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Family Physician
Family Physician, Doctor (MD)
Category: Health
Satisfied Customers: 12816
Experience:  Emergency Medicine and Family Practice for over 26 years
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I have a squishy lump in the side of my neck.It has been

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I have a squishy lump in the side of my neck.It has been there for a few years. It does not hurt...The dr.told me about 2 years ago that i have hypothyroidism...I have had about 7 kidney stones since.My question is for the last 6mo i have been sooo tired,getting a rash inbetween my thighs,on shins and on top of my feet,lost soo much weight,and am having horrible pain in my legs,mainly behind my knees...does this sound like anything to you...with all of these symptoms???they seem to be getting worse each month.


You are most likely to be suffering from Fibromyalgia Syndrome. This is a condition when there is severe and non-specific pain all over the body.

There are certain diagnostic criteria for Fibromyalgia.

This consists of both symptoms, the complaints of the patient, and signs, the points elicited by the doctor. these are:

Pain symptomalogy: widespread pain for at least three months.

Signs of Tenderness: Tenderness in at least 11 of the 18 defined points.

If you meet both these criteria, you will be most likely to have Fibromyalgia syndrome.
See here for an excellent description of how FMS is diagnosed and treated.

The other conditions which might present similarly are:

  • Hypothyroidism
  • Polymyalgia rheumatica
  • Osteomalacia
  • Metabolic and inflammatory polyarthropathies
  • Spondyloarthropathy
  • Radiculopathy
  • Pleuritic or cardiac pain syndromes

These can be differentiated by the doctor, although they may present in a similar manner superficially. You need to consult your doctor over these diagnoses and discuss the tests you will need to rule them out.

Two important ways in which to combat this are:

Maintaining a positive attitude: see here.
Exercise: see here.

With a proper effort, FMS can be cured.

I hope this answer was helpful. If you need more information, feel free to ask. For accepting this answer, please click on the green 'accept' button below. Feedback/Bonus will be warmly appreciated.

Customer: replied 9 years ago.
this would explain the lump in my neck,rash,and why i have lost about 20 lbs in about 2 months??why did my dr.say today that he thought it might be a lymph node or tumor and it needed to come out???
The lump in the neck is very likely a lymph node, however since its been there for a few years, it cannot be a tumor. It is almost certainly harmless, lymph nodes in the neck are very common. This is not what is causing your symptoms.

The two most likely causes that would cause you to lose weight even with normal appetite are:

You need to approach your doctor to check this out. there are many other causes for sudden weight loss, but these are the most likely causes. Only if these two causes are eliminated, as I said earlier, FIbromyalgia may be considered. SO you should approach a doctor for this.

You can read up here:

I hope this answer was helpful. If you need more information, feel free to ask. For accepting this answer, please click on the green 'accept' button below. Feedback/Bonus will be warmly appreciated.
Dr. D. Evans, Doctor (MD)
Category: Health
Satisfied Customers: 4464
Experience: MS in ENT and Head and Neck Surgery , Attachment to Neurosurgery.
Dr. D. Evans and 3 other Health Specialists are ready to help you
With all due respect to my colleague, it is NOT possible to exclude a tumor over the internet.

The fact that your doctor (who had the opportunity to actually examine you) believes that this lump should be removed is evidence enough for me that it likely should be removed.

Customer: replied 9 years ago.
Not that it is that big of a deal but i feel like i just threw away $9.00 a second ago....I thought i made it clear that i had LOST about 20 lbs in the past couple of months...well that other dr.said it could be hyperthyroidism...i believe i stated that i had been told by my dr.from my tsh leveles that i had hypothyroidism...(weight gain ) the case is that if you have a lump in your neck and it has been there for a while then it is not a tumor???Is there a time frame for tumors????Also i know we have lymph nodes all over but is it normal to have one in the neck about the size of a pea??thank you for your help.
Different types of tumors grow at different rates. It is not possible to exclude a tumor based solely on the fact that the lump has been present for a certain length of time.

I am NOT trying to be an alarmist, but your doctor believes it should be removed (that will allow the doctors to examine it under the microscope to determine the exact cause for the lump). I would suggest that you follow the advice of your doctor.

It is true of course that a lump cannot be diagnosed over the net. What I am telling you are only the statistical chances, a lump pea sized in the neck that has been there for years without changing in size is very likely to be a benign lump, I myself and most doctors i feel would not advise excision for this. It only requires monitoring to see that it does not change in any way.

If you are worried for this, the best thing for you would be, not excision, but to go for an FNAC. A FNAC will not leave a scar in the neck as with excisions but yet give you an accurate result. You should discuss with your doctor about doing an FNAC.

You can look it up here:

Once you have been diagnosed with hypothyroidism, you are likely to be recieving levothyroxine. Hence you should get your thyroid levels checked once again to see if this is the cause of your weight loss.

I hope this answer was helpful. If you need more information, feel free to ask. For accepting this answer, please click on the green 'accept' button below. Feedback/Bonus will be warmly appreciated.

Customer: replied 9 years ago.
ok..I said that i have already been diagnosed with hypOthyroidism about two years ago and i am already on levothyroxine...But all I ever read about is that people with hypOthyriodism is that they gain and gain weight...seems to me that i am doing the opposite.lost 20 lbs in 2 months.. also just had my tsh checked about 2 months ago and it was normal.i am on 125 mcg of synthroid.
Hypothyroidism of course causes weight gain. But In hypothyroidism under treatment of levothyroxine, excess of levothyroxine supplements can lead to symptoms similar to hyperthyroidism and this can cause weight loss. If you have had your levels checked, then thyroid is probably not the cause.

You should also have your sugar levels checked.
As you said, hypothyroidism is associated with weight gain rather than weight loss. If your Synthroid dose was too high, this could cause weight loss, however you report that your TSH was in the normal range.

Other causes of weight loss would need to be considered including diabetes, malabsorption of nutrients for a number of reasons including decreased secretion of pancreatic (digestive) enzymes.
Customer: replied 9 years ago.
Reply to Dr. D. Evans's Post: let me ask you one more thing,if my tsh level was in the normal range and i am on the same dose that i have been on since i was diagnosed then the reason for weight loss would not be because of too much thyroid meds. am i correct in saying seems to me that it my dose was to high for my body then the tsh level would come back not in the normal range...kind of like i would be getting too much which would cause hyperthyroidism..but it was normal???i guess from the lab tests and what the nurse said i am getting checked for non-hodgkins disease???just thought i would go on line and see what someone else thought with my symptoms..i have never done this before,just thought id give it a try...thanks for your help.
if your TSH levels are normal, then your thyroid supplementation is ok and you are neither in a hypo nor a hyper thyroid stage.

If you are having non-hodgkn's ruled out, then it would be best to go for a biopsy, but with a single node in the neck, non-hodkin's is a distant possibility unless you have other nodes also.
A complete physical examination and some additional testing is necessary to determine the cause of your symptoms. Without a biopsy, there is unfortunately not a way to exclude a serious cause of this lump.

My having this lump removed or having a biopsy - you will have one less thing to worry about. Hopefully this will turn out to be something benign, and then everyone can sleep much better.
Family Physician, Doctor (MD)
Category: Health
Satisfied Customers: 12816
Experience: Emergency Medicine and Family Practice for over 26 years
Family Physician and 3 other Health Specialists are ready to help you