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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Lumps On Adams Apple With Difficulty In Swallowing Suggest?

every time I swallow, just abovde my adams apple there is a lump that moves up and down, it kinda clicks in and out as I swallow and you can easily feel something loose in there. it just appeared about 3 weeks ago but is hanging around! I'm female in early 40's, non smoker and reasonably healthy
Thu, 3 Sep 2015
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Diabetologist,  's  Response
Hi,

Thanks for your question.

I can understand your concern after going through your concern.

Mid line neck swelling moving with swallowing may be due to -
1) Thyroid swelling - it do not move with tongue movement.
2) Thyroglossal cyst - it also move with tongue movement.

I would like to advise you to consult general surgeon for detailed examination.

Following test will help in diagnosis and decision taking-
1) Ultrasonography of neck.
2) T3, T4, TSH.
3) Complete blood count.

Depending upon clinical examination and above test result there may be need for FNAC (Fine needle aspiration cytology), thyroid scan.

Once diagnosis is confirmed appropriate treatment can be planned.
For thyroglossal cyst surgical removal need to be done.
For thyroid swelling treatment depends on presence of hypo or hyper functioning of thyroid gland, ultrasonography and FNAC report.

Hope this helps you, if so vote as helpful.



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What Could Lumps On Adams Apple With Difficulty In Swallowing Suggest?

Hi, Thanks for your question. I can understand your concern after going through your concern. Mid line neck swelling moving with swallowing may be due to - 1) Thyroid swelling - it do not move with tongue movement. 2) Thyroglossal cyst - it also move with tongue movement. I would like to advise you to consult general surgeon for detailed examination. Following test will help in diagnosis and decision taking- 1) Ultrasonography of neck. 2) T3, T4, TSH. 3) Complete blood count. Depending upon clinical examination and above test result there may be need for FNAC (Fine needle aspiration cytology), thyroid scan. Once diagnosis is confirmed appropriate treatment can be planned. For thyroglossal cyst surgical removal need to be done. For thyroid swelling treatment depends on presence of hypo or hyper functioning of thyroid gland, ultrasonography and FNAC report. Hope this helps you, if so vote as helpful.