[20F] With a red, swollen lump behind the ear, dizziness, and headaches

Patient Description

A 20-year-old female reports discovering a hard, movable lump on the side of her head behind her ear. The lump is red and swollen but not painful to touch. The patient has also been experiencing dizziness and headaches for the past week. There is no history of recent injuries, infections, or dental issues. The onset of the lump is unknown as the patient does not usually check behind her head.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for the lump behind your ear:

  • Lymphadenopathy: This is the swelling of lymph nodes, which can occur due to infections or other conditions. Even if you haven't noticed any recent infections, sometimes the body can react to minor or unnoticed infections.

    • Treatment: Typically, this involves addressing the underlying cause, such as an infection. If the swelling persists, a doctor might recommend further tests.
  • Lipoma: A lipoma is a benign (non-cancerous) tumor made of fat tissue. They are usually soft, but some can feel firmer.

    • Treatment: Lipomas generally do not require treatment unless they cause discomfort or cosmetic concerns. In such cases, they can be surgically removed.
  • Sebaceous Cyst: These are non-cancerous, closed pockets of tissue that can be filled with fluid, pus, or other material. They can become red and swollen if infected.

    • Treatment: Small cysts may resolve on their own. If infected, they may require antibiotics or drainage by a healthcare provider.
  • Mastoiditis: This is an infection of the mastoid bone behind the ear, which can cause swelling and redness. It is often associated with ear infections.

    • Treatment: This condition requires prompt medical treatment with antibiotics and sometimes surgery.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Monitor the Lump: Keep an eye on the size, color, and any changes in the lump. Note if it becomes painful or if you develop any new symptoms.
  2. Stay Hydrated: Drink plenty of fluids to help your body fight any potential underlying infections.
  3. Over-the-Counter Pain Relief: If you experience discomfort, over-the-counter pain relievers like ibuprofen or acetaminophen can help.
  4. Avoid Touching: Try not to touch or press the lump too much, as this can cause irritation or infection.
  5. Use MDandMe: You can use the MDandMe app to journal your symptoms, track any changes, and share this information with your healthcare provider.

What you should look out for

Seek medical attention if you notice any of the following:

  • The lump grows rapidly or changes in appearance.
  • You develop a fever or chills.
  • The lump becomes painful or starts to drain pus.
  • You experience worsening dizziness or headaches.
  • Any new symptoms develop, such as hearing loss or vision changes.

Remember, while this information can help you understand what might be happening, it is not a substitute for professional medical advice. Please consult a healthcare provider for a thorough evaluation and appropriate treatment.

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4 mo ago


People Also Ask


What could cause a hard, movable lump behind the ear?

A hard, movable lump behind the ear could be caused by lymphadenopathy, a lipoma, a sebaceous cyst, or mastoiditis. Each of these conditions has different characteristics and potential causes, such as infections or benign growths.


Are dizziness and headaches related to the lump behind the ear?

Dizziness and headaches could be related to the lump if it is associated with an underlying condition like an infection or mastoiditis. However, these symptoms could also be unrelated. It's important to consult a healthcare provider for a proper diagnosis.


When should I seek medical attention for a lump behind the ear?

You should seek medical attention if the lump grows rapidly, changes in appearance, becomes painful, starts to drain pus, or if you develop a fever, chills, worsening dizziness, headaches, or any new symptoms like hearing loss or vision changes.


What are the treatment options for a lump behind the ear?

Treatment options depend on the underlying cause of the lump. Lymphadenopathy may resolve with treatment of an infection, lipomas can be surgically removed if necessary, sebaceous cysts may require drainage or antibiotics if infected, and mastoiditis requires prompt medical treatment with antibiotics or surgery.


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