[32F] With neck stiffness, throat popping, and swollen lymph nodes

Patient Description

A 32-year-old female presents with severe neck stiffness described as tight, burning, and rated 10/10 in intensity. The patient reports a popping sensation in the throat when tilting the head back and forth or to the side, accompanied by a copper taste in the mouth. These symptoms have persisted for the last couple of weeks. Additionally, the patient has a history of TMJ and military neck, and attributes her symptoms to poor posture and high stress. The patient also reports swollen lymph nodes, which have been present for months to years, described as hard and numbering three. Other symptoms include sharp, burning, and aching jaw pain rated 10/10, significant weight loss, chronic fatigue, and a sensation of something being stuck in the throat. The patient has experienced nausea and vomiting recently but denies fever and night sweats. She uses vapes and reports not getting enough nutrients and hydration. The patient is currently taking Flexorol 10 mg as needed and has no known family history of cancer, autoimmune diseases, or thyroid disorders.

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Arora's Assessment

What might be happening

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

Neck Stiffness and Throat Popping

  • Cervical Spine Issues: Given your history of "military neck" (loss of the normal cervical spine curve), this could be contributing to your neck stiffness and the popping sensation. This condition can cause muscle tightness and discomfort.
  • Temporomandibular Joint (TMJ) Disorder: Your TMJ disorder could also be contributing to the neck stiffness and throat popping, as the muscles and joints in this area are interconnected.

Swollen Lymph Nodes

  • Chronic Inflammation or Infection: Swollen lymph nodes that are hard and have been present for months to years could indicate a chronic infection or inflammation. This could be related to your TMJ disorder or another underlying condition.
  • Lymphoma or Other Cancers: Persistent, hard lymph nodes can sometimes be a sign of more serious conditions like lymphoma. Weight loss and fatigue are also concerning symptoms that warrant further investigation.

Copper Taste in Mouth

  • Medication Side Effect: The copper taste in your mouth could be a side effect of Flexorol or another medication.
  • Oral Health Issues: It could also be related to oral health issues or infections.

Difficulty Swallowing and Feeling of Something Stuck in Throat

  • Gastroesophageal Reflux Disease (GERD): This condition can cause a sensation of something being stuck in your throat and difficulty swallowing.
  • Thyroid Issues: Thyroid nodules or an enlarged thyroid can sometimes cause these symptoms.

What you can do

Neck Stiffness and Throat Popping

  • Posture Correction: Focus on maintaining good posture, especially if you spend a lot of time sitting or working at a desk.
  • Stretching and Strengthening Exercises: Gentle neck stretches and strengthening exercises can help alleviate stiffness. Consider consulting a physical therapist for specific exercises.
  • Heat and Cold Therapy: Applying heat or cold packs to your neck can help reduce muscle tightness and pain.

Swollen Lymph Nodes

  • Medical Evaluation: It's important to see a healthcare provider to evaluate the cause of your swollen lymph nodes, especially given their persistence and hardness. They may recommend blood tests, imaging studies, or a biopsy.
  • Monitor Symptoms: Keep track of any changes in the size or number of swollen lymph nodes, as well as any new symptoms.

Copper Taste in Mouth

  • Hydration and Oral Hygiene: Ensure you are staying well-hydrated and maintaining good oral hygiene. Rinsing your mouth with water or a mild mouthwash can help.
  • Medication Review: Discuss with your healthcare provider whether Flexorol or any other medications could be causing this side effect.

Difficulty Swallowing and Feeling of Something Stuck in Throat

  • Dietary Changes: Avoid foods and drinks that can exacerbate GERD, such as spicy foods, caffeine, and alcohol.
  • Medical Evaluation: See a healthcare provider to evaluate your symptoms. They may recommend an endoscopy or other tests to determine the cause.

What you should look out for

Given the severity and persistence of your symptoms, it's important to seek medical care as soon as possible. Reasons to seek care even more urgently include:

  • Rapidly Growing or Painful Lymph Nodes: If you notice any rapid changes in the size or pain of your lymph nodes.
  • Severe Difficulty Swallowing or Breathing: If you experience significant difficulty swallowing or breathing, seek immediate medical attention.
  • Unexplained Weight Loss and Fatigue: These symptoms can be concerning and should be evaluated by a healthcare provider.

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

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5 mo ago


People Also Ask


What could be causing the severe neck stiffness and throat popping sensation?

The severe neck stiffness and throat popping sensation could be due to cervical spine issues, such as 'military neck,' or related to your TMJ disorder. Both conditions can cause muscle tightness and discomfort in the neck area.


Why might my lymph nodes be swollen and hard for such a long time?

Swollen and hard lymph nodes that persist for months could indicate chronic inflammation or infection, possibly related to your TMJ disorder. However, they could also be a sign of more serious conditions like lymphoma, especially when accompanied by weight loss and fatigue.


What could be the reason for experiencing a copper taste in my mouth?

A copper taste in the mouth could be a side effect of medications like Flexorol or related to oral health issues or infections. It's important to review your medications and maintain good oral hygiene.


What might be causing the sensation of something stuck in my throat and difficulty swallowing?

The sensation of something stuck in your throat and difficulty swallowing could be due to gastroesophageal reflux disease (GERD) or thyroid issues, such as nodules or an enlarged thyroid. It's important to have these symptoms evaluated by a healthcare provider.


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