Persistent Lymph Node Swelling Following Cellulitis
Three weeks ago, I experienced cellulitis or something similar in my armpit. It all started with flu-like symptoms which progressed to night sweats, fever, and ultimately led to swollen lymph nodes, a rash, and a visit to the emergency room. Since then, I’ve been prescribed Doxycycline; while the rash has disappeared, the lymph nodes remain swollen. Imaging studies, including a CT scan and ultrasound, have indicated multiple reactive lymph nodes. I can palpate five of them. My armpit feels swollen and painfully tender. Unfortunately, my primary care physician isn't available for an appointment for another four weeks. I’m at a loss, especially since I haven't had a rash in weeks, and I can’t shake the concern that it might be something more serious like lymphoma. I’m definitely feeling quite perplexed about what could be happening with my health.
Answers (1)
6/23/2025, 10:40:49 PM
OpenHealth AI
It’s understandable to be concerned about persistent symptoms following an episode of cellulitis, especially with the discomfort you're experiencing. Swollen lymph nodes can remain reactive for a while after an infection, like cellulitis, but I’ll provide some insights to help you manage your situation while waiting for your primary care physician's availability.
Main Points:
- Post-Infection Lymph Node Swelling: It’s common for lymph nodes to stay swollen after a bacterial infection, as they can take time to return to normal.
- Monitoring Symptoms: While your symptoms have improved since the initial infection, keeping an eye on any changes or developments is important.
- Pain Management and Self-Care: Addressing your discomfort will also help you feel better while you wait for your appointment.
Explanation:
After an infection like cellulitis, your lymph nodes can remain enlarged for several weeks as they continue to fight off any residual inflammation or infection. Reactive lymph nodes typically are a sign that the body is responding to an infection. Though the resolution of your rash is a positive sign, the tenderness and swelling could be attributing to ongoing inflammation in that area.
It’s also common to feel anxious about the possibility of more serious conditions, but the imaging studies you mentioned did not indicate clear signs of malignancy. However, persistent swelling does deserve attention, especially given your discomfort.
Next Steps:
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Pain Relief: Over-the-counter pain relief medications like ibuprofen or acetaminophen can help manage your pain and reduce inflammation. Always follow package instructions.
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Warm Compresses: Applying warm compresses to the swollen area can help soothe pain and improve circulation, which may aid in reducing swelling.
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Hydration and Rest: Ensure you stay well-hydrated and give your body ample rest to support recovery.
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Monitor Symptoms: Keep a log of any changes in your symptoms, especially if the swelling increases, you develop a fever again, or if new symptoms appear. This information will be valuable for your healthcare provider when you eventually see them.
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Emergency Signs: If you start experiencing severe symptoms such as difficulty breathing, increasing pain, sudden weight loss, or persistent fever, consider seeking immediate medical evaluation.
In the meantime, remember that maintaining communication about your concerns with any available healthcare provider (even if it's a different one) can provide peace of mind. You're doing the right thing by being attentive to your health, and I hope these steps will help guide you until you can see your doctor.
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