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What does a lump under collar bone indicate? - Online Doctor Chats

Date : 25-Mar-2014
User rating for this question
Very Good Posted in: Lump
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2308 Questions
User:I have a hard lump under my coller bone right side, no pain
Doctor:The hard lump can be a lymph node
User:I noticed it a week ago but still hasn't gone away
Doctor:How hard is it?
User:Feels like bone
User:Left side don't have anything
Doctor:A bony hard lymph node is not a good sign
Doctor:You need to get examined and also tested for the cause of it
User:I'm also a smoker
User:What kind of test
Doctor:Supraclavicular lymph nodes usually arise from the abdomen
User:Why the abdomen?
Doctor:If it is lymphnode then it may be draining an area mostly the gut
Doctor:Thats the area they drain
Doctor:So tests will involve basic blood tests and scanning of abdomen to start with
Doctor:If something comes back positive then the tests can be taken further
Doctor:the lymph node can be removed and biopsied
User:Which blood test...cmp or which
Doctor:complete blood count
Doctor:Since it may just be a manifestation of some infection somewhere
Doctor:Can I know your age?
Doctor:27 is too early for something ominous
Doctor:But still be on the safer side
Doctor:Bony hard consistency does not sound good
Doctor:Is it growing or coming down?
User:Im a nurse so I will have labs done in the morning, growing
Doctor:ok sure
Doctor:Do you have any question?
User:Also my left upper abdomen has been hurting but just started yesterday
Doctor:Where exactly is the pain?
User:Right under my ribs
Doctor:It may be spleen hurting
Doctor:Spleen usually hrts when it is cleaning the blood
Doctor:Drink cleaner water
Doctor:so as to avoid git infections
User:Some swelling
Doctor:where is the swelling?
User:Right under my ribs left upper quad.
Doctor:It may be swollen spleen
Doctor:So we will need to do tests to find the cause of splenomegaly
User:Which test
Doctor:The cause be infection
Doctor:It will come up in cbc
User:Ok thank you
Doctor:There can be other causes
Doctor:But both symptoms present at the same time suggest towards infection of blood
Doctor:Now tyhe infection can be of many types
Doctor:more frequent being viral but virals usually have fever
Doctor:so cbc will point towards the type of infection
Doctor:then further tests can be taken
Doctor:Do you have any question?
User:No fever and will get test done
Doctor:Please ask if you have any dounbts
Doctor:welcome back
Doctor:This is Dr. XXXXXXX
Doctor:how can I help you?
User:Lump under coller bone
User:Right side no pain but feels like bone
Doctor:I have gone through your earlier interaction
Doctor:How can I help you? what kind of information are you looking for?
Doctor:are you there?
Doctor:I need more time to answer your questions to the best of my knowledge / to discuss your problem at length.
Doctor:Thanks for visiting me here. Bye for now.
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