Common Health Concerns: Lymph Nodes, Dizziness, and Fava Bean Syndrome - Family Medicine

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1.
Is the small round feeling on the left and right sides of the neck (near the Adam's apple) a swollen lymph node?
2.
Why do I feel dizzy when I suddenly stand up after sitting down?
3.
Can patients with G6PD deficiency use medicated oil?

Lai, 10~19 year old female. Ask Date: 2007/06/28

Dr. Lai Junlong reply Family Medicine


Hello: In response to your questions.

1.
The nodules on both sides of the Adam's apple could potentially be enlarged lymph nodes, subcutaneous cysts, or thyroid nodules.
It is recommended to consult a physician for an accurate diagnosis.

2.
This is a symptom of orthostatic hypotension.
It occurs when there is insufficient blood flow to the brain upon standing up.
It is advisable to engage in more physical activity and to rise slowly to improve this condition.

3.
Since the ingredients of the green oil are unknown, it is unclear whether it may cause discomfort for patients with G6PD deficiency.
It is recommended to carefully read the medication leaflet for any special precautions or to directly contact the company for more information.

Reply Date: 2007/06/28

More Info


When it comes to your health concerns regarding lymph nodes, dizziness, and Fava bean syndrome, it's important to address each issue systematically.

1. Lymph Nodes: The small, round lumps you feel on either side of your neck could indeed be lymph nodes. Lymph nodes are part of the immune system and can become enlarged due to various reasons, including infections, inflammation, or, in some cases, malignancies. If these nodes have been present for a prolonged period and have not changed in size, it is generally a good sign, but it is still advisable to consult with a healthcare professional for a thorough evaluation. A healthcare provider may recommend imaging studies or a biopsy if there is any suspicion of a serious condition.

2. Dizziness upon Standing: Experiencing dizziness when standing up suddenly is often related to a condition known as orthostatic hypotension. This occurs when there is a sudden drop in blood pressure upon standing, which can lead to lightheadedness or dizziness. This can happen for various reasons, including dehydration, prolonged bed rest, certain medications, or underlying health conditions affecting blood circulation. It's essential to monitor this symptom and discuss it with your healthcare provider, especially if it occurs frequently or is accompanied by other symptoms such as fainting or severe headaches.

3. Fava Bean Syndrome and Green Oil: Fava bean syndrome, also known as favism, is a condition that affects individuals with a deficiency in the enzyme glucose-6-phosphate dehydrogenase (G6PD). People with this condition can experience hemolytic anemia when they consume fava beans or are exposed to certain triggers, including some medications and infections. Regarding the use of green oil (a topical product), it is generally considered safe for individuals with G6PD deficiency, as it is not known to trigger hemolysis. However, it is always best to consult with a healthcare provider before using any new products, especially if you have a known enzyme deficiency.

In summary, while the presence of lymph nodes can be benign, it is crucial to have them evaluated by a healthcare professional. Dizziness upon standing should also be assessed to rule out any underlying issues. Lastly, while green oil is typically safe for those with Fava bean syndrome, consulting with a healthcare provider is always a prudent step to ensure safety and health. Regular check-ups and open communication with your healthcare provider can help manage these concerns effectively.

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