A thyroglossal cyst is a fibrous cyst that forms from a persistent thyroglossal duct. It usually presents as a midline neck lump (in the region of the hyoid bone) that is usually painless, smooth and cystic, though if infected, pain can occur. There may be difficulty breathing, dysphagia (difficulty swallowing), or dyspepsia (discomfort in the upper abdomen), especially if the lump becomes large. Treatment for a thyroglossal cyst is called the Sistrunk procedure: surgical resection of the duct to the base of the tongue and removal of the medial segment of the hyoid bone. However, by homeopathy complete resolution of the cyst can be achieved without any need for surgical intervention.