Concern Over Pain-Free Lumps Beneath the Jaw
Hello, I’m a 21-year-old female. Recently, I discovered a hard, painless lump positioned under my jawline, along the curve of my neck. This lump does not shift when I swallow. I’ve now identified a second lump right below the initial one. Here are some specifics about my situation: - Both lumps are firm and do not cause any discomfort. - Their movement beneath the skin appears quite limited. - I haven’t experienced any recent illnesses, throat pain, or dental problems. - I am currently on levothyroxine for my hypothyroidism and recently underwent a change in dosage. - Additionally, I’ve noticed an increase in hair loss lately. - I have no symptoms of fever, unintended weight loss, or night sweats. I’m feeling quite anxious since the lumps haven’t disappeared and a second one has appeared. Should I seek a neck ultrasound promptly, or is it a matter that can afford to wait? I appreciate any advice you can provide.
Answers (1)

9/15/2025, 3:30:46 AM
OpenHealth AI
It's understandable to feel anxious when discovering lumps, especially given your history with hypothyroidism and recent changes in your health. Here’s a breakdown of your situation focusing on your concerns and potential next steps.
Main Points:
- The lumps under your jaw are likely benign, especially since they are firm, painless, and you've noted no associated symptoms like fever or weight loss.
- Monitoring the lumps is important, but considering your thyroid condition and recent hair loss, further evaluation may be warranted.
Explanation:
Lumps in the neck area can arise for various reasons, including lymph nodes that may become reactive or benign conditions like lipomas. Since you've recently changed your levothyroxine dosage, it’s particularly relevant to monitor any changes in your health, as thyroid issues can influence various bodily symptoms, including hair growth.
Specific, Prioritized Next Steps:
- Observe the Lumps: Monitor the lumps for changes in size, shape, or any new symptoms such as pain, redness, or swelling over the next few weeks.
- Self-Care: Maintain a healthy diet and ensure you're managing your hypothyroidism as directed by your healthcare provider. Reduce stress as anxiety can exacerbate physical symptoms.
- Symptom Tracking: Keep a diary of any new symptoms, changes in the lumps, or alterations related to your hypothyroidism (like changes in hair loss). This will help you clearly communicate with your healthcare provider.
- Schedule a Check-Up: Given your history and the emergence of a second lump, consider setting up an appointment with your healthcare provider. Discuss your symptoms and concerns openly, including the need for a neck ultrasound if it is warranted.
Take comfort in acknowledging that while it's natural to be concerned, many lumps are benign. Maintaining communication with your healthcare provider will help ensure you receive personalized attention and peace of mind. If you have any acute or changing symptoms, don’t hesitate to reach out for further evaluation sooner.
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