OpenHealth Q&A

Get answered by medical professionals

23-Year-Old with Persistently Enlarged Lymph Nodes

6/24/2025, 8:40:24 AMMale25-34

To provide some context, I became aware of several swollen lymph nodes in my neck at the age of 16. After noticing them, I consulted with an ENT specialist who reassured me that there was no cause for concern, but advised me to return if there were any changes in their size. Two years later, when I turned 18 and grappling with anxiety, I sought advice from my general practitioner. He also confirmed that there was nothing alarming and recommended that I keep an eye on any possible increases in size. Fast forward to two years ago, after having these lymph nodes for about five years, I discovered yet another swollen node, although I wasn't sure if it had been present previously. I visited a different GP, who suggested further evaluation through blood tests. Fortunately, the tests came back normal, and I have maintained this status since then. Now, I find myself having 6 or 7 palpable lymph nodes in my neck and behind my ear over a span of seven years. I'm wondering if this warrants further investigation or if it’s best to simply monitor the situation as it stands. Notably, I haven’t been experiencing any additional symptoms such as night sweats or shortness of breath.

WellnessFamily MedicineInternal Medicine

Answers (1)

Cony

6/24/2025, 8:40:44 AM

OpenHealth AI

It’s understandable to be concerned about the presence of persistently enlarged lymph nodes, especially given their duration and your history. While your past evaluations have returned normal results and you’re not experiencing additional concerning symptoms, it’s still important to stay attentive to changes.

Overview of Key Points:

  1. Consistent monitoring of lymph nodes is prudent, especially since you have been advised by healthcare professionals that they are not currently alarming.
  2. Since you have no additional symptoms like fever, weight loss, or difficulty breathing, there is less immediate concern, but you must remain vigilant for any changes.

Explanation: Lymph nodes can become enlarged for various benign reasons, such as past infections or reactions to allergens. The normal blood tests you have completed are reassuring, indicating that there are likely no significant underlying issues at this time. However, since you have noticed additional nodes, continuing to observe them is wise.

Next Steps:

  1. Monitor Size and Changes: Keep track of any increase in size or number of lymph nodes, and also note any new symptoms (like fatigue, weight changes, or night sweats).
  2. Self-Examine Regularly: Make it a habit to gently feel the lymph nodes in your neck and behind your ears weekly to notice any changes.
  3. Document Changes: Keep a log of your observations so you can clearly communicate any developments if you decide to seek further evaluation.
  4. Consult When Necessary: If you notice significant changes, like increased size, new lymph nodes appearing, or you develop additional symptoms, consider scheduling an appointment for further assessment.

If you continue to feel anxious about the lymph nodes despite these observations, or if it affects your daily life, discussing these feelings with a healthcare provider may also be helpful. You deserve to feel comfortable and secure regarding your health.

Related Questions

Concerning My Husband's Persistent Discomfort Related to His Throat

My husband, who is 33 years old, frequently expresses distress over a sensation of constriction caused by his Adam’s apple. This discomfort has been a part of his life for as long as he can remember. He shared with me that at the age of 18, he sought medical advice for this issue, but the doctor's response was dismissive. As a woman, I find it challenging to fully grasp his experience since I lack insight into certain physiological aspects. He often describes feeling as though his throat is tightening. This is not a rare complaint for him; in fact, he brings it up nearly every day. A few months back, we visited the hospital to get a comprehensive understanding of his health, particularly because he is frequently labeled a hypochondriac, and while he does have a tendency for dramatics, my quick research online suggests that this might be a more common concern than we initially thought. I genuinely wish to offer him reassurance rooted in factual knowledge. If necessary, I can provide a visual reference of his Adam’s apple. Any guidance or advice would be immensely helpful.

WellnessFamily MedicineInternal Medicine
Male25-34
41 seconds ago

Inquiry About Dental Procedures Before Major Surgery

Recently, my mother made a sudden decision to undergo a total dental extraction. She had her upper teeth removed approximately two weeks ago, and just yesterday, the lower ones were taken out. She is slated for a pre-operative assessment on Monday morning, ahead of a significant back surgery scheduled for Tuesday, which may last between eight to ten hours and necessitates intubation. I am curious about the likelihood that her doctor might postpone the surgery due to her recent dental procedure. This concern is heightened as we have booked a hotel and my husband has arranged to take two days off work for this event. Although I am still within the timeframe to cancel our hotel reservation, I am hesitant to do so if her surgery is still on track. To give a bit more context, my mother is a 54-year-old Caucasian woman, standing 5'6" and weighing 160 pounds. She does not consume alcohol, has been a potential smoker, and recently (a few months back) ceased using drugs (meth) as mandated by drug court. As far as I know, she isn’t currently prescribed any medications, apart from possibly antibiotics and Lortabs following her tooth extractions.

