What Causes a Lump in the Neck? Knowing What Is Normal
Home | What Causes a Lump in the Neck? Knowing What Is Normal

Medically Reviewed By:
Dr Leslie Koh
M.B;B.S. (Singapore), MRCS (ENT) Edinburgh, M. Med (ORL), FAMS
Key Takeaways
- Not all neck lumps are serious; many are caused by temporary infections or inflammation that resolve without treatment.
- Lumps that persist, grow, or come with other symptoms like hoarseness or difficulty swallowing should be checked by a doctor.
- Lifestyle factors, such as smoking or a family history of cancer, may increase the risk of a neck lump needing further investigation.
- If a lump lasts more than a couple of weeks, seeking medical advice can help determine the cause and whether further tests are needed.
Introduction
Discovering a lump in your neck can be worrying and raise several questions. It might appear suddenly or develop gradually, and it’s not always clear whether it should be taken seriously. Although many neck lumps are not serious, a few can warrant medical attention.
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This article looks at common causes of neck lumps, signs to watch for, and when it may be time to consult an ENT professional.
Why Are Neck Lumps So Common?
The neck contains a network of cervical lymph nodes, salivary glands, muscles, thyroid tissue, and blood vessels. Each of these structures can react to changes in the body. Swelling in any of these areas may result in a visible or noticeable lump. Infections, inflammation, and other minor issues are among the most common causes of lumps in the neck, making such lumps relatively frequent and not always a sign of grave concern.
Could It Just Be a Swollen Lymph Node?
In many cases, yes. Swollen lymph nodes are one of the most frequent causes of lumps in the neck, especially following viral or bacterial infections. After illnesses like the flu, a sore throat, or even a dental problem, nearby lymph nodes may enlarge as part of the immune response. These lumps are usually soft, move slightly under the skin, and often settle on their own within a week or two.
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If a lump appears during or after recovery from illness, it may simply reflect your body’s healing process. However, if it lasts beyond a few weeks or is accompanied by other symptoms, it’s best to consult a sore throat specialist for further evaluation.

When Could a Neck Lump Be a Sign of Something More?
While many neck lumps are mild and temporary, there are certain signs that suggest the need for further medical attention. A lump may require evaluation if it:
- Persists for more than two to three weeks
- Feels firm, does not move, or continues to increase in size
- Presents together with hoarseness, issues with swallowing, or noticeable weight loss
These symptoms do not confirm a serious condition but may indicate something that needs a closer look. If there is no clear explanation for the swelling, it is advisable to consult an ENT surgeon in Singapore to assess what may be causing the changes.
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Singapore Context: ENT surgeons in Singapore often work within integrated clinics that offer access to scans and scopes during the same visit. This streamlines the process and allows for quicker diagnosis when needed.
What Happens When You Get a Neck Lump Checked?
Even if a neck lump seems minor or causes no pain, it’s essential to observe how it behaves over time. Lumps that persist beyond two to three weeks, grow in size, or change in texture should be reviewed. A specialist can help determine whether the lump is related to common causes of lumps in the neck or if further investigation is needed.
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Assessment may include a physical examination, imaging tests, or, in some cases, a biopsy. If a structural cause is identified, procedures like throat surgery may be discussed. For those experiencing other symptoms, such as snoring or breathing disruptions, a snoring doctor, also known as a sleep specialist, may also be involved in the care plan.
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Pro Tip: Bring along your previous medical records, if any, including blood test results or scans. This can speed up the assessment and help avoid duplicate testing.

Schedule an ENT Review if a Neck Lump Doesn’t Go Away
While neck lumps are often harmless, they shouldn’t be dismissed without proper evaluation, especially if they last longer than expected or are accompanied by other symptoms. Knowing the causes of a lump in the neck can help you make an informed decision about when to seek advice.
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If you’ve noticed a persistent lump or are feeling uncertain, schedule a consultation with Dr Leslie Koh. An early review can provide clarity and guide you toward the appropriate next steps.
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Get in touch today to arrange your appointment.