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Seek emergency care or same-day evaluation if any of the following occur: Sudden or severe difficulty breathing Rapid onset, inability to swallow saliva or liquids Signs of severe infection (high fever, neck swelling with redness and pain) Large, rapidly growing neck mass When symptoms are less acute but persistent or worsening over weeks, schedule a timely evaluation with a clinician who can arrange appropriate imaging or referral to an otolaryngologist (ENT) or gastroenterologist