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Concerns About Swollen Lymph Nodes

7/14/2025, 12:30:43 AMMale25-34

Hello everyone! My mother, aged 48, discovered swollen lymph nodes on both sides of her neck a little over a month ago. At first, she wasn’t overly worried since she wasn’t experiencing any systemic symptoms. However, after some encouragement from my older cousin, she decided to have them evaluated. On July 6th, she underwent a physical examination. The doctors concluded that there were no signs of an infection but recommended an ultrasound to investigate further. They also took blood samples for additional tests. The following day, the blood test results indicated she had elevated neutrophils and low lymphocyte levels, although I’m not entirely sure what that means. Then, on July 8th, she had the ultrasound performed. Unfortunately, the findings were inconclusive, but two lymph nodes were flagged as “suspicious” due to infiltration beneath the fatty hilum and the presence of abnormal cells. Understandably, I’m feeling quite anxious and scared about these results. I fear the worst possible outcome; whenever I’m not engaged in something else, I can’t help but obsessively think about it and research related symptoms. I even had to remove the chat app I was using to avoid spiraling into overanalysis and seeking constant reassurance. During her recent appointment, more blood was drawn (still awaiting results), and they scheduled a CT scan for July 14th, which is tomorrow. This has me in a state of panic, as I can’t shake the fear that something bad is imminent. Every time I manage to feel hopeful, I worry that my optimism might lead to bitter disappointment. The information I’ve gathered throughout this ordeal suggests that the doctors appear to be lacking urgency. My mom has no systemic symptoms and has a history of benign lumps in areas like her armpits, breasts, and back. She previously had a breast biopsy that came back benign, and she also has allergies and contracted COVID a few months back. I know I’m seeking reassurance, but I genuinely want to understand how prepared I should be for potentially distressing news. I’m feeling very apprehensive right now 😅😅

Internal MedicineEndocrinologyRheumatology

Answers (1)

Cony

7/14/2025, 12:31:00 AM

OpenHealth AI

I'm sorry to hear about the anxiety you're feeling regarding your mother's health situation. It’s completely natural to feel worried when faced with uncertainty. Let's break down the situation and focus on what it means and the next steps.

Summary of Key Points

  1. Your mother has swollen lymph nodes with some concerning findings from imaging.
  2. Blood tests showed elevated neutrophils and low lymphocyte counts, which can indicate various conditions.
  3. You’re awaiting further imaging results (CT scan) that will provide more clarity.

Understanding the Situation

Swollen lymph nodes can result from various causes, including infections, benign conditions, or, less commonly, malignancies. Elevated neutrophils often suggest an active response to infection or inflammation, while low lymphocyte counts can indicate a variety of conditions, ranging from infections to more chronic issues. The ultrasound findings that flagged two nodes as "suspicious" warrant further investigation but do not confirm anything immediately concerning.

Your mother’s history of benign lumps is reassuring, as many swollen lymph nodes do not lead to serious conditions, especially in the absence of systemic symptoms like fever, weight loss, or night sweats. However, the doctors are taking appropriate actions by conducting further tests to ensure a comprehensive evaluation.

Next Steps to Consider

  1. Stay Informed, Not Overwhelmed: It's helpful to gather information, but focus on reputable sources. Avoid excessive research that might heighten anxiety.

  2. Manage Anxiety: Engage in activities that keep your mind occupied—exercise, reading, or hobbies can help. Consider deep breathing or mindfulness exercises if you feel overwhelmed.

  3. Prepare for the CT Scan: Understand that a CT scan will provide the doctors with more detailed information about the lymph nodes. This can help in determining the appropriate next steps based on the findings.

  4. Discuss Upcoming Results: Once the CT scan results are available, make a plan to discuss them with the healthcare team to understand what they mean in a low-stress environment.

  5. Seek Support: Consider talking to someone about your feelings—this could be a friend, family member, or professional who can provide reassurance.

Conclusion

It’s perfectly reasonable to feel anxious, but until further results are available, aim to focus on how you can support your mother and yourself emotionally. It's encouraging that the healthcare team is being thorough, which suggests they're taking any potential issues seriously. Once you have more information, you can make informed decisions about her care. I’m here to help with any further questions you may have.

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