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What Causes A Hard Mass On The Right Side Of The Face With Left Side Swelling?

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Posted on Wed, 9 Feb 2022
Question: Hi. on the right side of my face I have a little red spot and under it a rock hard mass the size of a grape. but on the left side my face is swollen. why? no fever and no pain and feel great otherwise
doctor
Answered by Dr. Noble Zachariah (1 hour later)
Brief Answer:
Discussion follows

Detailed Answer:

Hello,

From the picture, the lesion on the right side looks like an infected hair follicle cyst.
If you have been sleeping on your left side continuously because of the lesion on the right side, a minor swelling of the left side of the face may occur. if the swelling persists for long after getting up, then it ought to be investigated.

Do get back to me if you have further queries.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Noble Zachariah (31 minutes later)
the swelling has been present for two days now. please advise
doctor
Answered by Dr. Noble Zachariah (4 hours later)
Brief Answer:
Discussion continued

Detailed Answer:

Hi,

You would need an antibiotic for treatment of the infection and surgical intervention may be required if the lesion on the right doesn't settle with the antibiotic. It may be good to have yourself examined by a doctor.

If the swelling has been present for 2 days it would be better to have a CBC, urine analysis and serum creatinine done. You may try taking chymotrypsin which will reduce the swelling if it is due to an inflammation.

I would be interested to know your progress. Do let me know.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Noble Zachariah (2 hours later)
what would you think could be going on and would be shown by a CBC, urine analysis, etc.?
doctor
Answered by Dr. Noble Zachariah (5 hours later)
Brief Answer:
Discussion continues

Detailed Answer:

Hi,

The different reasons for the swelling can be
1. Infection
2. Allergic reaction
3. Less likely from a kidney problem

CBC would help in knowing whether it is due to any of the first two. An increased WBC count with increase in Neutrophils indicates an infection; an increase eosinophils would be suggestive of an allergic reaction. The less likely cause of a kidney problem would be evident from urine analysis and the kidney function test serum creatinine.
Note: For further follow-up it is advisable to consult an emergency medicine specialist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Noble Zachariah

Internal Medicine Specialist

Practicing since :1974

Answered : 2319 Questions

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What Causes A Hard Mass On The Right Side Of The Face With Left Side Swelling?

Brief Answer: Discussion follows Detailed Answer: Hello, From the picture, the lesion on the right side looks like an infected hair follicle cyst. If you have been sleeping on your left side continuously because of the lesion on the right side, a minor swelling of the left side of the face may occur. if the swelling persists for long after getting up, then it ought to be investigated. Do get back to me if you have further queries.