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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Can Be The Lump On The Tip Of My Neck?

Hello! I woke up this morning to find a lump on the tip of my neck under my chin (almost like and Adams apple) it seemed tender and a bit painful if touched or messed with. It almost seemed like I slept wrong. To give some info, I do smoke. But I'm young 23yrs old and never had any severe illness. I sometimes would get tiny swollen glands on the side of my neck which would go away. So I'm a little shocked to have woken up to a decent sized lump. Of course my main worry is cancer or tumor.. But it wouldn't pop up overnight ? So my question is what should I do?
Wed, 30 Jul 2014
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General Surgeon,  's  Response
Hello this is Dr.Subhadeep.thanks for the opportunity to help you.the swelling you have described at the tip of the neck which has come overnight can be an abscess cavity due to some boil or fur uncle or even it can be due to enlarged sub mental group of lymph nodes due to some infection.as you told that u r a smoker so this can also happen during chronic throat infections as chronic cough or chronic bronchitis.the things which you should have elaborated are:
1.are you presently suffering from any current throat infection

2.is the lump painful and associated with fever?

3.can u send me a photo of the lump.that will be invaluable.?

4.how is your oral cavity and oral hygiene.any gum infection,tongue ulcer,ulcers over the palate?

5.any tonsillitis or throat infection currently?

first take a course of antibiotics and anti inflammatory and analgesic course for 7 days as given below.

1.tab Moxikind-cv 625mg1-1-1x7days

2.tab rantack 150mg 1-0-1x5days

3.tab zerodol-sp 1-1-1x5 days

4.tab chymoral forte 1-1-1x7days.

if the abscess localized a simple incision and drainage is enough. if the lump regresses or disappears then it means that it was due to some throat infection.if the lump still persists then you should do a CBC withE.S.R, Mantoux test, x-Ray neck and x-ray chest,USG neck and most importantly FNAC or even an excision biopsy may be confirmed.if FNAC or Biopsy suggests T.B then ATT has to be started.if the diagnosis is non specific lymphadenitis or s
otherwise.necessery treatment can be given.

let me know if the consultation was beneficial

regards

Dr.Subhadeep
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What Can Be The Lump On The Tip Of My Neck?

Hello this is Dr.Subhadeep.thanks for the opportunity to help you.the swelling you have described at the tip of the neck which has come overnight can be an abscess cavity due to some boil or fur uncle or even it can be due to enlarged sub mental group of lymph nodes due to some infection.as you told that u r a smoker so this can also happen during chronic throat infections as chronic cough or chronic bronchitis.the things which you should have elaborated are: 1.are you presently suffering from any current throat infection 2.is the lump painful and associated with fever? 3.can u send me a photo of the lump.that will be invaluable.? 4.how is your oral cavity and oral hygiene.any gum infection,tongue ulcer,ulcers over the palate? 5.any tonsillitis or throat infection currently? first take a course of antibiotics and anti inflammatory and analgesic course for 7 days as given below. 1.tab Moxikind-cv 625mg1-1-1x7days 2.tab rantack 150mg 1-0-1x5days 3.tab zerodol-sp 1-1-1x5 days 4.tab chymoral forte 1-1-1x7days. if the abscess localized a simple incision and drainage is enough. if the lump regresses or disappears then it means that it was due to some throat infection.if the lump still persists then you should do a CBC withE.S.R, Mantoux test, x-Ray neck and x-ray chest,USG neck and most importantly FNAC or even an excision biopsy may be confirmed.if FNAC or Biopsy suggests T.B then ATT has to be started.if the diagnosis is non specific lymphadenitis or s otherwise.necessery treatment can be given. let me know if the consultation was beneficial regards Dr.Subhadeep