<s>[INST] last week i felt a lump in my neck it s slightly to the left of the top center of my esophagus there is a mild pain when i touch it, same time that popped up a little pimple did under my nostril, now that little pimple is a patch, slightly raised red around the edges and scaly looking but smooth white top. AND my jaw and tongue have been cramping for some reason, like a muscle cramp in my tongue! I have TMJ, so I think that it may be the cause of that, but it s gotten worse and more frequent since the lump showed up?????? PLEASE HELP! What is wrong with me, i know i need to see a doctor, but I m waiting for insurance to go threw! Tanya- 24 years old [/INST] Hello, I read carefully your query and understand your concern. The lump is probably related to an enlarged lymph node. The enlarged lymph nodes are related to the presence of an infection in the system. I suggest using anti-inflammatory medications such as Acetaminophen in case that the lump is painful. It will go away on its own and there is no need for a specific treatment. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  Chat Doctor.  </s>