Black Bump Behind Ear: When to Seek Medical Attention?

A black object has developed behind the ear, and it is painful to touch?

Hello doctor, I would like to inquire about a sudden appearance of a black object behind my ear, measuring less than 1 centimeter.
It is painful to touch and there is no obvious black opening.
After applying over-the-counter medication, it has gradually disappeared over the course of about a week.
Do I still need to see a doctor? (Since the swelling has already subsided) Thank you.

Q, 30~39 year old female. Ask Date: 2022/12/01

Dr. Wu Yuxin reply Dermatology

If you are concerned, seek medical attention, as I cannot determine the issue without seeing it.

Reply Date: 2022/12/01

More Info

When it comes to a black bump behind the ear that is painful to touch, it is essential to consider several factors before deciding whether to seek medical attention. While the bump has started to diminish after a week of self-treatment, there are still important considerations to keep in mind.

Firstly, the nature of the bump is crucial. A black bump could be a variety of things, including a sebaceous cyst, a dermatological issue like a mole or a wart, or even an infected hair follicle (folliculitis). If the bump was painful and has now started to shrink, it could indicate that it was an inflammatory response to an infection or irritation that is resolving. However, if the bump was black, it could also raise concerns about potential skin issues, including the possibility of a benign or malignant skin lesion.

Here are some key points to consider regarding your situation:
1. Duration and Changes: Since the bump has been present for a week and is now decreasing in size, this is a positive sign. However, if it were to return, change in color, or become increasingly painful, it would warrant further evaluation.

2. Associated Symptoms: Pay attention to any other symptoms that may arise. If you experience fever, increased pain, swelling, or drainage of pus, these could be signs of an infection that requires medical attention.

3. Self-Treatment: While self-treatment can sometimes be effective, it is always best to consult a healthcare professional for any persistent or concerning symptoms. Over-the-counter treatments may not address the underlying cause, and improper treatment could lead to complications.

4. Skin Changes: If the bump changes in appearance, such as becoming more irregular in shape, changing color, or if new bumps appear, it is advisable to seek medical attention. Skin lesions that change can sometimes indicate more serious conditions.

5. Medical History: If you have a history of skin cancer or other dermatological issues, it is prudent to have any new or changing lesions evaluated by a dermatologist.

In conclusion, while the reduction in size of the bump is encouraging, it is essential to remain vigilant. If the bump does not completely resolve, if it returns, or if you notice any concerning changes, it is advisable to consult a healthcare professional. A dermatologist can provide a thorough examination and, if necessary, perform a biopsy or other diagnostic tests to rule out any serious conditions. It is always better to err on the side of caution when it comes to changes in your skin or any new growths.

Similar Q&A

Understanding Ear Bumps: When to Seek ENT Medical Advice

I have a swollen lump behind my ear. It was painful when I touched it on the first day it appeared. Could it be a bug bite or something else? Should I just observe it to see if it goes away, or do I need to see a doctor?

Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer: Based on your literal description, there are several possibilities along with potential management recommendations: 1. Auricular sebaceous cyst: It is advised to start with antibiotics, and if ineffective, consider surgical intervention. 2. Localized pressure ulcer...

Understanding Lumps Behind the Ear: When to Seek Medical Attention

Hello, I recently noticed a lump about a finger's width behind my right ear. It doesn't hurt when I press on it, and it's slightly hard. Should I seek medical attention immediately, or could it simply be a swollen lymph node?

Dr. Zheng Jueyi reply Otolaryngology
Hi Anna, The most common finding is lymphadenopathy. If the size is less than one centimeter and it is mobile, it is mostly a benign manifestation. It is advisable to observe it for now, but if you are still concerned, you may consult a physician for a definitive diagnosis. W...

Unexplained Lump in Ear: When to Seek Medical Attention?

Hello doctor, about a week ago, I developed a pimple on my left earlobe. The pimple has since disappeared, and there are no scars on the surface, but I have noticed something inside the earlobe that doesn't hurt when I press on it. Should I seek medical attention?

Dr. Lai Yicheng reply Oncology
Hello, Xiao Xiao: Have you visited a dermatologist? If not, it is recommended that you see a dermatologist first. If there is still no improvement, and if the lump increases in size, becomes red, swollen, hot, painful, or if you experience any pain, you should consult a general s...

Understanding Ear-Related Skin Issues: What to Do About Painful Bumps

Hello, doctor. I have a bump behind my ear, near the point where it connects to the back of my head, close to the earlobe. It's about the size of a small fingernail and resembles a blister. It's soft and painful when pressed. It feels very much like a blister, and when ...

Dr. Wu Yuxin reply Dermatology
First, visit a dermatologist.