Movable Lumps Below the Chin: Are They Lymph Nodes?

The area above the Adam's apple and below the chin?

Hello, I would like to inquire about small round movable lumps that I can feel below my chin and above my Adam's apple.
They are not painful when touched.
I would like to know if these could be lymph nodes.
I am 165 cm tall and weigh only 50 kg, which is why I can feel them more easily.
Thank you for your help, doctor.

leo, 20~29 year old female. Ask Date: 2014/04/02

Dr. Zeng Guosen reply Internal Medicine

Hello, the issue may be related to the salivary glands or other soft tissues.
It is recommended to consult an otolaryngologist.
Thank you for your question.

Reply Date: 2014/04/02

More Info

When you feel movable lumps under your chin, they are likely lymph nodes. Lymph nodes are small, round structures that are part of the lymphatic system, which plays a crucial role in your immune response. They can be found throughout your body, including the neck, under the chin, and in the groin area. The lymphatic system helps filter harmful substances and is involved in the production of immune cells.

In your case, the lumps you are feeling under your chin are probably lymph nodes that have become palpable due to various reasons. It is not uncommon for lymph nodes to be more noticeable in individuals who are thinner, as there is less subcutaneous fat covering them. This can make them feel more prominent and easier to detect.

Lymph nodes can become enlarged for several reasons, including:
1. Infection: The most common cause of swollen lymph nodes is an infection, which can be viral or bacterial. For instance, upper respiratory infections, dental infections, or skin infections can lead to lymph node enlargement as your body fights off the infection.

2. Inflammation: Conditions that cause inflammation, such as autoimmune diseases (like lupus or rheumatoid arthritis), can also lead to swollen lymph nodes.

3. Cancer: In some cases, lymph nodes can become enlarged due to cancer, either from a primary cancer that has spread to the lymph nodes or from a hematological malignancy like lymphoma or leukemia.

4. Other Causes: There are other less common causes, including certain medications, allergies, or systemic diseases.

Since you mentioned that the lumps are movable and not painful, this is generally a reassuring sign. Painful lymph nodes often indicate an active infection or inflammation. However, it is essential to monitor the situation. If the lumps persist, increase in size, or if you develop other symptoms such as fever, night sweats, unexplained weight loss, or persistent fatigue, it would be wise to consult a healthcare professional for further evaluation.

In summary, while the movable lumps you are feeling under your chin are likely lymph nodes, their exact cause can vary. Given your slim physique, it is not unusual for you to be able to feel them more easily. Observing any changes in size or associated symptoms will be crucial in determining whether further medical evaluation is necessary. Always consult with a healthcare provider if you have concerns about your health or if you notice any significant changes.

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