Lymph Node Swelling Behind the Ear: When to Seek Help - Otolaryngology

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Are you referring to the lymph nodes behind the ear?


Hello Dr.
Cheng: Last week, I experienced some cold symptoms (sneezing similar to allergies, a bit of dryness and pain in my throat).
I also noticed three pimples on the upper left side of my scalp.
About five days ago, I felt a lump behind my right ear (at the junction of the ear and the bone), which is approximately 1 cm in size and has a hard texture.
There is also a small lump in the corresponding position on the left ear, but it is much smaller.
I would like to ask you the following questions: 1.
Is this lymphadenopathy? Is it related to my previous cold-like symptoms or the scalp pimples? 2.
Initially, it was not painful or itchy, but over the past two days, I have been pressing on it, and now it feels a bit warm and sore.
Is this normal? Is it okay to keep pressing on it? 3.
Should I see a doctor or pay attention to anything in particular? Thank you, and I appreciate your help again.

Xiao Ke, 30~39 year old female. Ask Date: 2014/08/04

Dr. Zheng Jueyi reply Otolaryngology


Hello, Xiao Ke:
You may be experiencing lymphadenopathy, which could be related to an infection caused by a cold or acne inflammation.
If there is no pain, you can monitor the situation.
It should improve as the infection resolves.
However, if the size continues to increase or if the pain worsens, it may be necessary to seek medical evaluation and treatment.

Wishing you safety and health,
Dr.
Cheng Jue-Yi,
Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare

Reply Date: 2014/08/04

More Info


Hello! Thank you for your detailed questions regarding the lymph node swelling behind your ear. I understand that you're experiencing some discomfort and uncertainty about your symptoms. Let’s break down your concerns and provide some clarity.

1. Is this lymph node swelling related to my previous cold or scalp pimples?
Yes, the swelling you are feeling behind your ear is likely a lymph node enlargement, which can occur in response to infections or inflammation. Lymph nodes are part of the immune system and can swell when they are fighting off infections. Given your recent cold symptoms (sneezing and a sore throat) and the presence of pimples on your scalp, it is plausible that your body is responding to these issues. The lymph nodes in the neck and behind the ears often react to infections in the throat, ears, or scalp.
2. Is it normal to feel heat and soreness after touching the swollen area?
It is not uncommon to feel some warmth or tenderness in swollen lymph nodes, especially if you have been pressing on them frequently. This can be a sign that the lymph node is actively responding to an infection. However, if the area becomes increasingly painful, red, or if you develop a fever, it would be wise to seek medical attention. Continuous pressing on the area may irritate it further, so it’s advisable to avoid excessive manipulation.

3. Should I see a doctor or monitor the situation?
If the swelling persists for more than a couple of weeks, increases in size, or if you develop additional symptoms such as fever, night sweats, unexplained weight loss, or if the pain worsens, you should definitely see a healthcare provider. A doctor can perform a physical examination and may recommend further tests, such as blood tests or imaging studies, to determine the underlying cause of the lymph node enlargement.
In summary, while it is likely that your symptoms are related to a benign cause such as a recent infection, monitoring your symptoms is crucial. If you notice any concerning changes, do not hesitate to reach out to a healthcare professional. They can provide a thorough evaluation and peace of mind.
Additionally, maintaining good hydration, rest, and a balanced diet can support your immune system as it works to resolve any underlying issues. If you have any further questions or concerns, feel free to ask!

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