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Navigating Recent Health Concerns

7/10/2025, 3:20:34 AMMale25-34

I’m a 26-year-old female and recently I’ve noticed several unusual lumps on my face and scalp. The lumps on my face are somewhat soft and can be moved when touched, while those on my scalp feel hard and remain stationary. They are particularly concentrated around my left eye, which has become swollen, as well as my forehead and temple, extending along the scalp from that region. There’s a sizable lump at the upper back of my head, roughly the size of a large bean, beyond which the other lumps stop. Additionally, there is a hard lump about the size of a black bean near my left ear, accompanied by a few smaller lumps just above it. I’ve also found another lump at the hairline behind my left ear, and my neck exhibits multiple hard, small lumps just below my ear. Notably, all these lumps are confined to the left side of my head. While the lumps near my ear don’t exhibit any redness, those around my eye and along my scalp are quite red. I’ve observed a large, hard lump on my forehead that isn’t red. These lumps are accompanied by sharp pains and severe headaches concentrated in the areas affected. The sensitivity of the lumps to touch is quite pronounced, and I’m currently experiencing heightened sensitivity to light and sound. Upon consulting my doctor, he appeared puzzled by my condition. He suggested that the symptoms resemble shingles since they are localized to one side of my head. However, that diagnosis seems unlikely as I’ve never had chickenpox and have been vaccinated against it. Furthermore, my symptoms do not include itching, burning, or blistering, which are typical of shingles. As a precaution, he prescribed medication for shingles and a hydrocortisone cream (0.2%) for me to try out. I’m expected to return for a follow-up in a week if there’s no improvement, but so far, my situation has deteriorated, with new lumps appearing daily upon waking. I spent the Fourth of July at a family cabin in the mountains, so I wonder if I might have encountered something unusual during that time. Fortunately, none of my family members are displaying any symptoms, although I’m somewhat concerned about my six-month-old, who hasn’t received the chickenpox vaccine. Nevertheless, the shingles theory doesn’t quite fit my situation. Additionally, I have ongoing dental issues, including multiple cavities and a crown that needs replacement. I’m curious whether an infection related to my dental health might have contributed to these new symptoms, particularly as the crown in question is on the same side of my mouth as all the bumps. Currently, I’m taking the mini pill for birth control, but aside from the aforementioned medications, I’m not on any other prescriptions.

AgingFamily MedicineInternal Medicine

Answers (1)

Cony

7/10/2025, 3:21:07 AM

OpenHealth AI

It sounds like you’re experiencing a concerning and complex situation with these lumps, swelling, and pain in your facial and scalp regions. It’s understandable to feel anxious given the sudden appearance of these symptoms, especially since they are localized and causing discomfort. Let's break down your situation and focus on what you can do next.

Main Points:

  1. Symptom Monitoring: The lumps' characteristics and accompanying symptoms need careful observation.
  2. Dental Connection: Consider the role dental health might play in your situation.
  3. Next Steps: Prioritize how to manage your symptoms and track any changes.

Explanation:

The lumps on your face and scalp, along with the swelling and pain, suggest a response to inflammation, infection, or another underlying issue. Since your doctor is puzzled and suspects shingles despite your vaccination, it’s good that you've been prescribed medication as a precaution. However, given your current symptoms and the fact that they are worsening, a more definitive plan is vital.

The swelling and lumps around your mouth coupled with significant dental issues (like cavities and a crown needing replacement) could potentially indicate an infection that might be contributing to your symptoms. It’s also possible that you might have encountered an environmental factor at the cabin that could be causing an allergic reaction or irritation, but dental concerns could be more pressing, especially if there's any infection from the dental issues that can spread.

Next Steps:

  1. Symptom Diary: Start keeping a detailed diary noting the size, number, and sensitivity of the lumps, along with any changes in pain or new symptoms each day. This record will be valuable for future consultations.

  2. Dental Check-Up: Schedule an appointment with your dentist as soon as possible to assess your dental health, especially the crown and cavities. Report your lumps and symptoms, as it might be necessary to evaluate for any dental infections.

  3. Monitor For Changes: Keep an eye on new lumps and the overall sensitivity. If you notice increasing redness, pain, fever, or if the swelling worsens or spreads, consider reaching out for emergency advice.

  4. Follow-Up with Your Doctor: Prepare to discuss your symptoms, dental health, and the lack of improvement during your follow-up appointment. Bring your diary to help your doctor assess the situation more effectively.

  5. Avoid Irritants: Until you have more information, try to avoid cosmetic products, harsh soaps, or anything that might irritate your skin.

Reassurance:

It’s completely natural to feel concerned with the appearance of these symptoms, especially when they are painful and numerous. You’re taking the right steps by consulting with healthcare providers and seeking advice. Focus on monitoring your symptoms, and involve specialists as necessary. If at any point you feel overwhelmed or uncertain, reaching out for support or seeking a second opinion can also be helpful.

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