[23F] With swollen lymph nodes and neck pain

Patient Description

A 23-year-old female has been experiencing swollen lymph nodes for three months. The nodes are described as soft and rubbery, with three or four noted. There is associated dull neck pain, rated as a 4 out of 10 in severity, persisting for 1-2 months. The pain worsens with movement but there is no history of injury. The patient reports no fever, night sweats, or unexplained weight loss. A sinus infection occurred about a month ago, but no medications were taken. There is no recent travel or significant family medical history. No pre-existing conditions or chronic illnesses were reported.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Reactive Lymphadenopathy: This is a common response to infections, like your recent sinus infection. Lymph nodes can remain swollen for some time as they continue to filter out remnants of the infection.

    • Typically, no treatment is needed unless the underlying infection persists or worsens.
  • Chronic Inflammation: Sometimes, lymph nodes can stay swollen due to ongoing inflammation in the body, even after an infection has resolved.

    • Managing any underlying conditions or infections is key.
  • Other Causes: While less likely given your symptoms, persistent swollen lymph nodes can sometimes indicate other conditions that may require further evaluation by a healthcare provider.

What you can do

  1. Monitor: Keep an eye on the size and feel of your lymph nodes. If they change or become painful, it’s important to seek medical advice.
  2. Pain Management: Over-the-counter pain relievers like ibuprofen can help manage neck pain.
  3. Hydration and Rest: Ensure you’re staying hydrated and getting enough rest to support your immune system.
  4. Use MDandMe: Consider using MDandMe to journal your symptoms, track any changes, and share this information with your healthcare provider.

What you should look out for

Seek medical attention if you experience:

  • An increase in the size or number of swollen lymph nodes
  • Persistent or worsening neck pain
  • New symptoms like fever, night sweats, or unexplained weight loss

Remember, it's always best to consult with a healthcare professional for a formal diagnosis and treatment plan.

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4 mo ago

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People Also Ask


What are the common causes of swollen lymph nodes?

Swollen lymph nodes are commonly caused by infections, such as colds, flu, or sinus infections. They can also be due to inflammation, immune responses, or, less commonly, more serious conditions like cancer.


How long can lymph nodes remain swollen after an infection?

Lymph nodes can remain swollen for several weeks after an infection as they continue to filter out remnants of the infection. If they persist beyond a few weeks, it may be worth consulting a healthcare provider.


When should I be concerned about swollen lymph nodes?

You should be concerned if the lymph nodes continue to grow, become hard or immovable, or if you experience additional symptoms like fever, night sweats, or unexplained weight loss. These could indicate a more serious condition.


What can I do to relieve neck pain associated with swollen lymph nodes?

To relieve neck pain, you can use over-the-counter pain relievers like ibuprofen, apply warm compresses, and ensure you maintain good posture. Rest and hydration can also support recovery.


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