Lymph Node Swelling: Causes and Concerns in ENT Issues - Otolaryngology

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Lymphadenopathy


Hello, Doctor.
Recently, I have felt 3 to 4 lymph nodes in my neck.
They are painless and movable.
I would like to know if this could indicate any issues.
I am also wondering if this is related to my recent wisdom tooth eruption, as I have some pain in that area, which seems to be inflamed.
However, I read online that inflammation usually causes lymph nodes to enlarge and become painful, but I am not experiencing much pain, and I can feel several lymph nodes at once, which makes me quite worried.
So, I would like to ask if there could be any problems with the lymph nodes in my neck.
Additionally, I have a slight weakness in my left arm; could this be related to my current symptoms? Furthermore, I have had some small, bean-sized lumps under the skin in my armpit for a long time.
Could these be lymph nodes? I visited a general practitioner, and he said that what I have in my armpit is probably not lymph nodes, but he did not specify what it is, so I would like to ask you.
Thank you.

Sarah, 20~29 year old female. Ask Date: 2017/06/17

Dr. Zheng Jueyi reply Otolaryngology


Hello: Lymph nodes are commonly associated with infections, but if there are persistent lymph nodes in the neck that do not resolve, it is advisable to seek medical evaluation.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/06/17

More Info


Lymph node swelling, or lymphadenopathy, can be a source of concern for many individuals, especially when they notice new lumps or changes in their body. In your case, you have identified several lymph nodes in your neck that are movable and painless, which is generally a reassuring sign. However, it is essential to understand the potential causes and implications of lymph node enlargement, especially in the context of your recent dental issues with wisdom teeth.

Lymph nodes are small, bean-shaped structures that are part of the lymphatic system, which plays a crucial role in the immune response. They filter lymph fluid and help the body fight infections. When lymph nodes swell, it can be due to a variety of reasons, including infections, inflammation, or malignancies. In your situation, the fact that the lymph nodes are painless and movable suggests that they are likely reactive rather than malignant. Reactive lymph nodes often occur in response to infections or inflammation in nearby areas, such as the throat or mouth, which could be related to your wisdom teeth.

The pain you are experiencing near your wisdom teeth could indicate an infection or inflammation in that area, which may lead to the enlargement of nearby lymph nodes as your body responds to the infection. It is not uncommon for lymph nodes to swell in response to dental issues, especially if there is an abscess or gum infection. While it is true that painful lymph nodes are often associated with infections, painless lymphadenopathy can still be a normal response to localized inflammation.

Regarding your concern about the small lumps under your skin in the armpit area, these could be a variety of things, including benign cysts, lipomas (fatty tumors), or even small lymph nodes. Since your family doctor indicated that they are likely not lymph nodes, it may be worth seeking further evaluation if they persist or change in size or appearance.
The sensation of weakness or discomfort in your left arm could be related to several factors, including muscle strain, nerve compression, or even referred pain from your neck or dental issues. It is essential to consider the whole clinical picture, as these symptoms may or may not be directly related to your lymph node swelling.

In summary, while the presence of multiple movable and painless lymph nodes in your neck is generally not alarming, it is essential to monitor any changes. If the lymph nodes become painful, increase in size, or if you develop additional symptoms such as fever, night sweats, or unexplained weight loss, it would be prudent to seek further medical evaluation. Additionally, addressing the dental issues with your wisdom teeth may help alleviate some of the concerns regarding the lymph nodes. Regular follow-ups with your healthcare provider are advisable to ensure that any underlying issues are appropriately managed.

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