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Enlarged lymph nodes in the neck - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Infections
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3631 Questions
User :   hi
Doctor :   Hi
Doctor :   Iam.Dr.XXX
User :   can u pls type smthng
User :   hello doctor...actually i have a query related to some nodes in my neck and collarbone
Doctor :   yes please proceed
Doctor :   May i know your age ?
User :   age 25
User :   these nodes have been there since approx 2 yrs
Doctor :   since when you have it?
Doctor :   ok
Doctor :   do you have any wounds or dentures in your mouth?
User :   i have had a fnac test and sonography also.
User :   no
Doctor :   do you ahve any history of tuberculosis?
User :   no
Doctor :   what is the result?
User :   but my elder bro has had bone tb earlier
Doctor :   ok
Doctor :   one of the common cause is tb
User :   so the sonography showed submandibular glands and supraclavicular glands 1.2mm
User :   sorry 12mm
User :   out of which the report says that the submandibular glands are non specific
Doctor :   ok
User :   but it has not mentioned the same for the supraclavicular ones
Doctor :   do you smoke?]
User :   occasionaly.
Doctor :   ok
Doctor :   Several mechanisms can cause the lymph nodes to enlarge.
User :   ok
Doctor :   nfection: This can increase the number of white blood cells, which multiply in response to stimulation with a foreign substance (antigen)
Doctor :   nflammation: Infiltration with inflammatory cells during infection or inflammation in a region of a given lymph node
Doctor :   * Cancer: Infiltration with malignant cells (metastases) brought to the node with the lymph flowing from an area of a certain type of cancer
User :   ok
Doctor :   Depending on the extent of the problem, the doctor may order blood tests, x-rays, and a CT scan of the affected area.
Doctor :   On follow-up, a biopsy of the swollen node may be needed. A sample of the tissue would be taken out during a short procedure and examined by a pathologist under a microscope to determine the cause of the swelling.
Doctor :   do you have pain there?
User :   while i have also had a fnac test done but the doc didnt took the sample from the supraclavicular nodes...the report says rtsubmandibular , lower cervical and occipital lymp nodes
User :   comment: reactive lymphoid hyperplasia
User :   yes i have pain
Doctor :   that is normal due to some infection some where near your neck
User :   like?
User :   but the supraclavicular nodes were not taken into account
Doctor :   the causes of supraclavicular lymph nodes
Doctor :   can be due to some infection in lungs or stomach
User :   like...?
Doctor :   tumor or growth ect
Doctor :   There is no specific treatment for swollen lymph nodes. Generally, the underlying cause needs to be treated, which may result in the resolution of the swollen lymph node.
User :   what kind of infections...also i have a strange problem in this area of my throat that when ever i gulp something from this side..even saliva...i have crackling sounds in my inner ear
User :   some amount of pain in the chest also on the same side
Doctor :   ok
Doctor :   do you sweat alot?
Doctor :   If swollen lymph nodes are associated with fevers, night sweats, or weight loss, and the patient does not have any obvious infection, he/she may need a through evaluation by a doctor.
User :   no
Doctor :   Treating an infection causing the swollen lymph node, for example, will result in the lymph node swelling to subside. If the swollen lymph node is due to a cancer of the lymph node (lymphoma), then the swelling will shrink after treating the lymphoma.
Doctor :   Swollen lymph nodes on the side of the neck or under jaw are the most common. They may represent an infection around that area, such as a tooth infection or abscess, throat infection, viral illness, or upper respiratory infection. Most of the causes of swollen lymph nodes in this area are benign; however, sometimes, swelling of these lymph nodes may also suggest a cancer in the head and neck area.
Doctor :   Enlarged lymph nodes above the collar bone (supraclavicular lymphadenopathy) are always considered to be abnormal.
Doctor :   These generally suggest a cancer of or an infection in the region close by. Examples of these may include lung infection, lung cancer, lymphoma in the chest cavity, or breast cancer
Doctor :   Occasionally more distant cancers may seed these lymph nodes, such as genital cancers or colon cancer
Doctor :   Some benign causes of the swollen lymph nodes above the collar bone (clavicle) can include tuberculosis or sarcoidosis.
Doctor :   In general, infections are the most common causes of lymph node enlargement. Other common causes include inflammation and cancers.
Doctor :   Not all swollen lymph nodes are abnormal.
Doctor :   do get an detailed physical examination done?
Doctor :   is there anything else i can help you now?
Doctor :   THANKS FOR CONSULTING..................
Doctor :   BYE FOR NOW..............
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