What could be the reason for feeling a lump inside the right side of the neck?

Nov 28, 2025 Source: Cainiu Health
Dr. Li Feng
Introduction
In general, a lump felt in the right side of the neck may be caused by reactive cervical lymph node hyperplasia, sebaceous gland blockage, cervical lymphadenitis, thyroid adenoma, or mixed salivary gland tumor. If discomfort symptoms occur, it is recommended to seek timely medical evaluation and treatment at a正规 hospital. Daily maintenance of oral and neck hygiene is important to reduce inflammation, and maintaining regular作息 can help strengthen immunity.

Generally, feeling a lump in the right side of the neck may be caused by reactive cervical lymph node hyperplasia, sebaceous gland blockage, cervical lymphadenitis, thyroid adenoma, or pleomorphic adenoma of the parotid gland. If discomfort occurs, it is recommended to seek timely medical evaluation and treatment at a正规 hospital. Specific analysis is as follows:

1. Reactive Cervical Lymph Node Hyperplasia

Inflammation in the oral cavity or pharynx can stimulate cervical lymph nodes, causing lymphocyte proliferation and subsequent lymph node enlargement. It is important to actively treat the underlying inflammation, maintain a light diet, ensure adequate rest, and avoid repeatedly touching or irritating the lump.

2. Sebaceous Gland Blockage

Excessive sebum production in the neck area can lead to clogged pores and accumulation of oil, forming a lump. Keep the neck clean, use gentle cleansing products, avoid greasy foods, and refrain from squeezing the lump with hands.

3. Cervical Lymphadenitis

Bacterial or viral infections can cause inflammation of the lymph nodes, leading to congestion, swelling, and often pain. Medications such as amoxicillin capsules, cefradine dispersible tablets, or ribavirin granules may be used under medical guidance. Drinking plenty of warm water helps promote metabolism.

4. Thyroid Adenoma

An abnormal proliferation of thyroid cells forms a benign tumor, which can be felt on the neck as a firm lump. Treatment under a doctor's supervision may include levothyroxine sodium tablets, propylthiouracil tablets, or methimazole tablets. Regular follow-up is necessary, and surgical removal of the thyroid adenoma may be required when indicated.

5. Pleomorphic Adenoma of the Parotid Gland

This mixed tumor arises from abnormal growth of parotid gland tissue and typically presents as a painless lump below the earlobe on the neck. Prompt medical attention is needed, and surgical removal of the tumor is usually performed. Postoperative wound care is essential to prevent infection.

In daily life, maintaining good oral and neck hygiene helps reduce the risk of inflammation; regular作息 and sufficient sleep enhance immunity; avoid frequently touching any abnormal neck masses. If the lump increases in size, becomes harder, or is accompanied by pain, prompt medical consultation is essential for accurate diagnosis.