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Hello, As the patient is having typical swelling on left side of the neck and it is not clear about that particular swelling. If it is related to lump or any kind of malignancy, it has to be ruled out by proper checkups and biopsies if recommended by doctor and if the growth is non-malignant or it is lipoma, then there is nothing to worry and even cyst has to be ruled out in such cases and if it is something related to arteries, doctors will identify the blockages if any and as the patient is having hypertension and cardiomegaly, definitely doctors would not take any risk to get it operated. So, overall it is difficult to ascertain the condition at this point of time. Generally to bring hypertension under control and to reduce the cardiac swelling, there are some Ayurvedic medications which you can try such as Arjin, Prabakar Vati one-one tablet twice daily after food. Even she can take Divya Arjunarishta 30 ml twice daily to prevent further problem and to prevent cardiomegaly. She need to avoid strenuous activities and exercises that gives pressure, and ask her to only practice Pranayama and general breathing exercises. For further quires, please feel free to reach us.