Lymph nodes near the mandibular line?
Recently, I have felt two or three lymph nodes near the lower jawline under my wisdom teeth.
They are movable and not painful.
Should I seek medical attention right away, or should I observe them for now? Thank you.
Ayi, 30~39 year old female. Ask Date: 2020/12/19
Dr. Zheng Jueyi reply Otolaryngology
Hello: Generally, lymph nodes that are mobile and painless, measuring less than 1 centimeter, are mostly benign.
You may observe them for now.
However, if they continue to enlarge, multiply, or become painful, it is advisable to seek medical evaluation.
Wishing you peace and good health.
Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare, Dr.
Cheng Jue-Yi.
Reply Date: 2020/12/19
More Info
When it comes to lymph nodes near the jawline, particularly in the context of recent changes such as the discovery of movable, non-painful lymph nodes, it’s essential to understand the implications and when to seek medical advice. Lymph nodes are part of the lymphatic system, which plays a crucial role in the body’s immune response. They can become enlarged for various reasons, including infections, inflammation, or more serious conditions such as malignancies.
In your case, the presence of two to three movable lymph nodes under the jawline that are not painful is a common finding and can often be attributed to benign causes. For instance, they may be reacting to a recent infection, such as a cold or dental issue, especially if you have had any dental work or infections in the mouth or throat. The fact that they are movable and not tender is generally a reassuring sign, as painful and fixed lymph nodes are often more concerning.
However, there are specific guidelines on when to seek medical attention:
1. Duration: If the lymph nodes remain enlarged for more than two weeks without any signs of improvement, it would be prudent to consult a healthcare professional. Persistent lymphadenopathy can warrant further investigation.
2. Size: If the lymph nodes increase in size or if new nodes appear, this could indicate a need for evaluation. Generally, lymph nodes larger than 1 cm in diameter are considered enlarged.
3. Associated Symptoms: If you experience additional symptoms such as fever, night sweats, unexplained weight loss, or fatigue, these could be signs of a more serious condition and should prompt a visit to a healthcare provider.
4. Location and Characteristics: Lymph nodes that are hard, fixed to surrounding tissues, or have an irregular shape may require further evaluation.
5. Medical History: If you have a history of cancer or other significant medical conditions, it is advisable to consult your doctor sooner rather than later.
In summary, while movable and non-painful lymph nodes are often benign, it is essential to monitor them. If they persist beyond a couple of weeks, increase in size, or are accompanied by other concerning symptoms, seeking medical advice is the best course of action. A healthcare provider may perform a physical examination and, if necessary, order imaging studies or blood tests to determine the underlying cause of the lymphadenopathy.
In the meantime, maintaining good oral hygiene, staying hydrated, and monitoring for any changes in your health can be beneficial. If you have any concerns or if the situation changes, do not hesitate to reach out to a healthcare professional for personalized advice.
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