Should You See a Doctor for Persistent Lymph Node Swelling? - Otolaryngology

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Lymphadenopathy


I noticed that three days ago, my lower gum became inflamed, and I found a lymph node on the right side of my jaw that is about 2 centimeters in size and painful.
However, the pain subsided the next day, but the lymph node has not disappeared.
About two years ago, I had skin inflammation that caused 5 or 6 lymph nodes to swell in my neck, and now there are still 3 that haven't resolved.
Should I go to the hospital to see a doctor?

Xiao Zhang, 20~29 year old female. Ask Date: 2021/10/22

Dr. Zheng Jueyi reply Otolaryngology


Hello: It is common for lymphadenopathy to occur due to inflammation.
If the inflammation improves and the lymph nodes shrink to the point where they are barely palpable, you may monitor them at home.
However, if they do not completely resolve, it is advisable to seek medical evaluation for confirmation.
Wishing you peace and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2021/10/22

More Info


When it comes to persistent lymph node swelling, especially in the context of a recent infection or inflammation, it’s important to approach the situation with caution and awareness. Lymph nodes are part of the immune system, and they often swell in response to infections, inflammation, or other medical conditions. In your case, the swelling of the lymph node in your neck, which you noticed after experiencing gum inflammation, is not uncommon.
1. Understanding Lymph Node Swelling: Lymph nodes can become enlarged for various reasons, including infections (like the gum infection you mentioned), autoimmune diseases, or malignancies. Infections are the most common cause of lymphadenopathy (swollen lymph nodes), and they often resolve as the infection subsides. The fact that your lymph node was painful initially but then became painless suggests that it may be responding to the inflammation from your gum issue.

2. Duration and Characteristics: You mentioned that the swollen lymph node has not disappeared and that you have a history of lymph nodes remaining swollen after previous infections. Generally, if a lymph node remains swollen for more than two weeks after an infection has resolved, it is advisable to have it evaluated by a healthcare professional. The size, tenderness, and consistency of the lymph node are also important factors. A lymph node that is firm, fixed, or continues to grow may warrant further investigation.

3. When to Seek Medical Attention: Given your history of lymph node swelling and the current situation, it would be prudent to consult a healthcare provider. You should definitely seek medical attention if:
- The lymph node continues to grow or does not decrease in size over the next few weeks.

- You experience additional symptoms such as fever, night sweats, unexplained weight loss, or persistent fatigue.

- You have any concerns about the nature of the swelling, especially if it feels different from previous experiences.

4. Possible Diagnostic Steps: If you decide to see a doctor, they may perform a physical examination and could recommend further tests, such as blood tests, imaging studies (like an ultrasound), or even a biopsy if there is a concern about malignancy. These steps can help determine the underlying cause of the lymph node enlargement.

5. Self-Monitoring: While waiting for your appointment, keep an eye on the lymph node. Note any changes in size, tenderness, or associated symptoms. This information can be very helpful for your healthcare provider.

6. Conclusion: In summary, while lymph nodes can remain swollen after infections, especially in the context of inflammation, it is essential to monitor them closely. Given your history and the current situation, it would be wise to consult a healthcare professional for a thorough evaluation. Early assessment can provide peace of mind and ensure that any potential issues are addressed promptly.
In conclusion, while it may be tempting to wait and see, proactive medical consultation is often the best course of action when it comes to persistent lymph node swelling. Your health and well-being are paramount, and a healthcare provider can offer the guidance and reassurance you need.

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