Hello Doctor,
I hope this message finds you well. Recently, I've noticed a discomforting bump on the top back of my head, slightly towards the right side. Initially, I didn't pay much heed to it, attributing the discomfort to occasional tenderness. However, upon closer examination, I realized that the area is not only sensitive to touch but also causes a spreading pain whenever pressure is applied. Despite my attempts to ignore it, the discomfort persists, often making simple tasks like brushing my hair an ordeal. Even lying down or lifting my head triggers waves of headache originating from that point. Understandably, this has become increasingly bothersome, prompting me to seek advice. Despite consulting someone for an examination, no visible abnormalities were found on my scalp. Could you shed some light on what might be causing this discomfort and whether it warrants concern?
Hello,
Thank you for reaching out to Dr. Galen. Please find the below response to your query
Your detailed description provides valuable insight into your condition, although a conclusive diagnosis would typically require a physical examination. From your account, several plausible explanations come to mind.
Firstly, your symptoms align with those of scalp folliculitis, a condition characterized by inflammation or infection of the hair follicles. This can manifest as tenderness, pain, and the presence of a small bump, consistent with your experience. Alternatively, a sebaceous cyst could be implicated, typically arising as a noncancerous lump behind the ear due to a blockage of the sebaceous gland. Additionally, neuralgia, a condition marked by sharp, shooting pains along nerve pathways, merits consideration. In particular, occipital neuralgia presents with intense pain akin to a sharp, electric shock in the back of the head and neck.
However, given the progressive nature of your symptoms and their association with headaches, it is prudent to explore all potential avenues, including more serious underlying conditions. Therefore, I strongly advise seeking prompt medical attention to undergo a thorough evaluation. A healthcare provider can conduct a comprehensive physical examination and, if necessary, recommend further diagnostic tests to ascertain the precise cause and formulate an appropriate treatment plan.
Your proactive approach to addressing this matter reflects commendable concern for your well-being. Please rest assured that by seeking timely medical intervention, you are taking the necessary steps towards resolution and relief.
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