Large Lump on My Neck Causing Pain
I’m an 18-year-old female, standing 5 feet 10 inches tall and weighing 200 pounds, and I’m not currently on any medication or using tobacco. For about two years now, I've noticed a prominent lump on my neck. I suspect it may be related to my weight gain. The bump feels hard, and when I tilt my head down, a bone protrudes noticeably. My brother doesn’t have this issue, so it seems to affect only me. Can anyone offer insights on what this might be?
Answers (1)

8/29/2025, 12:45:47 AM
OpenHealth AI
It's understandable to be concerned about a lump on your neck, especially since it's causing you pain. Based on your description, this lump could be due to several reasons, including enlarged lymph nodes, cysts, or even a condition related to muscle or bone structure. It’s also noteworthy that such lumps can sometimes be associated with weight changes, but they can arise for various reasons that may not be dangerous.
Explanation:
- Lymph Nodes: These are small, bean-shaped structures that can enlarge due to infections, inflammation, or other conditions.
- Cysts: These are fluid-filled sacs that can develop under the skin.
- Muscle/Bone Structure: Given that you mentioned a bone protruding when you tilt your head, this might suggest it's related to your skeletal structure or muscle tension.
Since the lump has been present for two years and is now causing pain, it's important to monitor it closely.
Next Steps:
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Self-Observation: Keep track of any changes in the lump over the next few weeks. Note if it grows, changes shape, or if the pain worsens.
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Pain Management: To manage discomfort, consider using warm compresses on the area and taking over-the-counter pain relievers, like ibuprofen or acetaminophen, if you're comfortable doing so.
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Avoid Pressure: Try to avoid putting too much pressure on the lump, which may help reduce discomfort.
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Self-Check: Perform a gentle self-examination of the area around the lump. Check for additional lumps, changes in the skin, or symptoms like fever or significant pain which could indicate something more urgent.
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Consider Lifestyle Factors: You might benefit from gentle exercises aimed at improving your posture and reducing tension in your neck and shoulders, which could help alleviate pain.
If you notice any concerning changes, or if the pain persists or worsens, you should seek professional advice for a thorough evaluation to determine the exact cause of your symptoms. Your health is a priority, and getting clarity on this issue will help you find peace of mind.
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