AgingFamily MedicinePreventive Medicine
Male25-34
50 minutes ago

Abrupt Onset of Eye Discomfort

I’m a 23-year-old male with a history of slight near-sightedness but no other significant eye problems. About three days ago, I woke up to find that my eyes felt intensely painful, similar to the sensation one experiences after a lack of sleep. Although I've been getting ample rest each night, this discomfort hasn't subsided. Both eyes are affected equally without any redness, burning sensations, or visual disturbances. The soreness is quite pronounced, making it challenging to concentrate on everyday activities.

Family MedicineInternal MedicinePreventive Medicine
Male25-34
1 hour ago

When Can I Expect to Drive Again?

I’m a 35-year-old who suffered a spiral fracture in my right leg affecting both the fibula and tibia. Five weeks post-surgery, I've begun my rehabilitation journey, having undergone physical therapy for three weeks now. I’ve noticed that my leg is beginning to regain sensation, with improved control over my ankle and feeling returning to the sole of my foot. Given this progress, what is a realistic timeframe for when I might be able to drive safely once more?

ExerciseAgingFamily Medicine
Male25-34
2 hours ago

Seeking Help for Ongoing Health Issues

I am reaching out in desperation for assistance! I'm wondering if anyone else has encountered similar health concerns or could recommend medications or specialists I should consider consulting. I'm truly at a loss and need guidance. As a 23-year-old male vegetarian weighing around 48 kg and standing at 5’4”, I have struggled with being underweight since my childhood. This condition has left me feeling utterly drained and overwhelmed. I’m eager to make a change but feel lost regarding where to begin or which healthcare professional to consult. In my youth, I was diagnosed with asthma, which has significantly improved; however, I continue to deal with low immunity, as I frequently catch colds and coughs from minor exposure to cold environments. Additionally, I’ve noticed that for the past few years, my body temperature feels abnormally high compared to those around me. I experience heat more acutely than my peers. Previously, I was quite active and could walk 4–5 kilometers daily without difficulty. Nowadays, even a short walk of 1–2 kilometers or climbing a few flights of stairs leaves me out of breath and exhausted. Even on days of little physical exertion, I feel weak and lethargic, as though all my vitality has been drained. My appetite has always been low, despite my efforts to increase it. I struggle to consume what would be considered an average meal for someone my age. Just two chapatis or a small bowl of rice or lentils fills me up completely, and attempting to eat more causes discomfort. I often find it perplexing how others manage to eat such larger portions. Dining out has become a challenge for me since even half a plate feels overwhelmingly full. Being extremely slender has made it difficult to find clothing that fits well and has adversely impacted my confidence over the years. For around 15 years, I have hesitated to take photographs of myself. Social and professional circles often regard me as younger than I am, sometimes even as a child, which has contributed to my feelings of invisibility and insecurity. My sensitivity to heat has intensified over the last few years. In seemingly normal room temperatures, I start sweating profusely while those around me remain comfortable. During cold weather, even in temperatures as low as 8°C, I don’t wear warm clothing, as I sweat excessively and feel anxious about overheating. The discomfort can escalate to a point where I feel faint from the heat. In my workplace, where the air conditioning is set at a standard temperature, I find it challenging. I begin to sweat visibly, leaving my clothes damp and prompting coworkers to inquire about my wellbeing. I often feel breathless and anxious that I might collapse if I remain there too long. This makes it very difficult to stay at the office or use public transportation, as even air-conditioned buses can feel uncomfortably warm to me. Over the past year, my situation has deteriorated further. I can no longer tolerate hot or even mildly spiced home-cooked meals, which I used to enjoy without issues. Now, even mildly spiced foods lead to excessive sweating, reddening of my face, and an intense burning sensation in my mouth, akin to consuming overly spicy dishes. As a result, my food intake has diminished even more. I often face ridicule for my dietary limitations, and I’m growing weary of trying to explain my condition, especially when my own family doesn't fully grasp the depth of my struggles, which adds to my distress. I am sharing my story because I truly need help. I wish to identify the underlying issues with my health and seek proper medical attention. If anyone has experienced similar problems or can recommend a suitable type of medical professional to consult, I would greatly appreciate your guidance and support during this challenging time. Thank you. 😭

NutritionWellnessPreventive Medicine
Male25-34
2 hours ago