Yesterday morning I woke up with a painful lump behind my right ear(mastoid area). No dental problems, no ear aches but the lump was painful to touch and throbbing. Later that evening, a noticed a painful large (about an inch across in diameter) swollen lymph node....the cervical area, the area between the mastoid and that area was also swollen and painful to touch. This evening I noticed a large swollen lump behind the left ear. I was achy and tired all day. Although the doctor has been doing several tests because I have been complaining of debilitating fatigue. I recently started on cpap, in hopes that that was the problem for the fatigue.