[21F] Experiencing swollen lymph node, chills, sweats, aches, and headaches

Patient Description

A 21-year-old female has been experiencing a range of symptoms including a swollen lymph node behind her right ear, which has become tender and increased in size over the past couple of weeks. Accompanying symptoms include chills followed by profuse sweating, particularly around the head, neck, and back, which sometimes makes her clothes feel wet. She also reports throbbing and sharp headaches, particularly when moving her eyes, with an intensity of 7-8 on a scale of 1-10, which she has been managing with 800mg of Ibuprofen 1-2 times a day. Additionally, she describes body aches, mainly in her back and lower back, and a feeling of congestion. The patient notes stiffness in her neck, attributed to the swollen lymph node, and experiences increased shortness of breath, which she relates to her vaping habit. She has a history of asthma in childhood but reports no other chronic illnesses. The patient is allergic to Penicillin and Amoxicillin and currently does not take any other medications, supplements, or herbal remedies.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few possibilities:

  • Infectious Mononucleosis: This is a viral infection often caused by the Epstein-Barr virus. It's characterized by symptoms such as fatigue, sore throat, fever, and swollen lymph nodes. The symptoms can last for weeks.

    • Treatment usually involves rest, hydration, and over-the-counter remedies for pain and fever.
  • Lymphadenitis: This is an infection of the lymph nodes, often a bacterial infection. It can cause symptoms such as pain, swelling, and warmth over the area of the lymph node.

    • Treatment often involves antibiotics, and in some cases, drainage of the lymph node.
  • Influenza (Flu): This is a common viral infection that can cause fever, chills, body aches, and headaches.

    • Treatment typically involves rest, hydration, and over-the-counter remedies for pain and fever.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history in person.

What you can do

Here are some general steps you can take:

  1. Rest and hydrate: Make sure you're getting plenty of sleep and drinking lots of fluids. This can help your body fight off an infection if that's what's causing your symptoms.

  2. Over-the-counter remedies: Continue to use over-the-counter pain relievers as needed for your headaches and body aches. Just be sure to follow the dosing instructions on the package.

  3. Monitor your symptoms: Keep track of your symptoms and any changes. This can be helpful information to share with your doctor.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Difficulty breathing or shortness of breath
  • Severe headache or a headache that doesn't improve with over-the-counter pain relievers
  • A high fever (above 103°F or 39.4°C)
  • Severe pain in your lymph node or changes in its size or consistency
  • Any new or worsening symptoms

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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8 mo ago


People Also Ask


What causes swollen lymph nodes behind the ear?

Swollen lymph nodes behind the ear can be caused by infections such as viral infections (like infectious mononucleosis), bacterial infections, or other conditions like lymphadenitis. It's important to consult a healthcare professional for an accurate diagnosis.


How can I manage headaches that are intense and worsen with eye movement?

To manage intense headaches, especially those that worsen with eye movement, you can use over-the-counter pain relievers like Ibuprofen, ensure adequate hydration, and rest. If headaches persist or worsen, seek medical advice.


What are the potential risks of vaping for someone with a history of asthma?

Vaping can irritate the respiratory system and may exacerbate symptoms in individuals with a history of asthma, potentially leading to increased shortness of breath or asthma attacks. It's advisable to discuss vaping habits with a healthcare provider.


What should I do if I experience chills and profuse sweating?

If you experience chills and profuse sweating, ensure you stay hydrated and monitor your temperature. These symptoms can be associated with infections like the flu. If symptoms persist or worsen, seek medical attention.

1 Comments


Tate McEwan#96

8 mo ago

It does sound like flu-like symptoms from what you've said but it's a bit worrisome that this has been going on for a while. Have you seen a doctor yet? If things don't resolve, I'd probably that in a week or so. Sorry just the mom in me coming out.

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