Brief Answer: Needs review by ENT specialist ar the earliest. Detailed Answer: Hi XXXX ! Good morning. I am Dr Shareef answering your query. Initially those were inflamed lymph glands which subsided with antibiotics. The present lump on the back of right side bottom of your head possibly is due to the infection of the mastoid air cells which are located over there. Any ill controlled/virulent ear infection can spread to these mastoid air cells and the condition is known as mastoiditis. The treatment might include an intravenous course of antibiotics (the doctor might advise you for hospital admission), and might subside with this conservative management. If it did not, then your ENT surgeon might suggest you for some invasive surgery like a mastoidectomy after reassessing it with radiological investigations like an X ray of the mastoids, followed by CT scan/ MRI of the temporal bone including mastoids. I would also suggest you not to delay review by your ENT specialist as the infection if not controlled, might spread to surrounding nearby areas which might prove to be dangerous. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.

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