Lymph Nodes: Do They Swell with a Cold? - Otolaryngology

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Hello: Regarding the lymph node on either side of my Adam's apple, I visited a teaching hospital where the doctor performed a physical examination and looked at my throat.
The doctor said the lymph nodes are fine, and generally, those located on the sides of the neck are more concerning.
The ones around the Adam's apple should be okay.
If I have a cold, I should observe whether they become swollen.
I would like to ask, when the doctor mentioned swelling during a cold, does that refer to the lymph nodes becoming enlarged?

Lai, 10~19 year old female. Ask Date: 2008/10/21

Dr. Chen Jianzhi reply Otolaryngology


Dear Inquirer: Hello, based on your literal question and description, the answer is "yes." This is a response from Dr.
Chen Jian-Zhi, attending physician of the Department of Otolaryngology at Taoyuan Hospital, Ministry of Health and Welfare, and lecturer at Fu Jen Catholic University School of Medicine.

Reply Date: 2008/10/21

More Info


Lymph nodes are small, bean-shaped structures that are part of the lymphatic system, which plays a crucial role in the body’s immune response. They are distributed throughout the body, including the neck, armpits, and groin, and they help filter harmful substances and produce immune cells. When the body encounters an infection, such as a cold, lymph nodes can become swollen or enlarged as they work to fight off the infection.

To answer your question, yes, lymph nodes can swell during a cold. This swelling is typically a response to the body’s immune system reacting to the viral infection that causes the cold. When you have a cold, the body produces more white blood cells to combat the virus, and as these cells accumulate in the lymph nodes, they can become enlarged. This is often felt as tenderness or swelling in the areas where the lymph nodes are located, such as the neck.

The swelling of lymph nodes during a cold is generally not a cause for concern, especially if it is accompanied by other common cold symptoms such as a runny nose, sore throat, cough, or mild fever. However, it is essential to monitor the situation. If the lymph nodes remain swollen for an extended period, become hard, or are accompanied by severe symptoms such as high fever, night sweats, or unexplained weight loss, it is advisable to seek medical attention. These could be signs of a more serious condition that requires further evaluation.

In your case, since you have already consulted with a physician who performed a physical examination and assessed your lymph nodes, it seems that they did not find anything alarming. The physician’s reassurance that the lymph nodes are "okay" is a positive sign. It is also common for lymph nodes to fluctuate in size based on the body’s immune response to various infections, including colds.

In summary, lymph nodes can swell during a cold due to the immune response, and this is generally a normal reaction. It is essential to keep an eye on any changes and consult a healthcare provider if you notice any concerning symptoms. If you have any further questions or if your symptoms change, don’t hesitate to reach out to your healthcare provider for personalized advice.

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