Should You See a Doctor for Swollen Lymph Nodes in the Neck? - Otolaryngology

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Swollen lymph nodes in the neck?


Hello Doctor, about two weeks ago, I suddenly noticed a swollen lymph node between my left jaw and neck.
Every time I try to check its size, it seems to shrink a bit, so I can only estimate its size with my fingers (approximately a little over 1 centimeter).
Currently, its size feels unchanged, and it is quite mobile.
I would like to know if I need to see a doctor, or should I continue to observe it for a while longer before seeking medical attention?

Niming, 20~29 year old female. Ask Date: 2023/07/11

Dr. Zheng Jueyi reply Otolaryngology


Hello, if there is no obvious pain or if the lumps are not increasing in size or number, you may observe them for now.
However, if you experience any of the above symptoms or have concerns, it is advisable to visit an otolaryngologist for examination and confirmation.

Reply Date: 2023/07/11

More Info


When it comes to swollen lymph nodes in the neck, it's important to understand the context and underlying reasons for the swelling. Lymph nodes are part of the immune system and can swell in response to various conditions, including infections, inflammation, or more serious issues like malignancies.
In your case, you mentioned that you have noticed a swollen lymph node located between your jaw and neck on the left side, measuring slightly over 1 cm. The fact that it is movable and has not significantly changed in size over the past two weeks is generally a reassuring sign. Movable lymph nodes are often associated with benign causes, such as infections or reactive lymphadenopathy, which is a common response to localized infections.


When to See a Doctor
1. Duration and Size: If the lymph node has been swollen for more than two weeks without any signs of improvement, it is advisable to consult a healthcare professional. While many swollen lymph nodes resolve on their own, persistent swelling can warrant further investigation.

2. Associated Symptoms: If you experience additional symptoms such as fever, night sweats, unexplained weight loss, or persistent pain, these could be red flags that necessitate a medical evaluation.
3. Physical Examination: A doctor can perform a thorough physical examination to assess the lymph node and check for any other abnormalities. They may also inquire about your medical history and any recent infections or illnesses.

4. Diagnostic Tests: Depending on the findings, your doctor may recommend imaging studies, such as an ultrasound or CT scan, or even a biopsy if there is concern about malignancy.


Observation Period
If you choose to monitor the lymph node, it is generally recommended to observe for about 4 to 6 weeks. During this time, keep track of any changes in size, consistency, or associated symptoms. If the lymph node remains unchanged or if you develop any new symptoms, it would be prudent to seek medical advice.


Conclusion
In summary, while many swollen lymph nodes are benign and resolve without treatment, it is essential to remain vigilant. Given that your lymph node has been swollen for over two weeks, it would be wise to consult a healthcare provider for a professional evaluation. They can provide reassurance, conduct necessary tests, and determine if any treatment is needed. Remember, early intervention can be crucial in addressing any potential health issues.

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