[22F] With swollen lymph nodes and nasal symptoms

What might be happening

Based on the symptoms you've described, several conditions could be considered:

• Tonsillitis: This is an inflammation of the tonsils, which are two masses of tissue at the back of your throat. It's often caused by a viral infection, but bacterial infections can also be the cause. Tonsillitis can cause redness of the throat, swollen lymph nodes, and tonsil stones. However, it usually also involves a severe sore throat, which you have not reported.

  • Treatment typically involves rest, hydration, and over-the-counter pain relievers. If the cause is a bacterial infection, antibiotics may be prescribed by a doctor.

• Chronic sinusitis: This is a common condition where the spaces inside your nose and head (sinuses) are inflamed and swollen for three months or longer, despite treatment attempts. This can cause nasal congestion, and sometimes nosebleeds and a hoarse voice, especially in the morning.

  • Treatment often involves the use of nasal corticosteroids, saline nasal irrigation, and sometimes antibiotics or oral corticosteroids.

• Lymphadenopathy: This is a condition characterized by abnormal size, consistency or number of lymph nodes, often as a result of an infection or disease. Given that your lymph nodes have been swollen for 3-4 months, it would be important to rule out more serious causes, such as lymphoma, especially given your fatigue. However, lymphoma usually also involves symptoms such as unexplained weight loss, fevers, and night sweats, which you have not reported.

  • Treatment depends on the cause. If it is due to an infection, antibiotics may be prescribed. If it is due to a more serious condition, further treatment may be necessary.

What you can do

You should consult a healthcare professional who can examine your throat and lymph nodes and possibly order tests such as a throat culture, blood tests, or imaging of your sinuses. They can also discuss with you whether a biopsy of the lymph nodes might be necessary. In the meantime, here are some things you can do to alleviate your symptoms:

1. Stay hydrated: Drinking plenty of fluids can help keep your throat moist and relieve the dryness and tightness.
2. Use a humidifier: This can help moisten your nasal and throat passages and may help you feel more comfortable, especially when you sleep.
3. Rest your voice: This can help with the hoarseness.

What you should look out for

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

• Difficulty breathing or swallowing
• A high fever (over 101°F)
• A severe or worsening sore throat
• Blood in your saliva or phlegm
• A lump in your neck
• Unexplained weight loss

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