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Swollen lymph nodes. Elevated WBC when taking antibiotics. History of strep throat

hi im a 25 year old female and i have a question about lymph nodes. a little overlay i have had a swollen lymph node on the right side under the jaw closest to the ear for almost 5 years that ive noticed. about 6 years ago i had strep throat for about 6 weeks before a doctor finaly gave me antibiotics. every year since then i get it about 1 a year. it feel about 1.5 cm, rubery and dosnt move only sinks inside i guess you could say. i realise that there are 3 skin layers over it so i might be making myself go crazy for nothing. ive had numerous test done for other things like chest, sternum,and lung xrays, more blood work then id like to count and everything seems fine other then scared tissue on lungs. a slightly elevated white blood cell count only when on antibiotic or taking inflamatory medication if that helps any. other then those time everything is normal. and i also have many allergies and aortic valve regurgitation and wisdom teeth coming for 3 years now. heart has been this way since i was born get checked every 2 year everything is always fine. wisdom theeth dont need to be removed as per dentist and all in all im wondering if a swollen lymph node can stay swollen after so much trama to it, or should i get it checked again. it get even more swollen when im sick.
Asked On : Tue, 25 Dec 2012
Answers:  2 Views:  71
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Pathologist and Microbiologist 's  Response
hi there, a lymph node swelling in any region signifies that there is some infection or obstruction inthe draingae of lymph due to any cause. As the lymph node of the cervical region is enlarged in your case, it could either be due to the wisdom tooth infection or inflammation, ear nose or throat infection,or any scalp inflammation or infection to name a few. That region can also see an enlarged lump due to parotid gland or and other submandibular gland. Tuberculous lymph adnenitis is also not an uncommon finding in that region., To actually ascess whether the enlargement is a lymph node or a gland or any other cause, one needs to get a Fine Neeedle Aspiration cytology or FNAC done which gives a fairly accurate result as to the cause and that could be treated accordingly. Get an FNAC done and it will put your mind to peace. Take care.
Answered: Tue, 25 Dec 2012
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General & Family Physician Dr. Mamun Kabir's  Response
probably there is a persistent infection in oral cavity(ch.tonsillitis),ear cavity or teeth.also a possibility of TB lymphadenopathy.only a simple FNAC from that area will reduce your anxiety.
Answered: Thu, 27 Dec 2012
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