<human>: Im a 37 yr old gay white male, I have been positive since 2005, but my question is, I noticed a lump or knot under my right ear lob about two days ago, it seemed to start out small, but now it seems to have gotten a little bigger, to the touch it seems sore and maybe fluid building up in there, is this someting i need to be concerned about.
<bot>: Hello! Welcome to Chat Doctor. This is more likely an enlarged lymph node. This can be due to some intramural infection. Do you have fever? In my clinic, I first do complete oral examination & it is advisable to do FNAC - fine needle aspiration cytology for confirmation of diagnosis. Consult your doctor for antibiotics & further management. Hope this helps. Wish you speedy recovery. Thanks. Regards.