are experiencing systemic symptoms like widespread bone pain or swollen gums, it may be worth discussing these with a healthcare provider as well.

5. When to See a Specialist: Given your ongoing concerns and the fact that you have noticed multiple areas of swelling, it would be advisable to consult with a specialist, such as an ear, nose, and throat (ENT) doctor or a general surgeon. They can perform a thorough examination, possibly including imaging studies (like an ultrasound) or blood tests, to determine the cause of the swelling and whether any further action is needed.

In conclusion, while it is possible that your symptoms are related to a benign process, it is always better to err on the side of caution. If you feel anxious or uncertain about your symptoms, do not hesitate to seek a second opinion or further evaluation from a specialist. Your health and peace of mind are paramount, and addressing these concerns early can lead to better outcomes.

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