Lymph Nodes: Concerns and Common Questions Explained - Otolaryngology

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Cervical lymph nodes


Hello Doctor: Thank you for your previous response.
I have been continuously monitoring my lymph nodes, and I feel there hasn't been much change.
They haven't enlarged, remaining under one centimeter, are still movable, and have a firm texture.
Occasionally, after pressing them multiple times, I experience a slight aching sensation.
Since my ultrasound follow-up was in August, I am quite anxious and worried about the possibility of abnormal lymphoma.
I have a few questions I would like to ask you:
1.
I usually don't feel the lymph nodes, but occasionally when I lower or turn my head, I experience an aching sensation that usually subsides quickly.
Could this be due to inflammation or swelling of the lymph nodes, or is it related to my frequent touching of them?
2.
My lymph nodes have been enlarged for almost a month now.
Although they have decreased in size and I am monitoring them, could prolonged swelling lead to issues like a lymphatic abscess? If so, how would I be able to detect that?
3.
I have heard that frequently touching lymph nodes can lead to inflammation and swelling.
Is this true? How often should I touch and observe them?
4.
During my previous visit to the hospital for an ultrasound, the doctor did not find anything abnormal and did not perform a fine needle aspiration.
However, I am very concerned about the possibility of lymphoma.
Given my current situation, is there a chance I could have lymphoma? Can lymphoma cause other types of pain, and how can I differentiate between them?
I apologize for asking so many questions, but I am genuinely worried about negative factors.
Thank you for your understanding.

Chizhi Fanrao de Ren, 30~39 year old female. Ask Date: 2020/06/18

Dr. Zheng Jueyi reply Otolaryngology


Hello,
1.
Occasional sharp pain is likely unrelated to lymphadenitis, as inflammation typically causes persistent pain.

2.
A lymphatic abscess can lead to lymphadenopathy and continuous pain, and may even be accompanied by fever; if these symptoms are absent, it is probably not related.

3.
It is recommended to check once a day if there are no symptoms.

4.
Lymphoma does not necessarily cause pain; based on the current symptoms, regular follow-up visits are advised.
If there are any concerns, the clinician will arrange for relevant examinations.

Wishing you safety and health,
Director of the ENT Department, Taoyuan Hospital, Ministry of Health and Welfare,
Dr.
Cheng Jue-Yi

Reply Date: 2020/06/18

More Info


Understanding lymph nodes and their significance in our health can be a source of anxiety for many individuals. Your concerns about lymph nodes, especially in the context of potential lymphoma or other abnormalities, are valid and deserve thorough exploration. Let’s address your questions one by one.

1. Pain and Sensitivity in Lymph Nodes: It’s not uncommon to experience discomfort or a slight pain in lymph nodes, especially if they are inflamed or reactive due to an underlying infection or inflammation. The sensation of pain when you move your head or touch the area could be due to muscle tension or irritation in the surrounding tissues rather than the lymph nodes themselves. If you have been frequently touching or pressing on the lymph nodes, this could also contribute to the discomfort. It’s essential to monitor the situation, and if the pain persists or worsens, consulting a healthcare provider would be prudent.

2. Duration of Swollen Lymph Nodes: Lymph nodes can remain enlarged for various reasons, including infections, inflammation, or even benign conditions. If a lymph node has been swollen for an extended period (like a month), it’s understandable to be concerned about the possibility of a lymphatic abscess or other complications. Signs that may indicate a more serious issue include persistent swelling, increased pain, redness, warmth in the area, or systemic symptoms like fever or night sweats. If you notice any of these symptoms, it’s crucial to seek medical attention promptly.

3. Touching Lymph Nodes: There is some truth to the idea that excessive manipulation of lymph nodes can lead to irritation or inflammation. While it’s natural to want to check for changes, frequent touching may not be necessary and could potentially exacerbate any existing inflammation. A good rule of thumb is to check occasionally, perhaps once a week, rather than daily. This approach allows you to monitor changes without causing additional irritation.

4. Concerns About Lymphoma: Your anxiety about lymphoma is understandable, especially given the nature of your symptoms. Lymphoma can present with swollen lymph nodes, but it typically comes with other symptoms such as unexplained weight loss, fever, night sweats, and fatigue. If your lymph nodes are less than one centimeter, mobile, and not associated with systemic symptoms, the likelihood of lymphoma is lower. However, if you have persistent concerns, discussing the possibility of a fine needle aspiration (FNA) biopsy with your healthcare provider may provide peace of mind. This procedure can help determine the nature of the lymph nodes and rule out malignancy.

In summary, while it’s essential to be vigilant about changes in your lymph nodes, many factors can contribute to their size and sensitivity. Regular follow-ups with your healthcare provider, especially if you have upcoming ultrasound checks, will help ensure that any changes are monitored appropriately. If you experience new symptoms or significant changes, don’t hesitate to reach out to your doctor. Remember, your health and peace of mind are paramount, and seeking clarity through professional guidance is always a wise choice.

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