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Lymph node swelling and hot fomentation - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   I am having swelling in my right chest cavity near my shoulder. Below my neck. There is no pain, but the swelling seems to be spreading, it comes and goes. How can I treat this, and what may it be?
Doctor :   Hi
Doctor :   I am Dr.
User :   Nice to meet you
Doctor :   Can you describe the swelling?
Doctor :   Size of it
Doctor :   When did it appear?
User :   It's below my neck, near my collarbone and shoulder blade, it's about the size of a tangerine and it comes and goes. It started a couple of months ago.
User :   there is no pain, but an occasional feeling of tightness
Doctor :   Is it soft or firm or hard?
User :   right between soft and firm
Doctor :   Does it move under the skin?
User :   no
Doctor :   Does it move with swallowing?
Doctor :   on swallowing*
User :   no
Doctor :   What is your age and gender?
User :   30 year old female
Doctor :   Do you have any other medical problems?
User :   Asthma and type II diabetes
Doctor :   Do you take this to the notice of a doctor
User :   I have an appointment with my primary care provider in a couple of weeks
Doctor :   Do you think the size is increasing as it comes and goes?
User :   yes
Doctor :   Does it appear cosmetically disfiguring?
User :   a little puffy, but that's it
Doctor :   Do you notice only one swelling, did you check if you have more swelling, sides of neck and on either sides?
User :   it is just that one side
Doctor :   Ok, do you have ear pain, wax or dandruff problems?
User :   no
Doctor :   Do you have sorethroat, cold or cough?
User :   no
Doctor :   Ok, your description of the swelling seems to be a lymph node
User :   okay
Doctor :   Lymph node usually enlarges and describe the above features
Doctor :   The reason for their enlargement is variable
Doctor :   and single lymph node enlargement, only one side and tangerine sized is not a cause for concern
Doctor :   But it would be better if you get it checked because lot of swelling cannot be palpated by oneself
Doctor :   The examination with doctor helps to locate other lymphnodes if present in neck called cervical lymph nodes
User :   okay
Doctor :   Asthma can be a good reason for increased size of the lymph node
User :   okay
User :   is there anything that i can do now to relieve some of the swelling?
User :   i was concerned because it was so close to my neck and heart
Doctor :   There is no inflammatory signs to suggest hot fomentation
User :   could it be because my husband and I were playing football earlier today? it usually occurs after some type of physical activity
Doctor :   No
Doctor :   That is not related
User :   okay
Doctor :   I think you are way too concerned
Doctor :   Just relax and get the check up during the doctor's regular appnt
User :   Well thank you for your assistance. I will be sure to relax.
Doctor :   yes
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