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Neck Swelling

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Any swelling on the neck causes concern. Yet most such swellings aren't cancerous. Check this chart if you have any swelling or lumps on your neck.


 

SYMPTOMS   DIAGNOSIS   SELF-CARE
Begin here        
1. Do you have lumps or swelling on both sides of your neck? No --> Go to Question 4.*    
Yes, go down        
2. Do you have a fever, sore throat, cold or flu symptoms? Yes --> This is likely to be an ENLARGED LYMPH NODE caused by an infection of STREP, MONONUCLEOSIS or simple SORE THROAT. --> If these lumps don't decrease in two weeks, or if one becomes very large and tender, see your doctor as soon as possible.
No, go down        
3. Are these lumps still growing, or have they been on the neck for longer than two weeks? Yes --> There is a chance these are INFECTED or even CANCEROUS LYMPH NODES. --> See your doctor as soon as possible.
No, go down        
*4. Do you have swelling in the back of the neck on one or both sides? No --> Go to Question 7.**    
Yes, go down        
5. Do you have a skin infection on your scalp? Yes --> These swellings are probably lymph nodes reacting to the SKIN INFECTION. --> Treat the infection with a topical antibiotic ointment. If the lymph nodes do not shrink in two to three weeks, see your doctor.
No, go down        
6. Do you have a fever or rash on your face? Yes --> You may have a viral illness or, rarely, GERMAN MEASLES (RUBELLA). --> Treat the symptoms for comfort. If you have a facial rash, check with with your doctor. German measles can harm unborn children and cause complications, such as pneumonia.
No, go down        
**7. Do you have swelling behind and over the jaw on one or both sides? Yes --> This type of swelling may be from MUMPS. --> Contact your doctor.
No, go down        
8. Is the swelling underneath your chin or directly in the middle of your neck? Yes --> You may have a THYROGLOSSAL DUCT cyst or abscess. --> See your doctor.
No, go down        
9. Is there a soft swelling on the front of your neck above and between the collarbones? Yes --> You may have an ENLARGED THYROID, a GOITER or THYROIDITIS, an inflammation of the thyroid. --> See your doctor.
No, go down        
For more information, please consult your doctor. If you think the problem is serious, call right away.

This tool has been reviewed by doctors and is for general educational purposes only. It is not a substitute for medical advice. The information in this tool should not be relied upon to make decisions about your health. Always consult your family doctor with questions about your individual condition(s) and/or circumstances. Source: American Academy of Family Physicians. Family Health & Medical Guide. Dallas: Word Publishing; 1996.

Copyright © 2006 American Academy of Family Physicians
 


 
 
 

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