Lymph Nodes: When to Seek Medical Attention for Concerns - Internal Medicine

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My lymph nodes?


Hello doctor, a while ago I felt a lump in my throat when swallowing saliva, so I went to see an otolaryngologist.
I mentioned that I felt a movable lymph node on the left side of my neck, and the doctor said it was nothing serious.
The swallowing issue was attributed to enlarged tonsils and post-nasal drip, and the doctor also mentioned that the lymph node on the left side of my neck was likely due to inflammation, which was not a major concern.

After a month, I continued to see the otolaryngologist.
The throat issue has resolved, but the lymph node is still present, and I have also felt several lymph nodes in my left lower abdomen, the largest being about 1 centimeter.
I would like to know if this is normal, as sometimes I feel a bit of pain in my left lower abdomen.
I'm unsure if it's intestinal cramping or something else, and I'm really worried.
Should I see a specific specialist or undergo any particular tests? Thank you.

Mi Mi, 20~29 year old female. Ask Date: 2005/09/13

Dr. Yang Hongzhi reply Internal Medicine


Systemic lymphadenopathy can initially be evaluated by a hematologist-oncologist or an infectious disease specialist.

Reply Date: 2005/09/13

More Info


When it comes to understanding lymph nodes and when to seek medical attention, it's important to recognize that lymph nodes are a normal part of the immune system. They play a crucial role in filtering lymph fluid and can become enlarged in response to infections, inflammation, or other medical conditions.
In your case, you mentioned that you have been experiencing discomfort in your throat and have noticed a movable lymph node in your left neck. Your ENT doctor has reassured you that this is likely due to inflammation, possibly related to your enlarged tonsils and post-nasal drip. This is a common scenario, as lymph nodes often swell when the body is fighting off an infection. The fact that your throat issue has resolved is a positive sign, but the persistence of the lymph node can understandably cause concern.

Regarding your question about the lymph nodes in your left lower abdomen, it's essential to understand that lymph nodes can vary in size and can remain palpable even when they are not indicative of a serious condition. A lymph node measuring around 1 cm is generally considered within the normal range, especially if it is soft, movable, and not associated with other concerning symptoms like fever, night sweats, or unexplained weight loss. However, if you are experiencing pain in that area, it is worth investigating further.

Here are some key points to consider:
1. Normal Variations: Many people have palpable lymph nodes that are benign and not a cause for concern. The immune system can react to various stimuli, and lymph nodes can remain enlarged for some time even after the initial cause has resolved.

2. Symptoms to Watch For: If you experience additional symptoms such as persistent pain, significant changes in the size of the lymph nodes, or systemic symptoms like fever or fatigue, it would be prudent to seek further evaluation.

3. When to Seek Medical Attention: If the lymph nodes remain enlarged for an extended period (typically more than a few weeks), or if you develop new symptoms that concern you, it is advisable to consult a healthcare provider. Given your current symptoms, it may be beneficial to see a gastroenterologist for your abdominal concerns, especially if the pain persists or worsens.

4. Diagnostic Tests: Depending on your doctor's assessment, they may recommend imaging studies such as an ultrasound or CT scan to evaluate the lymph nodes further. Blood tests may also be conducted to check for signs of infection or other underlying conditions.

5. Follow-Up: Regular follow-up with your healthcare provider is essential. If your doctor has suggested monitoring the lymph nodes, it’s important to adhere to that plan and report any changes or new symptoms.

In summary, while it is normal to feel anxious about changes in your body, especially concerning lymph nodes, it is crucial to rely on the advice of your healthcare providers. They can guide you on the appropriate next steps based on your specific situation. If you continue to feel worried, consider discussing your concerns with your doctor, who can provide reassurance and possibly refer you to a specialist if needed. Remember, being proactive about your health is important, but so is understanding when to seek help and when to monitor your condition.

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