Lymph Node Swelling: When to See an ENT Specialist

Lymphatic issues

Last week, I noticed a swollen area on the back of my neck, just below the angle of my jaw, that feels like a cord.
When I stretch my neck, it feels noticeably swollen compared to the other side, but it doesn't hurt.
I'm unsure if it could be lymphadenopathy.
Additionally, I have swelling and pain in the lymph nodes behind my ear.
I visited an ENT specialist and explained my symptoms.
The doctor said my throat was inflamed, which caused the swelling, and prescribed me medication for four days.
I have finished the medication, and the swelling behind my ear has significantly reduced, but it hasn't completely gone away.
The swelling in my neck hasn't decreased either, nor has it noticeably increased.
I'm worried it might be something serious.
Thank you for your help, doctor.

lyj, 10~19 year old female. Ask Date: 2017/11/08

Dr. Ji Zhaoyun reply Otolaryngology

Hello, based on your description, it is most likely that you are experiencing pharyngitis accompanied by cervical lymphadenopathy, which is often treated with various medications, including antibiotics if necessary.
However, if the swelling in the neck continues to progress and leads to a deep neck infection, it is essential to take antibiotics and other medications.
The human neck naturally contains many lymph nodes, which can enlarge due to infection, stress, or lack of sleep, so complete resolution may not be very likely.
If you are unable to confirm the current size and characteristics of the lymph nodes, it is advisable to consult an otolaryngologist for a proper examination based on your condition.
Wishing you safety and good health.
Sincerely, Dr.
Chi Chao-Yun, Director of the Department of Otolaryngology, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2017/11/08

More Info

When it comes to understanding lymph node swelling, particularly in the context of your recent symptoms, it's important to consider several factors. Lymph nodes are small, bean-shaped structures that are part of the lymphatic system, which plays a crucial role in the immune response. They can swell for various reasons, including infections, inflammation, or malignancies.

From your description, it sounds like you have experienced swelling in the lymph nodes located at the back of your neck and behind your ears. The fact that the swelling is not painful and has not significantly increased in size may be reassuring, but it is still essential to monitor these changes closely. The swelling you felt under your jaw could indeed be lymph nodes reacting to an infection or inflammation, as your ENT specialist suggested.
In your case, the doctor attributed the swelling to throat inflammation, which is a common cause of lymphadenopathy (swelling of the lymph nodes). The treatment you received, which included medication for your throat, likely aimed to reduce the inflammation and, consequently, the lymph node swelling. The fact that the swelling behind your ear has decreased is a positive sign, indicating that the treatment may be effective.

However, the persistent swelling in your neck is worth noting. While it is not uncommon for lymph nodes to take time to return to their normal size after an infection, any lymph node that remains swollen for an extended period (typically more than two weeks) should be evaluated further. This is particularly true if the lymph node continues to grow, becomes painful, or if you develop additional symptoms such as fever, night sweats, or unexplained weight loss.

Given your concerns about the lymph nodes and the fact that one of them has not completely resolved, it may be prudent to follow up with your ENT specialist or consider seeing a healthcare provider who specializes in lymphatic disorders or oncology. They can perform a thorough examination and may recommend imaging studies, such as an ultrasound or CT scan, to assess the lymph nodes more closely. In some cases, a biopsy may be necessary to rule out any serious conditions, including malignancies.

In summary, while your symptoms may be related to a benign cause such as an infection, it is essential to remain vigilant. If the swelling persists or if you notice any new symptoms, do not hesitate to seek further medical advice. Early intervention can be crucial in addressing any potential underlying issues. Always trust your instincts about your health, and if you feel something is not right, it's best to consult with a healthcare professional for peace of mind and appropriate care.

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