Lymph Nodes: Causes of Swelling and Night Sweats - Oncology

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A lump in the neck?


Hello, doctor.
Around February, I noticed a lymph node about 1 cm in size on my neck.
I thought it was a pimple and squeezed it, releasing some white fluid, but it didn't go away.
Eventually, I couldn't stand it anymore and went to see an ENT specialist.
The doctor told me it was tonsillitis and prescribed antibiotics, which helped reduce the swelling.
It was previously very prominent, but now it has flattened out; I can only feel it if I pay close attention.
However, I recently noticed that I sweat during my afternoon naps but not at night.
I'm not sure if this is related to the fact that I sleep naked at night but not during the day.
I would like to ask the doctor for clarification.

Niming, 10~19 year old female. Ask Date: 2016/06/12

Dr. Lai Yicheng reply Oncology


Dear Xiaowen,
Thank you for your inquiry.
Regarding your question, I am unable to provide an accurate assessment without seeing your condition in person.
Please visit the dermatology or surgery department at the hospital for an in-person evaluation by a physician.

Best regards,
Dr.
Lai Yicheng
Department of Radiation Oncology
Changhua Hospital

Reply Date: 2016/06/12

More Info


Swollen lymph nodes can be a concerning symptom, and understanding their causes is crucial for proper diagnosis and treatment. Lymph nodes are small, bean-shaped structures that are part of the lymphatic system, which plays a vital role in the immune response. When lymph nodes swell, it often indicates that the body is fighting an infection or dealing with another underlying issue.

In your case, the swelling of the lymph node in your neck, which was initially thought to be a pimple, was later diagnosed as inflammation of the tonsils (tonsillitis). This condition can lead to the enlargement of lymph nodes in the neck as they work to filter out pathogens and produce immune cells to combat the infection. The fact that you were prescribed antibiotics and saw some reduction in swelling is a positive sign that the infection was being addressed.

The presence of night sweats, particularly when they occur during daytime naps, can be attributed to several factors. Night sweats are often associated with infections, hormonal changes, or other medical conditions. In your case, the fact that you experience sweating during naps but not at night could suggest a few possibilities:
1. Body Temperature Regulation: When you sleep during the day, your body may not be as well-regulated in terms of temperature control compared to nighttime sleep. This could lead to increased sweating.

2. Sleep Environment: If you sleep naked during the day but wear different clothing at night, the difference in clothing could affect how your body regulates temperature. Additionally, the environment in which you nap (e.g., room temperature, bedding) may contribute to sweating.

3. Residual Effects of Infection: Even after the initial infection has been treated, your body may still be in a state of recovery, which can sometimes lead to intermittent symptoms like sweating.

4. Anxiety or Stress: If you are experiencing stress or anxiety, this can also lead to increased sweating, particularly during naps when your body may be more relaxed.

5. Other Medical Conditions: Conditions such as hyperthyroidism, certain cancers, or autoimmune diseases can also cause night sweats. If your symptoms persist or worsen, it would be wise to consult a healthcare professional for further evaluation.

In summary, the swelling of your lymph nodes was likely due to an infection, and the subsequent reduction in size indicates that your body is healing. The night sweats you are experiencing during naps may be related to various factors, including body temperature regulation, environmental conditions, or residual effects from the infection. If these symptoms continue or if you develop new symptoms, it is essential to seek medical advice for a thorough evaluation and appropriate management. Always remember that your health is paramount, and addressing any concerns with a healthcare provider is the best course of action.

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