Which specialty should I see?
Hello, Dr.
Hsu: About six months ago, I developed a bump on the back of my neck that resembled an acne lesion, but it healed after a month, leaving a small hard lump.
Recently, this small lump seems to be inflamed and painful, causing discomfort in the surrounding skin.
I wanted to seek medical attention today but realized I wasn't sure which department to visit.
Could you please clarify this for me? Thank you very much.
ramses, 30~39 year old female. Ask Date: 2006/03/26
Dr. Xu Li'an reply Family Medicine
Hello Ramses, you may have a localized infection.
Please visit the dermatology outpatient clinic.
Xu Li'an 950330, Shuhua Family Medicine.
Reply Date: 2006/03/26
More Info
When dealing with a neck issue, particularly one that involves the appearance of a lump or hard mass that has become painful and inflamed, it is essential to consult the appropriate medical specialty to ensure proper diagnosis and treatment. Based on your description, the most suitable specialist to see would be an Ear, Nose, and Throat (ENT) doctor, also known as an otolaryngologist.
ENT specialists are trained to handle a wide range of conditions related to the head and neck, including issues with the throat, ears, and nasal passages. They are particularly adept at diagnosing and treating conditions that involve lymph nodes, which may be relevant in your case, especially since you mentioned a hard lump that has become painful.
In your situation, the lump you described could be a swollen lymph node, which can occur due to various reasons, including infections, inflammation, or even more serious conditions such as tumors. The fact that it was initially similar to a pimple and has now become painful and inflamed suggests that it may be reacting to an underlying issue, such as an infection or inflammation in the surrounding tissues.
When you visit the ENT specialist, they will likely perform a thorough examination of your neck and may order imaging studies, such as an ultrasound or CT scan, to better understand the nature of the lump. They may also conduct a physical examination of your throat and other related areas to check for any signs of infection or other abnormalities.
If the ENT doctor determines that the lump is related to an infection, they may prescribe antibiotics or other treatments to address the inflammation. If there is any concern about the possibility of a more serious condition, they may recommend a biopsy to obtain a tissue sample for further analysis.
In addition to seeing an ENT specialist, if the lump is associated with dental issues or if you have had recent dental work, it may also be beneficial to consult with a dentist or an oral surgeon. They can evaluate whether there are any dental-related causes contributing to your symptoms.
In summary, for your neck issue, I recommend scheduling an appointment with an ENT specialist. They will be able to provide a comprehensive evaluation and guide you through the necessary steps for diagnosis and treatment. It’s important to address these symptoms promptly, especially since they have changed over time and are causing you discomfort. Don't hesitate to seek medical attention, as early intervention can often lead to better outcomes.
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