Persistent Neck Swelling and Discomfort Over Two Years
Greetings everyone, Back in February 2022, I experienced an intense case of angina accompanied by severe throat pain, which was by far the most agonizing episode I have ever had. The recovery period stretched out to roughly three weeks before I started to feel somewhat normal again. Not long after this incident, I observed a swollen lymph node on the right side of my neck, located just beneath my jaw - essentially in the same region where I suffered from that harsh angina. Despite undergoing multiple ultrasounds, the results came back normal. Initially, this swelling was my only symptom; at times it caused pain, and at other times it was more of a nuisance, as it was consistently present and movable, not fixed in place. Fast forward two years, and the surrounding area has become sensitive to touch, almost tender, suggesting inflammation, and I have recently begun to experience a slight discomfort when swallowing - it’s not unbearable but certainly worrying. Additionally, I’ve noticed two other nodes developing in the same vicinity. Approximately six months ago, I also started feeling discomfort and mild pain in the sinuses on the right side, which persists but is less intense than it was initially. I’m unsure whether these issues are connected or not. What troubles me most is the progression of my symptoms; what began as simply a swollen node has escalated to a slight pain while swallowing. Furthermore, I can feel significant pain when I press deeply behind the swollen node under my jaw; it feels like there’s something else there, potentially another small node, which is extremely tender to the touch. I can only sense it upon probing. A quick note: I become particularly aware of the pain during strenuous activities like sprinting and while consuming coffee. I am planning to undergo a CT scan soon, but at the moment, I am aboard a ship as a seaman and unable to do so. Any suggestions or insights would be greatly appreciated!
Answers (1)
8/2/2025, 11:31:00 PM
OpenHealth AI
It sounds like you're dealing with a persistent and complex issue, and I can understand how concerning it must be to experience ongoing discomfort and swelling in your neck. The symptoms you've described, including persistent neck swelling, discomfort while swallowing, and tenderness in the area, may indicate inflammation or some form of lymphatic response, which suggests your body is still reacting to a past issue.
Key Points:
- Persistent Swelling and Tenderness: The long-standing swollen lymph node combined with tenderness indicates some form of ongoing inflammation.
- Difficulty Swallowing and Pain: This could be related to the swelling itself or possibly irritation of nearby structures like the throat or sinuses.
- Upcoming CT Scan: This should provide more detailed information and help guide next steps.
Explanation:
Swollen lymph nodes can occur for various reasons—common causes include infections, inflammation, or even, less commonly, malignancies. Given your symptoms and history, especially since there has been a progression with added discomfort upon swallowing and additional nodes, this is worth monitoring carefully. Since you have already had normal ultrasounds, the CT scan will provide a more comprehensive view and help clarify any developing issues.
Next Steps:
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Monitor Symptoms: Keep track of any changes in your symptoms, such as increased pain, any new swelling, or changes in swallowing. Note when symptoms worsen (e.g., after certain activities or food).
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Pain Management: Try over-the-counter pain relievers, such as acetaminophen or ibuprofen, to help manage pain and inflammation, especially when engaging in strenuous activities.
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Hydration and Soft Foods: Staying well-hydrated and opting for softer foods can help ease discomfort during swallowing.
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Avoid Irritants: As you noted that coffee can exacerbate your discomfort, consider limiting intake until you can have a proper evaluation.
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Prepare for CT Scan: Make sure you inform the medical professionals about your complete history and any changes since your last ultrasound. This information is crucial for accurate interpretation.
Final Thoughts:
I encourage you to maintain close observation and prioritize getting that CT scan as soon as possible. Being aboard a ship may complicate immediate access to healthcare, but once you're able to seek care, sharing this comprehensive history will help your providers assist you better. If your symptoms escalate significantly or you experience new concerning signs (like fever, weight loss, or severe pain), seek medical advice promptly. Your health and well-being are paramount, and it's great that you're taking proactive steps toward understanding your situation better. Stay safe!
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