Understanding the Cause of Swollen Lymph Nodes
Recently, I experienced an unexpected health situation that began with a slight soreness in my throat. At first, I thought it could be the onset of a cold, and later that evening, a fever took hold that persisted until the following day. Despite feeling unwell, I managed to attend my classes after taking some pain relief medication. By the third day, the fever had subsided, but I discovered swollen lymph nodes in my neck. After doing a quick online search, I discovered that this can often occur with infections, so I tried not to worry. For the next couple of days, I had a mild, dry cough and a bit of discomfort in my throat. I eventually scheduled a doctor's appointment for the eighth day following my fever. During my visit, the physician examined my lymph nodes and didn’t appear concerned, reassuring me by saying they hadn’t swollen significantly. However, I personally felt they were rather pronounced, given my tendency towards health anxiety. After the five-day course of antibiotics, I noticed new swollen nodes forming beneath my jaw, which understandably alarmed me. Today marks the 25th day since I first felt ill. While I don't believe the lymph nodes have improved, it also seems they haven’t worsened—though I am concerned because I've developed additional ones on both sides of my jaw. For context, I previously had a canker sore on the inner side of my left cheek that is now almost fully healed and completely painless. I've been commuting extensively lately, often sharing rides with individuals who appeared to be quite ill, which might be an additional factor in my health concerns. My health anxiety has heightened my fears, making me worry that I could have a serious condition, such as lymphoma or leukemia. I plan to seek another appointment for further evaluation. As a 17-year-old male, it's worth noting that I haven't been experiencing fatigue, weight loss, fevers, or night sweats, which I understand can be important indicators of more significant health issues.
Answers (1)
8/14/2025, 4:50:54 PM
OpenHealth AI
It sounds like you're experiencing a challenging situation with your swollen lymph nodes and health anxiety. While swollen lymph nodes can be concerning, they often signify the body’s immune response to infection, which you’ve already encountered. Here’s a breakdown of your situation and some actionable steps to consider.
Main Points
- Swollen lymph nodes can occur after infections and may take time to return to normal.
- It's important to monitor changes, but anxiety can worsen your perception of the symptoms.
- Since you're scheduled for another appointment, focus on what can be done in the meantime.
Explanation
Swollen lymph nodes, especially following an illness, usually indicate that your body is fighting off an infection. Since your physician indicated that the swelling wasn't significant during your last examination and you haven't had alarming symptoms such as fatigue, weight loss, or night sweats, this is reassuring. The presence of new nodes beneath your jaw could still relate to recent infections, including possible residual effects from a throat infection or mild viral illness.
However, it’s entirely reasonable to feel uncertain, especially given your recent experiences with illness and the anxiety that can accompany it.
Next Steps
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Self-Monitoring: Keep an eye on any changes in the size of your lymph nodes and the appearance of any new symptoms. Document any developments, like changes in size, pain, or the presence of any other symptoms (fever, unusual fatigue).
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Hydration and Rest: Ensure you’re drinking plenty of fluids and getting good rest to support your recovery. This can help your immune system function better.
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Mindfulness for Anxiety: Since health anxiety is affecting your perspective, consider practicing mindfulness or relaxation techniques, such as deep breathing exercises or meditation. This may help reduce your overall anxiety levels.
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Prepare for Your Appointment: Prepare a list of questions and observations for your upcoming doctor's visit. Be clear about your concerns regarding the new lymph nodes and address any lingering anxiety about conditions like lymphoma. Communication is key!
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Social Considerations: Given your commuting has involved people who were ill, maintain good hygiene practices, like hand washing, to minimize your risk of infections.
It's understandable to be concerned about your health, especially after feeling unwell for some time. Remember, while it's good to stay informed, many times swollen lymph nodes are a natural response to infection and resolve. Make sure to follow through with your appointment for reassurance and further evaluation. You're taking the right steps by seeking help and considering your health carefully, which is commendable. Let me know if you need more guidance or support!
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# 7-Month-Old Child with Abernethy Malformation - Exploring Treatment Options ## [7-Month-Old] Identified with Abernethy Malformation (Congenital Portosystemic Shunt) - Treatment Methods? **Age:** 7 months **Gender:** Female **Height:** Age-appropriate **Weight:** Currently 9 kg, was 2.8 kg at birth **Ethnicity:** Asian **Duration of Symptoms:** Present since birth **Location:** Uzbekistan **Pre-existing Health Issues:** Abernethy malformation (congenital portosystemic shunt), liver hemangiomas, chronic jaundice, anemia **Current Treatments:** Supportive management --- ## INITIAL PRESENTATION (June 2025 - July 2025) Our daughter arrived on **June 27, 2025**, presenting with: - Birth weight: **2.8 kg** - Marked jaundice (yellowing of skin and sclera) - Pale or clay-colored stools - **Bilirubin level: 245 μmol/L** (typically <20) An immediate ultrasound indicated multiple liver anomalies, initially thought to be hemangiomas. --- ## FIRST COMPREHENSIVE ASSESSMENT (August 1, 2025 - 1 Month Old) ### Multislice Computed Tomography (MSCT) with 3-Phase Contrast (August 1, 2025): **RESULTS:** - 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We are located in Uzbekistan but are prepared to travel (to Turkey, Russia, South Korea, etc.)** --- ## ADDITIONAL INFORMATION - No family history of hepatic diseases - Pregnancy and delivery were normal - No additional congenital defects identified - Immunizations up to date - No history of bleeding disorders - No signs indicative of encephalopathy - Child is alert and engaged --- **I can supply actual MSCT images and comprehensive lab reports if they would be of assistance.** We sincerely appreciate any insights you can provide. We are striving to make the most informed decision regarding our daughter’s care and highly value expert medical opinions. **TL;DR:** 7-month-old diagnosed with Abernethy Type 2 malformation (9.9 mm portocaval shunt, patent portal vein). Liver functionality is improving (normalized ALT) while bilirubin remains elevated (242). Evaluating options between endovascular coil embolization and open surgery. Seeking expert advice on optimal treatment strategy and timing.