Soft Swelling at the Back of the Head: When to Seek Medical Help

Q: Soft Swelling at the Back of the Head: When to Seek Medical Help

Hello： Based on your description, it is likely a benign subcutaneous lipoma in the posterior neck. <br>Typically, it does not grow larger and may occasionally cause pressure pain. <br>You should seek medical attention only if it continues to grow, becomes increasingly painful, or

There is a small swelling in the left posterior part of the brain?

Which specialty should I consult for this condition? About six months ago, I noticed a painful area on the left back of my head (approximately five centimeters above the junction of my neck and head).
It hurts when pressed (not very painful, more like the sensation of a bruise) and feels swollen but not hard (there is a noticeable difference when comparing both sides of the back of my head).
When lying flat on my back, the sensation of a lump and pain becomes more pronounced.
I visited a general clinic, and the doctor confirmed that there is indeed a soft lump, but it could also be from a bump, so they prescribed a topical ointment and mentioned that I shouldn't worry too much as long as my weight hasn't changed significantly (though I don't recall hitting anything).
After applying the ointment, which provided a cooling sensation, the pain decreased, and the lump disappeared shortly after.
However, sometimes I feel it reappearing, but it usually goes away on its own after a few days.
Recently, it has reappeared, and since it is on my head, I am particularly concerned.
I would like to ask what this condition might be and which specialty I should see for further examination.
Thank you.

Joanna, 20~29 year old female. Ask Date: 2007/02/02

Dr. Cai Jueren reply Family Medicine

Hello: Based on your description, it is likely a benign subcutaneous lipoma in the posterior neck.
Typically, it does not grow larger and may occasionally cause pressure pain.
You should seek medical attention only if it continues to grow, becomes increasingly painful, or is accompanied by headaches.
If you are concerned, you can consult a general surgeon for surgical removal.
Thank you for your inquiry, and I hope the above information addresses your concerns.
Hualien Hospital, Dr.
Tsai Jue-Ren.

Reply Date: 2007/02/02

More Info

When dealing with a soft swelling at the back of the head, particularly in the area where the neck meets the skull, it is essential to approach the situation with caution and awareness. Based on your description, it sounds like you have experienced a localized swelling that is tender to the touch but not hard, and it seems to fluctuate in size. This could potentially be a benign condition, but it is important to understand the underlying causes and when to seek further medical evaluation.

Possible Causes of the Swelling
1. Lymphadenopathy: One common cause of soft swellings in this area could be swollen lymph nodes. The lymphatic system can react to infections or inflammation, leading to localized swelling. If you have had any recent infections, such as a cold or throat infection, this could be a contributing factor.

2. Cysts: Another possibility is the formation of a cyst, such as a sebaceous cyst, which can occur in various parts of the body, including the scalp and neck area. These are generally benign and can fluctuate in size.

3. Soft Tissue Injury: If there was any minor trauma that you may not recall, it could lead to localized swelling due to soft tissue injury or hematoma formation.
4. Muscle Tension or Spasm: Sometimes, muscle tension in the neck can lead to localized swelling or a feeling of a lump, especially if there is associated pain.

5. Other Conditions: While less common, other conditions such as infections (like cellulitis) or more serious issues (like tumors) could also present with similar symptoms.

When to Seek Medical Help
You should consider seeking medical attention if you experience any of the following:
- Persistent Swelling: If the swelling does not resolve or continues to recur frequently.

- Increased Pain: If the pain worsens or becomes severe.

- Systemic Symptoms: If you develop fever, chills, or other systemic symptoms that could indicate an infection.

- Neurological Symptoms: If you experience headaches, dizziness, changes in vision, or any neurological deficits.

- Changes in Size or Consistency: If the swelling changes significantly in size or becomes hard.

Which Specialist to See
For your symptoms, it would be advisable to consult with a neurologist or an ear, nose, and throat (ENT) specialist. A neurologist can evaluate any potential neurological issues, while an ENT specialist can assess any related conditions in the head and neck area. Additionally, if there are concerns about the lymphatic system, a consultation with a general practitioner or an internist may also be beneficial.

Diagnostic Steps
Upon visiting a specialist, they may recommend several diagnostic steps, including:
- Physical Examination: A thorough examination of the swelling and surrounding areas.

- Imaging Studies: Depending on the findings, imaging studies such as an ultrasound or MRI may be ordered to get a clearer picture of the swelling.

- Blood Tests: If an infection or systemic condition is suspected, blood tests may be performed.

Conclusion
While your symptoms may not indicate a serious condition, it is always better to err on the side of caution, especially when it comes to changes in your health. Monitoring the swelling and seeking medical advice when necessary can help ensure that any underlying issues are addressed promptly. If you have any further concerns or if the symptoms change, do not hesitate to reach out to a healthcare professional for guidance.

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