Understanding the Nasal Spray Prescription for a Neck Lump
**24-year-old female** **Height:** 5'9" **Weight:** 190 lbs Currently, I have the second Nexplanon implant and take allergy medication daily. For the past three years, I've been a regular vaper. While I can’t share a photo, I can tell you the lump is located about an inch below my left ear. For approximately two years, I’ve noticed a dome-shaped lump, roughly the size of a dime, on the left side of my neck. My skin tends to break out easily, and this lump appeared shortly after my mother’s passing, leading me to attribute it to stress. Over time, I realized it grew quite sensitive to touch and I could even feel discomfort when I swallowed hard or spoke loudly. It gives the sensation of swelling on the left side of my throat. After some time, I finally rallied enough to seek help and began seeing a new primary care physician (PCP) in December 2024. We devised a plan to determine the nature of the lump and explore treatment options. Following both an ultrasound and a CT scan, my PCP ruled out any swollen lymph nodes or thyroid issues, suspecting instead that it might be a cyst. Consequently, I was referred to an ENT specialist for a biopsy, likely to confirm the cyst diagnosis. During my ENT consultation today, I shared my symptoms and he examined the area, indicating that it most likely is a cyst. He performed a nasal endoscopy, confirming that there is notable swelling. The consultation lasted about 10-15 minutes. Afterward, I was given a prescription for nasal spray and advised to return in a month. When I inquired about the biopsy, he seemed undecided and suggested we could discuss that during the next visit. Although I’m unclear about what I expected from this appointment, I left feeling somewhat discouraged. I took some comfort in knowing that the situation doesn’t appear urgent, which implies it’s not life-threatening. However, it still causes me discomfort, and I was left feeling a bit dismissed. I understand the nasal spray is intended to address swelling, but I’m curious whether this is a standard approach for a cyst on the neck. My research yielded limited insights, mostly discussing nasal cavity cysts instead. Should I reach out to my PCP to discuss the biopsy, given that she’s the one who suggested it? (My next appointment with her is over three months away). **Additional notes:** - My PCP indicated that if it is confirmed as a cyst, a general surgeon might perform the removal. - I have struggled with severe outdoor allergies my entire life, which often leads to chronic sinus swelling and congestion. I had to overcome some personal hurdles to finally seek medical help, and I feel a bit embarrassed about it. I apologize if my explanation is unclear; my knowledge on this topic is limited, which is why I’m reaching out here. I appreciate any assistance or insight anyone can offer! :)
Answers (1)
3/25/2025, 2:50:42 AM
OpenHealth AI
It sounds like you have been through quite a challenging situation, and it's completely understandable to feel a bit overwhelmed. Let’s address your concerns about the nasal spray, the lump, and your next steps.
Main Points:
- Nasal Spray Purpose: The prescribed nasal spray is likely aimed at reducing swelling and inflammation in your nasal passages which could be contributing to your throat discomfort.
- Cyst Management: While nasal sprays are not typically used for neck cysts directly, they may help manage related symptoms for allergy sufferers.
- Consider Follow-Up: Since you feel uncertain about the biopsy and your treatment, contacting your PCP may help clarify your next steps sooner.
Explanation:
Nasal sprays are often used in cases of chronic sinus issues, including swelling due to allergies. In your case, they might help alleviate related symptoms you are experiencing, especially since you have a history of severe outdoor allergies. However, if a lump is confirmed as a cyst, treatment may involve surgical removal if it continues to cause discomfort or changes.
It’s understandable to feel discouraged, especially after finally seeking help and feeling somewhat dismissed. The key takeaway is that while you are currently being treated for symptoms, it’s important to follow up on the status of the biopsy to assess the cyst properly.
Next Steps:
- Start Using the Nasal Spray: Follow your ENT's instructions on how to use the spray and observe if it helps with your nasal and throat discomfort.
- Monitor Symptoms: Keep track of any changes in the size or sensitivity of the lump, as well as any related symptoms you experience.
- Contact Your PCP: Reach out to your PCP regarding the biopsy and express your concerns. Ask if you can discuss it sooner than your next scheduled appointment. It's important to feel informed and comfortable with your treatment plan.
- Self-Care for Allergies: Continue taking your allergy medication as prescribed, and consider additional measures like saline nasal rinses or a humidifier if you find them helpful.
You’ve taken a significant step in seeking medical attention, and it’s normal to feel a mix of emotions during this process. Don’t hesitate to advocate for your health and seek clarity from your healthcare providers. If you have more questions or need support, please let me know!
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