What's going on when there are lumps on the chin that move back and forth

The movement of lumps on the chin may be related to lymph node enlargement, sebaceous gland cysts, lipomas, folliculitis, or thyroglossal duct cysts. It is recommended to seek medical attention promptly to clarify the diagnosis and avoid self compression or treatment.

1. Lymph node enlargement

Lymph node enlargement in the chin area is often caused by oral inflammation, throat infection, etc., manifested as movable painless or slightly tender lumps. May be related to bacterial or viral infections, accompanied by fever or local redness and swelling. Antibiotics such as amoxicillin capsules and cefixime dispersible tablets should be used according to medical advice, or Pudilan anti-inflammatory oral solution should be used for antiviral treatment.

2. Sebaceous gland cyst

Sebaceous gland duct obstruction leads to cyst formation, which is elastic and can be pushed when palpated. It may be related to insufficient skin hygiene and excessive oil secretion, and secondary infections may cause redness, swelling, heat, and pain. Mopirocin ointment can be used topically to prevent infection, and larger cysts require surgical resection.

3. Lipoma

Abnormal proliferation of subcutaneous adipose tissue forms soft masses with good mobility and slow growth. Most of them are benign lesions, which may be related to genetic or metabolic factors. When the volume is small and asymptomatic, it can be observed. If it affects aesthetics or increases significantly, liposuction surgery is required.

4. Folliculitis

Bacterial infection of hair follicles can cause red papules, which may be accompanied by the formation of pus heads. Scratching stimulation and sweat immersion are common triggers, manifested as tender and movable nodules. It can be used topically with fusidic acid cream or compound polymyxin B cream, and in severe cases, oral clarithromycin tablets can be taken.

5. Thyroglossal duct cyst

A cystic mass in the midline of the neck formed by embryonic development residue, which moves up and down with the hyoid bone when swallowed. Possible secondary infection or formation of fistula requires ultrasound examination for diagnosis. The main treatment is excision of thyroglossal duct cyst, and when combined with infection, metronidazole tablets should be used first to control inflammation.

It is necessary to keep the chin skin clean and dry in daily life, and avoid repeatedly touching or squeezing lumps. The diet should be light and the intake of spicy and stimulating foods should be limited. If the lump continues to enlarge, harden, or experience pain and fever, immediate medical attention should be sought from a general surgery or dermatology department. Ultrasound examination can clarify the nature of the mass, and if necessary, pathological biopsy can be performed to exclude the possibility of malignant tumors.