[51F] Experiencing severe cramps and swollen lymph node

Patient Description

A 51-year-old female reports severe cramping in fingers, toes, and feet, describing the sensation as if her extremities are being twisted by tightening rubber bands. This has been occurring continuously all day, unlike previous occasional episodes. Additionally, she has a swollen, painful lymph node under her right ear, which she describes as having a hard core surrounded by puffiness. The swelling and pain began yesterday and have been worsening. She also experiences ear pain, described as intense and concentrated, similar to sensations during a fever. Accompanying symptoms include hot and cold sweats, sensitivity to light and noise, nausea, and a deep, unproductive cough. She has no known pre-existing conditions except for an ulcerated stomach. No recent injuries, fever, or significant weight changes have been reported.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible explanations for your symptoms include:

  • Lymphadenitis: This is an infection of the lymph nodes, which can cause them to become enlarged and painful. This is often associated with a bacterial or viral infection elsewhere in the body.

    • Treatment typically involves antibiotics if a bacterial infection is suspected. Over-the-counter pain relievers and warm compresses can also help with the pain and swelling.
  • Parotitis: This is an inflammation of the parotid glands, which are the largest salivary glands and are located just in front of the ears. This can cause pain and swelling in the area of the glands.

    • Treatment typically involves hydration, warm compresses, and massaging the glands to promote saliva flow. Antibiotics may be prescribed if a bacterial infection is suspected.
  • Tetany: This is a condition characterized by muscle cramps, spasms or tremors. These can occur in any muscle, but they are most common in the hands and feet. Tetany is often caused by low levels of calcium in the body, but it can also be caused by low levels of magnesium or an overactive parathyroid gland.

    • Treatment typically involves addressing the underlying cause, such as taking calcium or magnesium supplements if your levels are low.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to relieve your symptoms:

  1. Apply a warm compress to the swollen area to help reduce pain and swelling.
  2. Stay hydrated and try to get plenty of rest to help your body fight off any potential infection.
  3. Try taking over-the-counter pain relievers to help with the pain.
  4. Consider trying a calcium or magnesium supplement to see if it helps with your cramps. However, you should consult with a healthcare provider before starting any new supplements.

What you should look out for

Reasons to seek immediate medical attention:

  • If your swelling continues to worsen or if you develop a fever.
  • If your cramps become so severe that you are unable to move your hands or feet.
  • If you develop any new symptoms, such as difficulty breathing or severe pain.

Please remember, while I strive to provide accurate information, I am not a doctor. It's important to consult with a healthcare provider for a formal diagnosis and treatment.

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8 mo ago

People Also Ask


What causes lymph nodes to become swollen and painful?

Swollen and painful lymph nodes, known as lymphadenitis, are often caused by infections, such as bacterial or viral infections. The lymph nodes swell as they work to filter out harmful substances. Treatment may involve antibiotics if a bacterial infection is present, along with pain relievers and warm compresses to reduce discomfort.


What are common symptoms of tetany and how is it treated?

Tetany is characterized by muscle cramps, spasms, or tremors, often in the hands and feet. It is commonly caused by low calcium or magnesium levels, or an overactive parathyroid gland. Treatment involves addressing the underlying cause, such as taking supplements to correct mineral deficiencies.


How can parotitis be identified and managed at home?

Parotitis is inflammation of the parotid glands, which can cause pain and swelling near the ears. It can be managed at home by staying hydrated, applying warm compresses, and massaging the glands to promote saliva flow. If a bacterial infection is suspected, antibiotics may be necessary.


What are the potential risks of untreated muscle cramps in the hands and feet?

Untreated muscle cramps, especially if severe, can lead to significant discomfort and may impair movement. Persistent cramps could indicate an underlying health issue, such as electrolyte imbalances, that requires medical attention. Severe cramps can also increase the risk of injury if they occur during activities.


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