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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.

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