Lymph Node Pain: Concerns and Connections in ENT Health - Otolaryngology

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Lymph node issues?


Hello doctor, this morning I noticed some pain near my lymph nodes (a tight pulling sensation), but the lymph nodes themselves are not painful (I previously showed them to a doctor who said they were small and not a concern).
I have experienced similar situations before.
42 days ago, I had a buzz cut, and a folliculitis pustule was accidentally broken.
The previous client smelled strongly of smoke and appeared unkempt, and we used the same hair clippers.
I am worried that if he also had a broken pustule, I could be at risk of contracting HIV (which has caused me a lot of anxiety).
I am unsure if these two issues are related or if I am just overthinking it.

Niming (Xuesheng), 10~19 year old female. Ask Date: 2016/01/03

Dr. Zheng Jueyi reply Otolaryngology


Hello: Both viral and bacterial infections can cause lymphadenitis and pain in the lymph nodes.
If you are concerned, you may visit the Infectious Disease Department at the hospital for a blood test.
Wishing you safety and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the ENT Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/01/03

More Info


It's understandable to feel anxious when experiencing pain or discomfort in the lymph nodes, especially when there are concerns about potential infections or diseases. Let's break down your situation and address your concerns regarding lymph node pain, its potential causes, and the connections to your recent experiences.

Firstly, lymph nodes are small, bean-shaped structures that are part of the lymphatic system, which plays a crucial role in the immune response. They can become tender or painful for various reasons, including infections, inflammation, or even stress. The fact that you are experiencing a pulling pain near the lymph node but not in the node itself suggests that there may be some irritation or inflammation in the surrounding tissues rather than a direct issue with the lymph node.

You mentioned that you had a folliculitis abscess that was ruptured during a haircut. Folliculitis is an infection of the hair follicles, often caused by bacteria, and can lead to localized inflammation and pain. If the infection was not fully resolved, it could potentially cause discomfort in the nearby lymph nodes as they work to filter out the pathogens. However, if your doctor previously assessed the lymph nodes and found them to be small and without significant issues, this is a reassuring sign.

Regarding your concern about the potential for HIV transmission from using the same hair clippers as someone who may have had an infection, it's important to note that HIV is primarily transmitted through specific bodily fluids such as blood, semen, vaginal fluids, and breast milk. The risk of transmission through shared grooming tools is extremely low, especially if the tools were properly sanitized. However, if there was visible blood or open wounds involved, the risk could be slightly higher, but still considered low in a typical barbershop setting where hygiene practices are followed.

Your anxiety about this situation is understandable, especially given the context of your recent experiences. Anxiety can manifest physically, leading to muscle tension and discomfort, which may contribute to the sensations you are feeling near the lymph nodes. It's essential to address both the physical and emotional aspects of your health. If your symptoms persist or worsen, it would be wise to consult with a healthcare professional who can perform a thorough examination and possibly recommend further tests if necessary.

In summary, while the pain near your lymph nodes could be related to the recent folliculitis, it is unlikely to be connected to HIV transmission from the haircut. Your previous medical evaluation of the lymph nodes being normal is a positive sign. However, if you continue to feel discomfort or have any new symptoms, seeking medical advice is always a prudent step. Managing anxiety through relaxation techniques, counseling, or support groups can also be beneficial in alleviating your concerns and improving your overall well-being.

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