Swollen Lymph Nodes: Causes and Remedies - Otolaryngology

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One on each side of the neck?


Hello, doctor.
I have a large lump on the left side of my neck that seems like a swollen lymph node, and it has been there for a month.
When I first noticed it, I didn't pay much attention, but a week later, I had viral gastroenteritis, so I thought it might be inflammation caused by that.
After the gastroenteritis resolved, the lump remained and has become larger (it is movable and not painful).
If I tilt my neck slightly, I can see the left side of my neck protruding.
It seems to reduce a bit during the day but becomes more swollen as the evening progresses.
Recently, I tried drinking more water, and I feel like it has slightly decreased in size.
Last night, while washing my face, I suddenly felt a very hard lump under my right jawbone, in front of my ear.
It is not very round and does not move; it hurts when pressed, and it feels more like a swollen area from a bump, with pain similar to that of a bruise.
I initially thought I might be coming down with a cold, but I have no other symptoms.
Doctor, what could be wrong with me? Since I am abroad and the healthcare here is not very good, I won't be able to return to Taiwan until August.
What should I pay attention to, and are there any methods to improve these symptoms?

Lala, 20~29 year old female. Ask Date: 2018/07/03

Dr. Zheng Jueyi reply Otolaryngology


Hello, if a neck mass persists and does not resolve, it is advisable to seek medical evaluation promptly to clarify the cause, as there are many potential reasons for the swelling, and some conditions require urgent attention.
Wishing you safety and health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2018/07/03

More Info


Swollen lymph nodes can be a concerning symptom, and understanding their causes and potential remedies is essential for managing your health. Lymph nodes are small, bean-shaped structures that are part of the lymphatic system, which plays a crucial role in the immune response. When lymph nodes swell, it often indicates that your body is fighting an infection or dealing with some form of inflammation.


Causes of Swollen Lymph Nodes
1. Infections: The most common cause of swollen lymph nodes is an infection. This can include viral infections (like the common cold or flu), bacterial infections (such as strep throat), or even localized infections (like an abscess). In your case, the recent viral gastroenteritis could have triggered a temporary immune response, leading to lymph node enlargement.

2. Immune Response: Lymph nodes can swell in response to any immune challenge, including autoimmune diseases, where the body mistakenly attacks its own tissues. Conditions like lupus or rheumatoid arthritis can cause lymphadenopathy (swollen lymph nodes).

3. Cancer: While less common, swollen lymph nodes can indicate malignancies such as lymphoma or metastasis from other cancers. The characteristics of the lymph nodes, such as their size, consistency, and whether they are painful or not, can provide clues.

4. Other Causes: Certain medications, allergies, and even vaccinations can lead to temporary lymph node swelling.


Your Symptoms
From your description, the lymph node on the left side of your neck has been swollen for about a month, and it has changed in size and consistency. The fact that it is movable and not painful is generally a good sign, but persistent swelling warrants further investigation. The new lump you found under your right jaw could also be a lymph node or another structure, and its hardness and tenderness might indicate a different issue.


Recommendations
1. Observation: Since you mentioned that the swelling has been present for a month, it is crucial to monitor any changes. If the lymph nodes continue to grow, become painful, or if you develop other symptoms (like fever, night sweats, or unexplained weight loss), you should seek medical attention as soon as possible.

2. Hydration and Rest: Staying well-hydrated and getting adequate rest can support your immune system. While you noted that drinking more water seemed to help reduce the swelling slightly, this is likely a temporary effect.

3. Warm Compresses: Applying a warm compress to the swollen area may help alleviate discomfort and promote circulation, which can aid in the healing process.

4. Avoiding Irritants: If you suspect allergies or irritants might be contributing to your symptoms, try to avoid them as much as possible.

5. Seek Medical Attention: Given that you are currently abroad and have limited access to healthcare, it is still advisable to consult with a local healthcare provider if the swelling persists or worsens. They may perform a physical examination and possibly imaging studies or blood tests to determine the underlying cause.

6. Follow-Up: Once you return home, consider scheduling an appointment with a healthcare provider for a thorough evaluation. They may recommend further tests, such as an ultrasound or biopsy, to rule out any serious conditions.


Conclusion
Swollen lymph nodes can be a benign response to infection or inflammation, but persistent swelling should not be ignored. Monitoring your symptoms and seeking medical advice when necessary is crucial. In the meantime, focus on hydration, rest, and gentle care of the affected area. If you notice any alarming changes, do not hesitate to seek medical attention, even in your current location. Your health is paramount, and understanding your symptoms is the first step towards effective management.

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