Conversation: The conversation between human and AI assistant.
[|Human|] I have a puffiness above my right collar bone mainly but has been on both sides or just one side off and on for years. There has never been any pain or soreness. A massage therapist told me that it was an accumulation of toxins. Most of the time it disappears after I get a massage. It is on a off and on basis so i can t relate it to anything, for example infections or meds. It doesn t just appear when I m sick either. Any ideas?
[|AI|]  Hello, I can understand your concern. It seems that you have developed a cyst in the area concerned. It is definitely not accumulation of toxins as there is no medical condition that can be described with these words for swelling. Cysts are fluid filled cavities that are lined by a layer of cells (epithelium). They are usually painless unless infected, and they usually disappear on their own when they rupture and then reappear as they again collect the fluids. They do not recur only if they are removed along with the lining. As long as the lining will be present in the body, it will keep recurring. Thus, I advise you to visit an ENT surgeon due to its presence in the neck area to confirm the diagnosis of the cyst or something else. Based on the confirmed diagnosis, treatment can be advised. I also caution you against massaging the area repeatedly until the diagnosis is made. I hope this information helps. Thank you for choosing Chat Doctor. Take care. Best,