Increasing Pain and a Growing Lump on the Back of My Head
I am seeking advice regarding a persistent lump located on the upper right side of my head that has been present for several years. Recently, I've noticed heightened discomfort and a noticeable increase in its size. If anyone has insights into what this might be or recommendations for a specialist for a second opinion, I would greatly appreciate it. I’m a 30-year-old female and the lump has become more painful over time. I have undergone numerous diagnostic tests, including multiple CT scans and MRIs, and have consulted with various healthcare providers. My medical documentation includes scans, images, and notes from radiology, which I can share if needed. I was diagnosed with seborrheic dermatitis by a dermatologist. In attempts to manage the area, I have applied several treatments, including ketoconazole, benzoyl peroxide, mupirocin, fluocinonide, clindamycin, scalpacin, and Hibiclens. The lump feels swollen and painful, with an associated sense of pressure and mild itchiness. I have the impression that it is gradually expanding. Additionally, I experience a pulling sensation behind my right eye and temple, along with migraines and a constant dull headache. The thinning of my hair is a result of self-inflicted stress due to the discomfort stemming from this condition, compounded by my OCD and anxiety, for which I am currently receiving treatment. Initially, I suspected it could be related to an ingrown hair, prompting me to examine the area more closely. While a dermatologist asserted that there is no cyst present, my primary care physician and an ENT specialist indicated that the lump feels similar to hard bone. A neurologist suggested it might be a cyst, and urgent care staff diagnosed it as cellulitis. Any further insights or referrals to specialists would be immensely helpful.
Answers (1)
6/26/2025, 6:20:45 PM
OpenHealth AI
It sounds like you're experiencing a complex and concerning issue with the lump on the back of your head, especially since it has become more painful and larger over time. Given your medical history and the numerous diagnostic tests you have undergone, it's understandable to seek further insights and clarity.
Key Points:
- Increased Pain and Size of Lump: The growth and discomfort of the lump warrant close attention.
- Multiple Evaluations: You've seen various specialists and received different opinions, highlighting the complexity of your case.
- Associated Symptoms: The pulling sensation behind your eye and persistent headache are particularly noteworthy.
Explanation:
The lump you describe, combined with your symptoms, might suggest several conditions. While seborrheic dermatitis and cellulitis have been previously considered, the combined input from neurologists and ENT specialists points toward a need for a more comprehensive evaluation. The pulling sensation and headaches could be linked to nerve involvement or related structures, which could explain the discomfort you're feeling.
Next Steps:
- Document Your Symptoms: Keep a detailed diary of your symptoms, including when they worsen, the degree of pain, and any new sensations. This can be useful for your healthcare providers.
- Consult a Specialist: Consider getting a referral to a neurosurgeon or a neurologist who specializes in headaches and cranial conditions for a fresh perspective on your situation. Given your complex symptoms, a multi-disciplinary approach might be beneficial.
- Seek Imaging Review: Request that the new specialist reviews your past imaging studies (CTs and MRIs) in the context of your current symptoms. Sometimes, a fresh interpretation can provide new insights.
- Manage Pain and Discomfort: Use over-the-counter pain relievers like ibuprofen or acetaminophen as needed, but ensure you follow the dosage guidelines and consult your primary care physician if you have any questions about interactions given your other medications.
- Mental Health Support: Since you’re coping with OCD and anxiety alongside these physical symptoms, consider discussing your overall wellbeing with a mental health professional. Stress management techniques can sometimes lessen the physical manifestations of stress.
It’s crucial to maintain communication with your healthcare providers, and seeking further opinions may bring you closer to understanding your condition. Don’t hesitate to voice your concerns and ask for comprehensive reviews of your symptoms and past treatments. You deserve clarity and relief.
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