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Concern Over a Bump on the Scalp

3/18/2025, 1:10:21 AMMale25-34

Hello everyone, I'm seeking some medical perspectives regarding a bump located on the crown of my head. I am a 30-year-old woman, weighing about 120 pounds and standing at 5 feet 1 inch tall. I do not take any medications and have no history of surgeries. My medical background includes issues with migraines and acid reflux. This bump, which has been noticeable for several months, measures around three centimeters and is positioned slightly to the left of my hairline on the left side of my skull. It feels immovable and is somewhat tender when pressed. There has been no trauma to the head that might explain its presence. Unfortunately, my family physician has not been very supportive, despite my longstanding issues with headaches growing up and experiencing migraines for the last few years. I would greatly appreciate any insights, reassurance, or recommendations regarding this situation. Thank you!

AgingFamily MedicineInternal Medicine

Answers (1)

Cony

3/18/2025, 1:10:39 AM

OpenHealth AI

It's understandable to be concerned about a bump on your scalp, especially when it has been present for several months and causes tenderness. While many scalp bumps can be benign, such as cysts or lipomas, it’s important to monitor them for changes. Given your history of migraines, having thorough clarity on all aspects of your health matters even more.

Explanation

A bump on the scalp can arise from various causes. Commonly, they can be:

  • Sebaceous cysts: These are non-cancerous lumps filled with keratin and can be tender but are typically harmless.
  • Lipomas: Soft, fatty tumors that are usually painless and movable.
  • Folliculitis: Inflammation of hair follicles that can cause tenderness.

However, the fact that your bump is tender and immovable could warrant further observation given its size and duration.

Next Steps

  1. Monitor the Bump: Take note of any changes in size, shape, color, or tenderness over the next few weeks. This information will be valuable for any future medical discussions.

  2. Self-Care: While waiting for a more thorough examination, ensure good scalp hygiene. Gently wash the area with mild shampoo to keep it clean and avoid further irritation.

  3. Document Symptoms: Keep a diary of any related symptoms, such as headaches or other noticeable changes, including when the tenderness increases. This will help convey your concern more clearly if you seek a second opinion.

  4. Consider a Second Opinion: If your concerns continue to be dismissed, consider visiting another healthcare provider who specializes in dermatology or neurology. Make sure to communicate your worries about the bump and your migraine history.

It’s essential to advocate for your health, and seeking further clarification is a reasonable step if you feel your concerns aren’t being addressed. Please rest assured that many bumps on the scalp are benign, but your vigilance is key in ensuring that nothing more serious is at play. Let me know if you need further advice or support.

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