Neck issues?
Hello, doctor! I would like to ask about an issue with my neck.
Recently, I accidentally touched my neck and found that when lying down or tucking my chin, I can feel a lump on both sides of my jawline.
It feels like it's inside the tissue, specifically within the area of my chin, and I can pull it out, but it disappears as soon as I release it.
In a normal position, with my neck straight or tilted back, I can't feel it at all (I checked online for self-examination methods for neck lymph nodes, and I couldn't feel anything).
I can only feel it when I forcefully tuck my chin.
For reference, I am on the heavier side and have a double chin.
Could this be fat? I don't have any other health issues.
Thank you!
Niming, 20~29 year old female. Ask Date: 2021/06/03
Dr. Zheng Jueyi reply Otolaryngology
Hello: The common issue may involve the bilateral submandibular salivary glands.
If there is no significant discomfort, you may observe it yourself for now.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.
Reply Date: 2021/06/03
More Info
Hello! Thank you for reaching out with your concerns regarding the discomfort and the unusual findings in your jaw area. It sounds like you are experiencing some localized swelling or masses that are only palpable under certain conditions, such as when you lower your chin or lie down.
Based on your description, there are a few potential explanations for what you are feeling. One possibility is that what you are palpating could be subcutaneous fat or fatty tissue, especially since you mentioned that you have a double chin. In individuals with a higher body mass index (BMI), it is not uncommon to have localized fat deposits in the neck and jaw area. These can sometimes feel like lumps or nodules when manipulated, but they are generally benign and not a cause for concern.
Another possibility is that you could be feeling the submandibular glands, which are located beneath the jaw. These glands can sometimes become more prominent or swollen due to various reasons, including dehydration, infections, or even just normal anatomical variations. If you are not experiencing any pain, swelling, or other symptoms such as fever or difficulty swallowing, it is likely that these glands are functioning normally.
Additionally, lymph nodes in the neck can also become palpable under certain conditions. While you mentioned that you did not find any lymph nodes during your self-examination, it is important to note that lymph nodes can sometimes be more prominent when the neck is in certain positions. If these nodes are not tender and do not seem to be increasing in size, they are often not a cause for concern.
However, if you notice any changes in the size of these masses, experience pain, or develop other symptoms such as fever, night sweats, or unexplained weight loss, it would be wise to consult a healthcare professional for a thorough evaluation. They may perform a physical examination and, if necessary, imaging studies like an ultrasound to get a clearer picture of what is happening in that area.
In the meantime, maintaining a healthy lifestyle, including a balanced diet and regular exercise, can help manage body weight and potentially reduce the prominence of fatty deposits in the neck area. Staying hydrated and practicing good oral hygiene can also support the health of your salivary glands.
If you have any further questions or concerns, or if the situation changes, please do not hesitate to reach out to a healthcare provider. It's always better to err on the side of caution when it comes to health matters. Take care!
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