[23F] With swollen lymph nodes and gastrointestinal symptoms

Patient Description

A 23-year-old female presents with tender, movable swollen lymph nodes behind the ear for three days. The swelling developed after wearing tight headphones and earplugs. The patient also reports experiencing a queasy stomach, mild abdominal discomfort with a sensation of needing to vomit or defecate, and numbness and tingling sensations. The abdominal discomfort is relieved by cold compresses. Additionally, the patient experiences sudden waves of despair and lightheadedness, which are not new occurrences. There are no recent infections, ear discomfort, changes in hearing, or changes in stool. No known recent dental issues or throat infections.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possibilities:

  1. Lymphadenopathy: The tender and movable swollen lymph nodes behind your ear could be due to lymphadenopathy, which is often a response to infection or inflammation. Given your history of wearing tight headphones and earplugs, it's possible that irritation or minor infection in the ear area could be contributing to this swelling. Typically, lymph nodes swell in response to infections, such as a cold or ear infection, even if you haven't noticed other symptoms.

  2. Impacted Wisdom Teeth: Your impacted wisdom teeth could also be contributing to the swelling of lymph nodes, as dental issues can sometimes cause nearby lymph nodes to react. This might also explain some of the queasy stomach feelings if there's any associated discomfort or stress.

  3. Anxiety or Stress Response: The sudden waves of despair and lightheadedness could be related to anxiety or stress, especially if you've experienced these feelings before. Stress can sometimes manifest physically, causing symptoms like nausea or tingling sensations.

What you can do

Swollen Lymph Nodes:

  • Monitor the swelling for any changes in size or tenderness. If it persists beyond a couple of weeks or worsens, consider seeing a healthcare provider.
  • Continue using cold compresses to help reduce swelling and discomfort.

Queasy Stomach and Lightheadedness:

  • Try to maintain a balanced diet and stay hydrated, which can help with nausea.
  • Practice relaxation techniques such as deep breathing or meditation to help manage stress and anxiety.

General Advice:

  • Since you have impacted wisdom teeth, it might be beneficial to consult with a dentist to address any potential issues they might be causing.
  • Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.

What you should look out for

  • If the swelling behind your ear becomes hard, fixed, or significantly larger, seek medical attention.
  • If you experience severe pain, fever, or any new symptoms, it's important to consult a healthcare professional.
  • If feelings of despair or lightheadedness become more frequent or severe, consider speaking with a mental health professional.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare provider for a formal diagnosis and personalized medical advice.

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1 mo ago


People Also Ask


What causes swollen lymph nodes behind the ear?

Swollen lymph nodes behind the ear can be caused by infections, inflammation, or irritation in nearby areas such as the ear, throat, or dental regions. They can also react to systemic infections or conditions.


Can wearing tight headphones cause lymph node swelling?

Yes, wearing tight headphones can cause irritation or minor infections in the ear area, which may lead to swelling of the lymph nodes as they respond to the irritation.


How can anxiety manifest physically in the body?

Anxiety can manifest physically in various ways, including nausea, tingling sensations, lightheadedness, and even abdominal discomfort. These symptoms occur due to the body's stress response.


What should I do if I experience sudden waves of despair and lightheadedness?

If you experience sudden waves of despair and lightheadedness, it's important to practice relaxation techniques like deep breathing or meditation. If these feelings become more frequent or severe, consider consulting a mental health professional for further evaluation and support.


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