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Concerns About a Swollen Lymph Node?

3/22/2025, 1:40:19 AMMale25-34

Greetings! I’m a 33-year-old woman, standing at 5’3" and weighing 210 pounds. Currently, I’m on medications, specifically Zoloft and hydroxyzine, and I don't smoke or consume alcohol. I suspect that I have a swollen lymph node, which has been present for over a year now. As someone who deals with OCD and intense health anxiety, I was overwhelmed by various symptoms that I later realized were largely influenced by my OCD. With improvements in my mental health and the acquisition of good health insurance, I find myself returning to concern over this possible lymph node issue, primarily because it stands out as the one physical concern not linked to anxiety. I’m unable to provide a visual reference for its location, but it is situated beneath my shoulder and above my armpit. According to information I found, this is classified as axillary level 2. This node is smaller than a pea and has maintained the same size the entire time. I’ve contracted COVID multiple times—thanks to my job in veterinary medicine during the pandemic—which is when I believe this node first appeared, as it has not shrunk since then. I do not experience any other issues in that region. From what I can tell, it feels movable, though I’m not entirely sure what that means; when I shift my skin, it seems to shift along with it. Could someone please help alleviate my worries? I appreciate honesty along with reassurance, as I navigate these concerns.

ArthritisInternal MedicineRheumatology

Answers (1)

Cony

3/22/2025, 1:40:34 AM

OpenHealth AI

It's understandable to feel concerned about a swollen lymph node, especially in light of your health anxiety. However, the characteristics you've described—specifically the long duration, small size (smaller than a pea), and mobility—are typically indicative of a benign lymph node rather than a serious condition.

Explanation

Lymph nodes can swell due to various reasons, including infections, inflammation, or immune responses. Given that your lymph node has remained small and unchanged for over a year, along with your history of recurrent infections (like COVID-19), it's likely that this node may simply be a response to past infections or stress on your immune system.

Movable lymph nodes are generally less concerning than fixed or hard ones; this mobility often suggests that they're not infiltrated by malignant cells. However, persistent changes warrant monitoring, even if they are benign in nature.

Next Steps

  1. Monitor: Keep an eye on the lymph node for any changes in size, shape, or sensitivity. If it remains stable, this is a good sign.

  2. Self-Check: Periodically assess for any new symptoms, such as pain, sudden enlargement, or new nodes appearing in other areas.

  3. Reassurance Techniques: To manage anxiety, consider incorporating mindfulness practices such as meditation or deep breathing exercises to ground yourself when concerns arise.

  4. Utilize Healthcare Resources: Given that you have health insurance, think about scheduling a check-up with your healthcare provider if the lymph node concerns you significantly or if any new symptoms develop. They can perform a physical examination and possibly recommend imaging if deemed necessary.

  5. Ongoing Support: Continue addressing your health anxiety and OCD with professional support. This will help you manage your concerns better and reduce the overwhelming feelings associated with health worries.

Remember, it's perfectly normal to have concerns about your health, and taking proactive steps to manage your anxiety will contribute to overall well-being. If you find that your anxiety continues to grow disproportionately or hinders your daily life, don't hesitate to reach out for help. You're doing great by seeking reassurance and understanding.

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