[51F] Experiencing swollen neck gland, fever, and headache

Patient Description

A 51-year-old female presents with a hard, swollen gland on the right side of her neck that started yesterday evening. The gland has become more swollen and painful over time. She is experiencing some difficulty swallowing and stiffness in her neck, making it hard to turn her head. Additionally, she reports a headache that feels like a tightening band around her forehead, which worsens with movement and is partially relieved by ibuprofen. The headache intensity is described as a 7 out of 10. The patient also mentions a slight fever, body aches, and a loss of appetite since yesterday. No recent exposure to sick individuals or travel to new areas has been reported. There is no known past medical history of relevance, no known allergies or adverse reactions to medications, and the patient is not currently on any medications.

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Arora's Assessment

What might be happening

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

  • Infection: Swollen lymph nodes, fever, headache, and fatigue are common symptoms of many types of infections, including the common cold, flu, and other viral or bacterial infections. The lymph nodes in your neck may become swollen and painful when your body is fighting off an infection.

    • Treatment usually involves rest, hydration, and over-the-counter medication to manage symptoms. If a bacterial infection is suspected, your doctor may prescribe antibiotics.
  • Mononucleosis: Also known as "mono" or the "kissing disease," this is a viral infection often caused by the Epstein-Barr virus. Symptoms can include fatigue, sore throat, fever, swollen lymph nodes, and headaches.

    • There's no specific treatment for mononucleosis. Rest, good nutrition, and drinking plenty of fluids are the best ways to relieve symptoms.
  • Strep Throat: This is a bacterial infection that can cause a sore throat, fever, swollen lymph nodes, and headache. It's more common in children, but adults can get it too.

    • Treatment for strep throat usually involves antibiotics to clear the infection and medications to relieve symptoms.

Please note that these are just possibilities, and there may be other causes for your symptoms.

What you can do

You should make an appointment to see a healthcare professional as soon as possible for a proper diagnosis and treatment. In the meantime, here are some things you can do to help manage your symptoms:

  1. Rest and hydrate: Make sure to get plenty of sleep and drink lots of fluids. This can help your body fight off an infection and relieve symptoms like fatigue and headache.

  2. Over-the-counter medication: Over-the-counter pain relievers and fever reducers, such as ibuprofen or acetaminophen, can help manage your symptoms. Always follow the instructions on the package.

  3. Warm compress: Applying a warm compress to the swollen area can help reduce pain and swelling.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Difficulty breathing or severe difficulty swallowing
  • High fever (over 102°F)
  • Severe headache or neck stiffness
  • Symptoms that worsen or do not improve after a few days

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare professional for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


What causes swollen lymph nodes in the neck?

Swollen lymph nodes in the neck are often caused by infections, such as the common cold, flu, or more specific infections like strep throat or mononucleosis. They can also swell due to inflammation or, less commonly, other medical conditions.


How can I differentiate between a viral and bacterial infection?

Viral infections often cause symptoms like fatigue, body aches, and mild fever, and they typically resolve on their own. Bacterial infections might present with more severe symptoms, such as high fever and localized pain, and often require antibiotics for treatment. A healthcare professional can perform tests to determine the cause.


What are the common symptoms of mononucleosis?

Common symptoms of mononucleosis include fatigue, sore throat, fever, swollen lymph nodes, and headaches. It is often caused by the Epstein-Barr virus and is spread through saliva.


When should I seek medical attention for a swollen gland and headache?

You should seek medical attention if you experience difficulty breathing, severe difficulty swallowing, a high fever over 102°F, severe headache or neck stiffness, or if your symptoms worsen or do not improve after a few days.


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