Effective Medications for Lymphadenitis: What You Need to Know - Family Medicine

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Medications for lymphadenitis?


Hello, doctor.
I have developed a painful lump about 1 cm in size under my right neck along with a sore throat.
After seeking medical attention, the doctor diagnosed it as lymphadenitis and initially prescribed anti-inflammatory medication and antibiotics.
It has been over a week now, and although the lump is less painful, it has not resolved.
During my follow-up visit, my throat still hurts a bit, but the doctor only prescribed 1.
Xyxal (Levocetirizine) and 2.
Lactam (Lactulose) tablets, to be taken as needed.
Are these medications sufficient to address lymphadenitis? I am a bit concerned...
Thank you for your clarification.

Tuzi, 20~29 year old female. Ask Date: 2016/12/14

Dr. Liao Yaopan reply Family Medicine


Hello, regarding your concerns, it is recommended that you communicate and discuss them with your treating physician.
Online consultations cannot replace an in-person visit.
A physician's prescriptions are based on personal evaluations after a thorough diagnosis.
Changhua Hospital cares about you.

Reply Date: 2016/12/14

More Info


Lymphadenitis, an inflammation of the lymph nodes, often results from an infection, and it can be quite concerning when symptoms persist despite treatment. In your case, the initial treatment with anti-inflammatory medications and antibiotics was appropriate, as these are commonly prescribed to address the underlying infection and reduce inflammation. However, the fact that the lump has not completely resolved after more than a week of treatment may warrant further evaluation.

The medications you mentioned, Xyxal (likely an antihistamine) and Lactam (which may refer to a type of antibiotic), are typically used for different purposes. Xyxal (Levocetirizine) is primarily used to relieve allergy symptoms, such as sneezing and itching, and may not directly address the underlying infection causing lymphadenitis. Lactam, if it refers to a beta-lactam antibiotic, could be effective against certain bacterial infections, but its efficacy would depend on the specific bacteria involved.

In cases of lymphadenitis, the choice of antibiotics is crucial. Commonly used antibiotics include penicillins (like amoxicillin), cephalosporins, or clindamycin, especially if there is a concern for skin flora or resistant organisms. If the initial antibiotic therapy was not effective, it may be necessary for your physician to reassess the situation. This could involve switching to a different antibiotic or possibly conducting further diagnostic tests, such as imaging studies or blood tests, to determine if there is an underlying issue that needs to be addressed.

It's also important to consider the possibility of a viral infection, which would not respond to antibiotics. In such cases, supportive care is usually the mainstay of treatment. If the lymphadenitis is due to a viral infection, symptoms may resolve on their own, but monitoring is essential.

If your throat pain persists, it may indicate that the infection has not fully resolved or that there is another concurrent issue, such as pharyngitis or tonsillitis. In such cases, additional treatment may be necessary, and it is advisable to communicate your ongoing symptoms to your healthcare provider.

In summary, while the medications prescribed may help alleviate some symptoms, they may not be sufficient to fully treat the underlying cause of your lymphadenitis. It is essential to maintain open communication with your healthcare provider, express your concerns, and possibly seek further evaluation or a change in treatment if symptoms do not improve. Your health and well-being are paramount, and timely intervention can prevent complications.

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