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Small, tender lump behind my ear, ringing in ear, night sweats, soar throat - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3181 Questions
User :   I have a quick question concerning a small, tender lump behind my ear. I felt it as I was showering today, it's located behind my ear but towards the bottom (sort of on the same level with where the ear lobe is, but back more). I have also had ringing in my ears for some time now (especially when I lay down to go to bed, but also sometimes when I am standing/sitting up). And I have night sweats occasionally. I am about to turn 23 years old, weight approximately 195/200 pounds, I have a healthy appetite, no major migrains/headaches (but a lot of brain fogginess), and my face has been blushed red for some time now. I am currently a graduate student pursuing a Master's degree and drink an enormous amount of caffeine (and I don't exercise). I was also sick with a soar throat about 2 or 3 weeks ago (although the night sweats and ringing has been going on for some time). I have been checkin, but do not have a fever. What do you think?
Doctor :   Hi
Doctor :   Give me a few minutes to read your query.
User :   ok, thanks
Doctor :   How big is the lump?
User :   about the size of a small coin, but it seems to be right under/next to the bone behind the ear (lower)
User :   only on the left side as well
Doctor :   Ok
Doctor :   Do you have a problem with hearing in your left ear?
User :   no i don't really have a problem hearing
Doctor :   And do you have pain or discharge from the ear?
User :   no real pain, besides some buildup of ear wax
Doctor :   Ok
User :   i have been poking at the lump consistently so i don't know if that irritates it
Doctor :   Has your weight changed recently?
User :   no i don't think so. i don't have a scale, but I have a healthy appetite
Doctor :   Is any one else in your location suffering from night sweats?
User :   not sure, i don't think so
Doctor :   Have you been traveling to other part of the world (Asian or African countries specifically)?
User :   in the past year I've been to mexico (a resort area), the U.S., the U.K., and Poland (which I just returned from a few days ago).
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   The lump that you notice is probably an enlarged lymphnode.
Doctor :   It has most probably a reactive lymphnode that has developed due to the recent infection.
Doctor :   Since you do not report associated ear pain, sorethroat, ear discharge
Doctor :   past infection is the likely cause of the swelling rather than something new.
Doctor :   It is a non concerning problem.
Doctor :   However, I am concerned of the night sweating.
Doctor :   Night sweats often or almost all times a symptoms of an underlying infection.
Doctor :   It could also mean an underlying tumour.
Doctor :   Your symptoms are not classical of cancer.
Doctor :   However infections need to be ruled out.
User :   ok
User :   combined with the ringing in my ears what does it sound like?
User :   could it be a middle ear infection (my mother suffered from it years ago).
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