Pain on the left side of the neck with some swelling?
Hello, Doctor.
About two days ago, I noticed pain on the left side of my neck.
I feel the pain when I adopt certain positions or when I clear my throat.
The pain is located in the middle left part of my neck, and it feels slightly swollen compared to the right side.
Additionally, for the past two to three nights, I've been experiencing nasal congestion, but it doesn't occur during the day.
I only feel pain in that area of my neck (it hurts significantly when pressed).
This morning, an ENT specialist examined my nose and diagnosed me with sinusitis.
It was very painful when I blew my nose, and they also looked at my throat, which was red and swollen but showed no lesions.
However, they did not palpate my neck.
They prescribed a week’s worth of antibiotics and advised me to return for a follow-up.
I would like to know if the swelling and pain in my neck are related to the sinusitis.
I'm a bit worried.
Thank you for your explanation, Doctor.
Weilian, 30~39 year old female. Ask Date: 2016/08/13
Dr. Zheng Jueyi reply Otolaryngology
Hello,
Commonly, lymphadenopathy in the neck is caused by infections.
It is recommended to take medication and return for a follow-up examination after one week.
Wishing you health and happiness!
Best regards,
Dr.
Jue-Yi Cheng
Director, Department of Otolaryngology
Taoyuan General Hospital, Ministry of Health and Welfare
Reply Date: 2016/08/13
More Info
Neck pain and swelling can indeed be related to sinusitis, particularly if you are experiencing symptoms such as nasal congestion and throat irritation. Sinusitis, which is an inflammation of the sinus cavities, can lead to a variety of symptoms that may extend beyond the nasal passages.
When the sinuses become inflamed, they can cause pressure and pain in the surrounding areas, including the forehead, cheeks, and even the neck. This is due to the interconnected nature of the sinus cavities and the surrounding structures. The inflammation can lead to swelling of the lymph nodes in the neck, which may contribute to the pain and discomfort you are experiencing.
In your case, the left side of your neck is painful and slightly swollen, which could indicate that the lymph nodes in that area are reacting to the infection or inflammation caused by sinusitis. Lymph nodes often swell in response to infection as they work to filter out pathogens and produce immune cells. This swelling can lead to localized pain, especially when pressure is applied.
Additionally, the nasal congestion you mentioned can lead to post-nasal drip, where mucus accumulates in the throat. This can cause irritation and discomfort, which may also contribute to neck pain as you may be straining your neck muscles while coughing or clearing your throat.
It is important to follow your doctor's advice regarding the antibiotic treatment for your sinusitis. If your symptoms do not improve after completing the course of antibiotics, or if they worsen, it would be advisable to return to your healthcare provider for further evaluation. They may consider additional diagnostic tests, such as imaging studies, to assess the sinuses and surrounding structures more thoroughly.
In the meantime, there are several self-care measures you can take to alleviate your symptoms. These include:
1. Warm Compresses: Applying a warm compress to your neck can help reduce pain and swelling. The heat can promote blood flow to the area and help relax tense muscles.
2. Hydration: Staying well-hydrated can thin mucus secretions, making it easier for your body to clear them. This can also help reduce post-nasal drip.
3. Steam Inhalation: Inhaling steam can help relieve nasal congestion and sinus pressure. You can do this by taking a hot shower or using a bowl of hot water with a towel over your head.
4. Over-the-Counter Pain Relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce pain and inflammation in the neck.
5. Rest: Ensure you are getting enough rest to allow your body to recover from the infection.
If your neck pain persists or if you develop additional symptoms such as fever, severe headache, or difficulty swallowing, it is crucial to seek medical attention promptly. These could be signs of a more serious condition that requires immediate intervention.
In summary, while your neck pain and swelling may be related to your sinusitis, it is essential to monitor your symptoms closely and maintain open communication with your healthcare provider. They can guide you through the treatment process and help ensure that any underlying issues are addressed effectively.
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