Lymph Node Issues: When to See an ENT Specialist - Otolaryngology

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Lymph node issues?


Hello Doctor, I would like to ask you about a concern.
I noticed that when I gently press the area just above the angle of my right mandible, there is a slight pain, and compared to the left side, there is a small round lump.
Additionally, for the past week, I have been experiencing clear nasal discharge only from my right nostril, although it is not very watery.
Are these two symptoms related? Should I see an ENT specialist for an examination? Thank you!

Nìngmíng, 20~29 year old female. Ask Date: 2016/02/01

Dr. Zheng Jueyi reply Otolaryngology


Hello: Pain may be related to inflamed lymph nodes, but there is not necessarily a direct connection between the two.
If the pain persists without improvement, it is advisable to seek medical evaluation.
Wishing you peace and good health.
Director of the ENT Department, Taoyuan Hospital, Ministry of Health and Welfare, Dr.
Cheng Jue-Yi.

Reply Date: 2016/02/01

More Info


When it comes to lymph node issues, especially in the context of your symptoms, it's important to understand the potential implications and when to seek medical advice. Based on your description, you have noticed a small, round lump near the angle of your jaw on the right side, which is tender to the touch, along with clear nasal discharge from the right nostril.
Firstly, the presence of a lymph node in the area you described could indicate a few different things. Lymph nodes can become enlarged due to various reasons, including infections, inflammation, or even malignancy. In your case, the tenderness and the presence of a lump suggest that there may be some form of localized inflammation or infection. The clear nasal discharge could also be indicative of a sinus issue or an upper respiratory infection, which can sometimes lead to reactive lymphadenopathy (enlargement of lymph nodes due to infection).

The relationship between your symptoms is plausible. The lymph node swelling could be a response to an infection in the nasal passages or throat, particularly if you have been experiencing any upper respiratory symptoms. Infections such as viral upper respiratory infections, sinusitis, or even dental issues can lead to lymph node enlargement in the neck or jaw area.

Given these symptoms, it is advisable to consult an Ear, Nose, and Throat (ENT) specialist. An ENT doctor can perform a thorough examination, which may include a physical examination of your throat, nasal passages, and the lymph node itself. They may also recommend imaging studies, such as an ultrasound or CT scan, to better assess the lymph node and surrounding structures.
In addition, if the lymph node remains enlarged or if you experience additional symptoms such as fever, night sweats, unexplained weight loss, or persistent pain, these could be signs that warrant further investigation. In some cases, a biopsy may be necessary to rule out any serious conditions, including malignancy.

In summary, your symptoms of a tender lymph node and clear nasal discharge could indeed be related, and seeing an ENT specialist is a prudent step. They can provide a comprehensive evaluation and determine the appropriate course of action based on their findings. It's always better to err on the side of caution when it comes to health concerns, especially when there are changes in your body that are new or concerning.

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