Swollen Lymph Nodes: Concerns and Risks in ENT Health - Otolaryngology

Share to:

It seems that there is lymphadenopathy?


Hello, Dr.
Zheng.
A few days ago, I noticed a small lump in my lower jaw and immediately went to see an ENT specialist.
However, the doctor at the clinic was quite unprofessional; when I asked her if it could be lymphadenitis, she couldn't provide an answer.
The consultation lasted less than two minutes, and she repeatedly told me to be cautious and to return for follow-up, which has made me very anxious.
I work in the bar industry and want to know if my work environment, which involves smoke and alcohol, could lead to malignant tumors.
I also have a history of betel nut chewing, and there is some swelling near the location of my lower left wisdom tooth.
I apologize for bothering you, but I am really worried.

Mars, 20~29 year old female. Ask Date: 2016/03/11

Dr. Zheng Jueyi reply Otolaryngology


Hello: It is common for infections in the mouth or teeth to cause inflammation of the cervical lymph nodes.
If discomfort persists, it is important to seek medical attention for further evaluation.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/03/11

More Info


Swollen lymph nodes can be a source of concern for many individuals, especially when they appear suddenly or are accompanied by other symptoms. In your case, the lump you noticed in your jaw area could indeed be related to lymphadenopathy, which is the medical term for swollen lymph nodes. Lymph nodes are part of the immune system and can swell in response to infections, inflammation, or other medical conditions, including malignancies.

First and foremost, it’s important to understand that swollen lymph nodes are often a sign that your body is fighting an infection. Common causes include viral infections (like the common cold or flu), bacterial infections (such as strep throat), or even localized infections in the mouth or teeth, especially given your history of wisdom teeth issues. In some cases, lymph nodes can swell due to more serious conditions, including autoimmune diseases or cancers, but these are less common.

Your concern about your work environment is valid. Working in a bar where there is exposure to smoke and alcohol can have health implications, particularly for the respiratory system and oral health. Chronic exposure to tobacco smoke is a known risk factor for various cancers, including head and neck cancers. Additionally, the consumption of areca nut (betel nut), which you mentioned as a past habit, is also associated with an increased risk of oral cancers.
Given your symptoms and concerns, it’s crucial to follow up with a healthcare professional who can provide a thorough examination and possibly recommend imaging studies or blood tests to determine the cause of the swollen lymph nodes. If the swelling persists for more than two weeks, increases in size, or is accompanied by other concerning symptoms (such as unexplained weight loss, night sweats, or fever), it is essential to seek medical attention promptly.

In terms of your anxiety regarding the potential for malignancy, it’s important to remember that while swollen lymph nodes can be a sign of cancer, they are much more commonly associated with benign conditions. The key is to monitor the situation and communicate openly with your healthcare provider about your concerns. If you feel that your current healthcare provider is not addressing your worries adequately, seeking a second opinion from another ENT specialist or a primary care physician may provide you with more reassurance and clarity.

In summary, while swollen lymph nodes can be concerning, they are often related to benign causes, particularly infections. However, given your work environment and past habits, it is wise to remain vigilant about your health. Regular check-ups, maintaining good oral hygiene, and avoiding known risk factors (like smoking and excessive alcohol consumption) can help mitigate some of the risks associated with your lifestyle. Always advocate for your health and seek the care you need to address your concerns effectively.

Similar Q&A

Understanding Lymph Node Swelling and Throat Issues: What You Need to Know

Since May of this year, I have noticed two swollen areas above my Adam's apple, which I believe are lymph nodes. However, as of November, they have not gone away nor have they continued to enlarge. Since the lymph nodes became swollen, I have also noticed that my left tonsil...


Dr. Zheng Jueyi reply Otolaryngology
Hello, if there is no significant change in the size of the lymph nodes, it is usually a benign indication. If you are concerned about other issues, it is advisable to consult an otolaryngologist for further evaluation. Wishing you peace and health. Sincerely, Dr. Cheng Jue-Yi, D...

[Read More] Understanding Lymph Node Swelling and Throat Issues: What You Need to Know


Understanding Enlarged Lymph Nodes Near the Ears: Causes and Concerns

Hello Doctor: Recently, I noticed swollen lymph nodes on both sides under my ears. The left side is smaller, about 1 cm, while the right side is larger, nearly 2 cm. They feel firm and immobile, and I do not have any symptoms of a cold, fever, or weight loss. I visited a large ho...


Dr. Yan Jingheng reply Oncology
1. Essentially, fine needle aspiration can obtain tissue and is the standard diagnostic method for lymph node diseases, with the pathology report being the definitive reference. 2. Whether the lymph node enlarges with pressure depends on the force applied; normal pressure shoul...

[Read More] Understanding Enlarged Lymph Nodes Near the Ears: Causes and Concerns


Understanding Tonsils and Lymph Nodes: Concerns and Treatment Options

Hello Dr. Yang: I am asking a question on behalf of my sister. Recently, she has developed painful lumps on both sides of her neck, just below the area behind her ears. After visiting Mackay Memorial Hospital, the doctor said that it was due to respiratory infections leading to e...


Dr. Yang Youhua reply Oncology
Head and neck infections can cause swelling of the cervical lymph nodes, often accompanied by tenderness. If the lymphadenopathy is caused by a malignant tumor, it is typically painless, firm, and does not regress with antibiotic treatment. Based on your description, it is likely...

[Read More] Understanding Tonsils and Lymph Nodes: Concerns and Treatment Options


Understanding Enlarged Lymph Nodes: Causes and Concerns in ENT Health

A month ago, I experienced swollen lymph nodes in the anterior neck, hoarseness, and bilateral mucous membrane cysts in the lower lip area, which led to a CT scan. FINDINGS: Thyroid: no pathology. Nasopharynx, oropharynx, hypopharynx, larynx, oral cavity: no pathology. Submandibu...


Dr. Ji Zhaoyun reply Otolaryngology
According to the CT report you provided, no significant issues were found, including diseases of the salivary glands (such as sialolithiasis or sialadenitis) and abnormalities in other related structures. However, you mentioned that the day after the CT scan, you noticed lymph no...

[Read More] Understanding Enlarged Lymph Nodes: Causes and Concerns in ENT Health


Related FAQ

Lymph Nodes

(Otolaryngology)

Lymphadenitis

(Otolaryngology)

Lymphadenopathy

(Otolaryngology)

Neck Mass

(Otolaryngology)

Throat Disease

(Otolaryngology)

Mumps

(Otolaryngology)

Eardrum

(Otolaryngology)

Otosclerosis

(Otolaryngology)

Infection

(Otolaryngology)

Lump

(Otolaryngology)