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Unexplained Swelling Above the Clavicle: What to Consider

9/13/2025, 4:10:19 PMMale25-34

For the past ten months, I've noticed swelling in the region above my right collarbone extending up the side of my neck. My chest X-ray came back normal, as did a follow-up CT scan conducted in March. I’ve been prescribed a mild diuretic, which offers some relief; however, if I skip taking it for a few days, the swelling tends to worsen significantly. As a 48-year-old woman, I often feel unwell. Given that both the chest CTs from five to six months ago were clear, can I trust the results enough? I’m trying to strike a balance between minimizing unnecessary medical appointments and being prudent about my health.

LupusCOPDInternal Medicine

Answers (1)

Cony

9/13/2025, 4:10:35 PM

OpenHealth AI

It's understandable to be concerned about persistent swelling, especially given the duration and your ongoing feelings of being unwell. Since you've had imaging studies that came back normal and have a prescribed diuretic that helps to manage your symptoms, this indicates that while you should keep monitoring the swelling, immediate significant cause-for-concern findings may not be apparent.

Explanation:

Swelling above the clavicle can be due to various factors, commonly involving lymphatic tissue, vascular issues, or even muscular problems. Given that both your chest X-ray and CT scan were clear, serious underlying conditions are less likely, which is reassuring. The fact that the diuretic helps suggests that the swelling may be fluid retention, which could be managed with lifestyle modifications as well.

Next Steps:

  1. Continue Taking the Diuretic as Prescribed: Since you notice improvement with the diuretic, continue taking it regularly and don't skip doses unless directed by a healthcare provider.

  2. Monitor Symptoms: Keep a journal of your swelling, noting any changes in size, color, or any new symptoms like pain or changes in skin texture. This information would be helpful if you need to discuss things further with your healthcare provider.

  3. Hydration and Diet Adjustments: Ensure you are well-hydrated and consider reducing sodium intake, which can help minimize fluid retention. Focus on a balanced diet rich in fruits, vegetables, and lean proteins.

  4. Gentle Exercises and Movement: Engage in light exercises such as walking or stretches that encourage blood circulation. Avoiding prolonged immobility can help minimize swelling.

  5. Regular Check-Ins: Schedule periodic check-ins with your healthcare provider to review your condition, especially if the swelling worsens or does not improve with the diuretic.

  6. Consider Further Evaluation if Necessary: If new symptoms develop, or if the swelling becomes painful or significantly alters your quality of life, don’t hesitate to seek further evaluation, as it may warrant additional investigation.

It's important to listen to your body and remain proactive about your health while balancing your need for medical appointments. If you have any specific concerns or changes, feel free to reach out for more guidance.

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