Neck Lumps and Palpitations: Your Symptoms - Cardiology

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A protrusion the size of a marble appears on the neck, accompanied by palpitations?


Hello, doctor.
Regarding the protrusion on my neck, it is located in the middle right side of my neck.
Initially, there was only one, and it was neither painful nor itchy, so I didn't pay much attention to it for over six months.
However, in July, I experienced a week of prolonged mental tension and intense physical work.
On the last day, I suddenly had a severe headache and was crying uncontrollably.
Eventually, I applied some massage oil to my head and neck, which helped alleviate the pain.
Since that incident, I have frequently experienced headaches whenever I am under significant stress.

From June 24 to 27, I traveled and spent a long time riding a motorcycle from Chiayi to Kaohsiung and then from Kaohsiung to Taichung.
However, on the 29th, I suddenly felt another protrusion about 3 centimeters from the original one towards my head, resembling a large red bean.
This new protrusion is slightly painful when pressed.
Both of these protrusions are located beneath the skin and are more noticeable when palpated.
Additionally, I have experienced two episodes of palpitations in the past six months, which have caused me concern.
Thank you for your assistance.

Mao Tu Fu, 20~29 year old female. Ask Date: 2009/06/30

Dr. Liu Duying reply Cardiology


Hello: 1.
Regarding the indentation on your neck, I recommend visiting a dermatology clinic for evaluation.
2.
There are many potential causes for palpitations, and a detailed inquiry into the circumstances of their occurrence is necessary for further assessment.
If this issue continues to trouble you, consider discussing it with a cardiologist.

Reply Date: 2009/06/30

More Info


Dear Patient,
Thank you for reaching out with your concerns regarding the neck lumps and palpitations you are experiencing. Based on your description, it sounds like you are dealing with a few interconnected issues that warrant careful consideration.

Firstly, the presence of lumps in the neck, particularly if they have changed in size or number, should be evaluated by a healthcare professional. Lumps in the neck can arise from various causes, including swollen lymph nodes, cysts, or even thyroid issues. Given that you have noticed a new lump that is painful upon pressure, it is essential to seek a thorough examination. A healthcare provider may recommend imaging studies, such as an ultrasound, to assess the characteristics of these lumps and determine if further investigation is necessary.

Your mention of experiencing significant stress and physical exertion prior to the onset of headaches and the development of these lumps is also noteworthy. Stress can manifest in various physical symptoms, including tension headaches and muscle tightness, which may contribute to the discomfort you are feeling. It is not uncommon for stress to exacerbate existing conditions or lead to new symptoms, such as palpitations. Palpitations can be caused by anxiety, stress, or even physical exertion, but they can also indicate underlying cardiac issues. Therefore, it is crucial to monitor the frequency and intensity of these palpitations and discuss them with your healthcare provider.

The headaches you experienced, particularly the severe one that led to tears, could be tension-type headaches or even migraines, especially if they are triggered by stress. It is essential to identify potential triggers and manage stress effectively. Techniques such as mindfulness, relaxation exercises, and regular physical activity can be beneficial in reducing stress and its physical manifestations.

Given the complexity of your symptoms—neck lumps, headaches, and palpitations—it is advisable to have a comprehensive evaluation by a healthcare provider. They may perform a physical examination, review your medical history, and possibly order blood tests or imaging studies to rule out any serious conditions. If necessary, referral to a specialist, such as an ENT (ear, nose, and throat) doctor or a cardiologist, may be warranted based on their findings.

In the meantime, it is essential to practice self-care. Ensure you are getting adequate rest, maintaining a balanced diet, and engaging in activities that help you relax. If you find that stress is a significant factor in your symptoms, consider seeking support from a mental health professional who can provide strategies for managing anxiety and stress.

In summary, while the symptoms you describe can be concerning, they are not uncommon and can often be managed effectively with the right approach. Please prioritize scheduling an appointment with your healthcare provider to discuss your symptoms in detail and receive appropriate care.

Wishing you good health and relief from your symptoms.

Best regards.

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