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Swelling below left ear lobe - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   hi
Doctor :   hi
User :   sorry i was in chat with one of teh docs

Doctor :   how can i help u
User :   got disconnected
User :   ok
Doctor :   ok
User :   i have been having a vague swelling just below my left ear lobe
Doctor :   ok
Doctor :   since when
User :   it is between the jaw and the mastoid bone
Doctor :   ok

User :   its been this way for teh apst 3 years
Doctor :   ok
User :   it came up as a painful swelling

User :   the pain subsided in 2 months
Doctor :   did u visit any doctor
Doctor :   for the same
Doctor :   any treatment given?
User :   yes
User :   the doc said
User :   it will go away in 2 months
Doctor :   ok
User :   n did not offer any medication
User :   in 2 months teh pain was gone
Doctor :   what was the diagnosis done
User :   so i did not care
Doctor :   then
User :   he did not say anything
User :   and said it may be an infection
Doctor :   any investigations was done that time
User :   no other investigation was done
User :   then after 2 years i had some pain again
Doctor :   xray?
Doctor :   ok
User :   which again susided
User :   now again after 1 more year there is some pain
User :   warm feelin
User :   and ear pressure
Doctor :   had the doctor advised the treatment for 2 moths
Doctor :   or 6 months
User :   no
Doctor :   ok
User :   he did not offer any treatment
Doctor :   ok
User :   and just said that this will go down in some time
Doctor :   is the swelling behind ear?
User :   by the way i am 25 year old male
User :   no not behind
Doctor :   ok
User :   but u can say just below the ear lobe
Doctor :   ok
User :   abour 1.5 cm of area below the ear lobe
Doctor :   any discharge
User :   i can also feel 2 small lymphnodes on this side
Doctor :   from the swelling
User :   no no discharge
Doctor :   ok
User :   doctor
Doctor :   ok
User :   but the lymphoneds are small
User :   Doctor :   do u have cough
Doctor :   ok
Doctor :   or evening rise of temp
User :   no cough / cold
Doctor :   i mean fever
User :   no
User :   but sm times
Doctor :   ok
User :   i feel i feel a bit warm in the evenin
User :   other wise i am in perfect health
Doctor :   how frequently u get fever
Doctor :   ok
User :   no fever
Doctor :   is there any weight loss
User :   do not often have fever
User :   no weight loss
User :   rather i have gained some weight :)
Doctor :   k
User :   doctor
Doctor :   ya
User :   since the swelling is not very clear
Doctor :   i didnt get u
User :   the swelling is like i can feel it when i try to touch my chin with my chest
Doctor :   ur location,occupation
Doctor :   martial status
User :   i am
User :   and an
User :   and i am single
Doctor :   ok
Doctor :   do u any other medical problems

Doctor :   do u have ear pain
User :   1. I have alopecia areatea... an autinmune disease

Doctor :   ok
User :   2, some acidity
User :   ya i have some ear pain
User :   not pain
User :   but kind of fulness
Doctor :   do u have ear pain or not

Doctor :   YYYY@YYYY
Mobile : 0000
Doctor :   confirm ur correct contact details
User :   i have some war
User :   ya
User :   yes this is right
User :   currently i am in UK
Doctor :   i didnt get u
Doctor :   wax isit
User :   oh sorry
User :   i meant
User :   i have some ear pain
Doctor :   ok
User :   more of fulness kind of feeling than pain
Doctor :   since when
Doctor :   ok
User :   this is for past 1 month
Doctor :   ok
User :   because i have been having this recurring pain 4-5 months back in this swelling
Doctor :   do u have headache
User :   the pain has gone down now
Doctor :   ok
User :   but have ear pressure
User :   no headache
Doctor :   could u specify
User :   sorry doctor
User :   what u want me to xplain
Doctor :   ear pressure
Doctor :   what do u mean by ear pressure
User :   its like

User :   fulness
Doctor :   ok
User :   or when say water enters ur ear
Doctor :   do u have any ear loss
User :   but its not all day
User :   some tiems its more
Doctor :   hear loss
Doctor :   sorry
User :   smtimes its less
User :   no hear loss
Doctor :   which ear
User :   left ear
User :   just below which this swelling is
Doctor :   ok
User :   But the size of the swelling has been same

User :   has not increased or decreased
Doctor :   ok
User :   though smtimes i feel its marginally less
Doctor :   is the swelling pinchable
Doctor :   from the under lying tissue
Doctor :   bone

User :   yes doctor
User :   i guess its not on the surface
User :   i can not pinch it
Doctor :   is the skin pinchable
Doctor :   over it
User :   yes
User :   the skin is pinchable
User :   it apears the swelling may be from deep inside
User :   the space between the mastoid and the top of the jaw
User :   so if i stick my jaw to my chest the swelling can be seen
Doctor :   Did it has some puctum
Doctor :   or hole on the skin
User :   no hole

Doctor :   what is the consistency
User :   well doctor to me it apears to be a swelling of muscles
Doctor :   hard or firm or soft
User :   and not any lump
User :   sine the swelling is a bit deeper than the surface

User :   i cant feel the exct lump if there is any
User :   but from above i can pinch the skin
Doctor :   ok
User :   and i dnt feel there is any thing hard under it
Doctor :   Ok
User :   also if i try to explain more
User :   there are mass of muscles on both sides just below the ear
Doctor :   Ok
User :   the mass on teh left is bigger that the right
User :   so i can say teh swelling is in that mass
User :   say if i extend my neck
Doctor :   It is sternomastoid muscle
Doctor :   that is present
Doctor :   in that location
User :   il jst chek
Doctor :   IS it causing any sympotms now
User :   yes i guess it is that muscle
User :   ya
User :   i have lil pain
User :   particularly when i turn my neck to the left
Doctor :   DO yiou have stiff ness of neck
User :   and some ear pressure
User :   i have stiffness in teh same region
User :   some times
User :   while sometimes say in teh morning
User :   it feel like perfect no pain atall
Doctor :   Ok
Doctor :   How many swellings are there
User :   just one
Doctor :   Ok
User :   just on left side below the earlobe
Doctor :   Do you have any problme chewing
Doctor :   does the saliva ooze out when you are properly chewong
User :   no not really
Doctor :   K
Doctor :   after listening to your symptoms and from the self made signs
Doctor :   I feel that the swelling needs to be better investigated like FNAC,/ Biopsy and Xray
User :   ok
Doctor :   But if there is no benefit of investigating and treating it
Doctor :   as there are no symptoms
User :   ok
User :   also doctor
User :   i want to know will a sonograohy help
User :   in this region
User :   between the top of teh jaw
User :   and the mastoid bone
User :   ?
Doctor :   Yes it is done on case to case basis
Doctor :   but definitely useful
User :   ok
User :   thanks
Doctor :   Have you filled the form which I have sent?
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