Enlarged Neck Lymph Nodes: Progress and Concerns

Continuation of question #143861 - Enlargement of cervical lymph nodes?

Hello Dr.
Hu, I am Ryan.
I previously asked you about the issue of enlarged (or calcified) lymph nodes in my neck.
I would like to update you on my progress: Since September 2018, I have noticed an enlargement of a superficial lymph node on the left side, approximately 1 cm in size, which feels somewhat soft and is movable.
I have consulted with my family doctor and an ENT specialist, and both a nasopharyngoscopy and a CT scan showed no issues, allowing me to continue my normal life.
Recently, I have started to exercise more, drink plenty of water, and maintain a balanced diet (including a variety of fruits and vegetables).
Over the past month, I have noticed that the lymph node has become less prominent during showers, appearing flatter and slightly smaller, and it seems softer to the touch than before.
I would like to ask you: 1.
My family doctor mentioned that it would take 1-2 months for it to shrink, but it has been about 7 months since I first noticed the lymph node, and there are only slight signs of reduction.
Is this normal? 2.
Will this lymph node continue to decrease in size? 3.
I have noticed that when I am working and under a bit of stress, the lymph node occasionally experiences a slight pain (lasting a few seconds).
Is this normal? Thank you!

Rui An, 20~29 year old female. Ask Date: 2019/04/26

Dr. Hu Ziren reply Oncology

1.
Normal; 2.
It may vary, but it could also remain around 1 cm in size; 3.
Normal;

Reply Date: 2019/04/26

More Info

Hello, 瑞安. Thank you for sharing your progress regarding the enlarged lymph node in your neck. It's great to hear that you've been proactive about your health by consulting with healthcare professionals and making lifestyle changes. Let’s address your questions one by one.

1. Is it normal for the lymph node to take about 7 months to show signs of reduction?
Yes, it can be normal for lymph nodes to take time to decrease in size. Lymph nodes can remain enlarged for several weeks to months after an infection or inflammation has resolved. The duration of enlargement can vary significantly from person to person, depending on factors such as the underlying cause of the enlargement, individual immune response, and overall health. In your case, since the lymph node has shown some reduction in size and has become softer, this is a positive sign. It suggests that the body is likely resolving whatever underlying issue caused the lymph node to enlarge in the first place.

2. Will the lymph node continue to decrease in size?
While it is possible for the lymph node to continue to decrease in size, it is not guaranteed. The lymphatic system can be quite variable, and some nodes may stabilize at a smaller size or remain slightly enlarged even after the underlying cause has resolved. Continuous monitoring is essential. If you notice any significant changes, such as increased size, hardness, or new symptoms, it would be prudent to consult your healthcare provider for further evaluation.

3. Is it normal for the lymph node to cause slight pain during periods of stress?
Experiencing mild discomfort or pain in an enlarged lymph node during stressful situations can happen. Stress can lead to various physiological responses in the body, including increased muscle tension and heightened sensitivity to pain. Additionally, if the lymph node is reactive due to a previous infection or inflammation, it may still be sensitive to changes in your body, including stress. However, if the pain becomes more frequent, intense, or is accompanied by other concerning symptoms (such as fever, night sweats, or unexplained weight loss), it would be advisable to seek medical attention.

In summary, your experience with the enlarged lymph node seems to be progressing positively, with signs of reduction and softening. Continue to monitor the lymph node and maintain your healthy lifestyle choices, as these can support your immune system and overall well-being. If you have any concerns or if the situation changes, don't hesitate to reach out to your healthcare provider for further guidance.
Take care, and I wish you continued health and well-being!

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