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Swelling behind head and left ear, pain on pressing, no head injury. Causes?

hi, i have tenderness and a little swelling at the back of the head behind the left ear, the pain is manageable but it gets worse by the day. about the tenderness, when you apply pressure on it, its really painful, like when your applying pressure on a bruise . i didn t bump my head or hit anything in the area, i just woke up two days ago and the swelling, tenderness and pain is there.
Asked On : Thu, 13 Dec 2012
Answers:  2 Views:  380
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General & Family Physician 's  Response
Dec 2012
It would be proper if the swelling was examined by a health professional to determine its consistency (soft or firm), mobility (mobile or fixed), warmness ( warm or normal temperature), size, color of skin ( red, normal or other), and tenderness ( which you have already mentioned). If this could be determined and presented, we could then differentiate if it is a benign mass or just an inflammation/infection that requires antiinflammatory/painkillers and antibiotics. If benign it could be a cyst/ adenoma or other benign lesions. For now to manage the pain you can take non-steroidal anti-inflammatory or even steroidal anti-inflammatory. But a definitive solution would be managed by your doctor.

Best wishes
Answered: Fri, 14 Dec 2012
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General & Family Physician Dr. Lt Cdr ASN Bhushan's  Response
Dear Concerned.,
Thanks for writing to us.
Only probabalities can be discussed as we have not clinically examined you.
1)Furuncle or boil due to hair follicle infection.This needs to be drained by your MD after reducing the inflammation with a course of Antibiotics.
2)Infected Sebaceous Cyst;
Due to its location you would have noticed the swelling only recently as the swelling would have inflamed and creating pain and tenderness.The blocked oil producing sebaceous gland when inflamed becomes tense painful and cystic swelling.It needs to be excised along with its capsule"Enucleation".
3)Dermoid Cyst:It is present since birth at the junction of fusion of dermatomes embryonically and filled with a Pultaceous material.An X-Ray to rule out intracranial extension to be taken and then the lesion be surgically removed.
Initially with a course of Antibiotics/Antiinflammatory pain will be managed. Later pls undertake Pre-Operative baseline investigations and consult a General Surgeon for excision of lesion.
wishing you a quick recovery.,
Best Regards.,
Dr Lt Cdr ASN Bhushan.,
Answered: Fri, 14 Dec 2012
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