[32F] With swollen lymph nodes, body aches, and headache

Patient Description

A 32-year-old female presents with swollen lymph nodes on the right side of her face and neck, body aches, and a mild headache. The swollen lymph nodes have been present for 3 days, with one prominently located next to the ear and another under the neck that is extremely sore but not palpable. The lymph nodes are tender. The patient denies recent infections, vaccinations, injuries, travel, or exposure to illness. The headache is exacerbated by bright lights and cold temperatures and is relieved by Ubrelvy. This is a new symptom for the patient.

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Arora's Assessment

What might be happening

Based on the symptoms you've described—swollen lymph nodes on the right side of your face and neck, body aches, and a headache—here are some possible explanations:

  1. Viral Infection: Even without a sore throat, a viral infection such as a cold or a mild flu could cause swollen lymph nodes, body aches, and headaches. These symptoms occur as your body fights off the virus.

    • Treatment: Viral infections typically resolve on their own. Rest, hydration, and over-the-counter pain relievers can help manage symptoms.
  2. Localized Infection: An infection in the area near the swollen lymph nodes, such as an ear or dental infection, could cause these symptoms. Even if you haven't noticed any specific issues, sometimes infections can be subtle.

    • Treatment: If an infection is suspected, a healthcare provider might prescribe antibiotics or other treatments.
  3. Migraine or Tension Headache: Since you have a history of migraines, it's possible that your headache is related, even if it feels different. Migraines can sometimes cause neck pain and tenderness.

    • Treatment: Continue using medications like Ubrelvy as prescribed by your doctor, and try to avoid known triggers.

What you can do

  1. Rest and Hydration: Ensure you get plenty of rest and stay well-hydrated. This can help your body fight off any potential infections.

  2. Warm Compress: Applying a warm compress to the swollen area can help reduce discomfort and swelling.

  3. Pain Relief: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage body aches and headaches.

  4. Symptom Tracking: Use MDandMe to journal your symptoms, track any changes, and share this information with your healthcare provider. This can be especially helpful if your symptoms persist or worsen.

What you should look out for

  • Seek Medical Attention: If the swelling increases, you develop a fever, or your symptoms persist beyond a week, it's important to consult a healthcare provider.
  • Watch for New Symptoms: Be alert for any new symptoms, such as difficulty swallowing, breathing issues, or severe pain, which would require prompt medical evaluation.

Remember, while this information can be helpful, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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2 mo ago

People Also Ask


What causes swollen lymph nodes in the neck and face?

Swollen lymph nodes in the neck and face can be caused by infections (viral or bacterial), inflammation, or other conditions like an ear or dental infection. They swell as part of the body's immune response to fight off these issues.


How can I differentiate between a migraine and a tension headache?

Migraines often come with symptoms like nausea, sensitivity to light and sound, and throbbing pain, usually on one side of the head. Tension headaches typically cause a dull, aching sensation all over the head and may be accompanied by tightness in the neck and shoulders.


When should I see a doctor for swollen lymph nodes?

You should see a doctor if the swollen lymph nodes persist for more than a week, increase in size, are accompanied by a fever, or if you experience new symptoms like difficulty swallowing or breathing.


What are some home remedies for managing swollen lymph nodes and headaches?

Home remedies for managing swollen lymph nodes and headaches include rest, staying hydrated, applying a warm compress to the affected area, and using over-the-counter pain relievers like ibuprofen or acetaminophen to alleviate discomfort.


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