[21F] With painful lump above collarbone and substance use

What might be happening

Based on the information you've provided, here are some possible explanations for the painful lump above your collarbone:

• Enlarged Lymph Node (Lymphadenopathy): Lymph nodes can become swollen and painful due to infections, inflammation, or other causes. Given your recent increase in substance use and poor oral hygiene, it's possible that an infection or inflammation could be contributing to the swelling.

• Substance Use Effects: The use of substances like crack cocaine and fentanyl can have various effects on the body, including immune system suppression, which might make you more susceptible to infections that could cause lymph node swelling.

• Dental Issues: Poor oral hygiene and cavities can lead to infections in the mouth, which might cause nearby lymph nodes to swell as they work to fight off the infection.

Typical treatments or testing might include a physical examination by a healthcare provider, blood tests to check for infection or other issues, and possibly imaging studies like an ultrasound to assess the lymph node.

What you can do

1. Seek Medical Attention: It's important to consult a healthcare professional to evaluate the lump and determine the underlying cause. They can provide a formal diagnosis and recommend appropriate treatment.

2. Improve Oral Hygiene: Start brushing your teeth at least twice a day and consider visiting a dentist to address any cavities or dental issues.

3. Consider Substance Use Support: If you're open to it, seeking support for substance use can be beneficial for your overall health. There are resources and support groups available that can help you manage and reduce substance use.

4. Use MDandMe: You can use the MDandMe app to journal your symptoms, track any changes, and share this information with your healthcare provider for a more comprehensive evaluation.

What you should look out for

• Worsening Symptoms: If the lump grows larger, becomes more painful, or if you develop new symptoms like fever, night sweats, or unexplained weight loss, seek medical attention promptly.

• Breathing or Swallowing Difficulties: If you experience any difficulty breathing or swallowing, seek immediate medical care.

• Signs of Infection: If you notice signs of infection, such as redness, warmth, or pus around the lump, or if you develop a fever, it's important to see a healthcare provider.

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a proper diagnosis and treatment plan.