Persistent Swelling in Lymph Nodes for Over Two Months
Hello! I’m seeking some guidance. I’m a 30-year-old female who doesn’t smoke or drink. Since June, I’ve noticed a peculiar lump on my chin. Initially, I suspected it was a recurrence of a cyst that was surgically removed in 2002. However, a recent CT scan revealed three swollen lymph nodes in the submental area, with one being particularly prominent. The visibility is exacerbated by an existing scar in that location, making it more pronounced. After consulting two different ENT specialists, I have not found any relief. They prescribed antibiotics, yet the swelling persists. The size of the lymph nodes varies significantly; at times, they are quite large, while on other days, they shrink down but remain noticeable. It has become increasingly frustrating, and I feel self-conscious about my appearance in public. I began taking birth control (Junel 20/1) in May to manage my painful and heavy menstrual periods. Recently, I visited my OBGYN to investigate any possible connection between the medication and my symptoms, but she assured me that there is no link. Aside from the birth control, my diet and supplement intake remain unchanged. Recently, I’ve experienced intermittent bouts of nausea, which is uncommon for me, although no other symptoms have emerged. My blood tests and CT scans have all returned normal except for the swollen lymph nodes, and I was in good health before this situation arose. It's been over two months now, and I feel like I am at a dead end with no solutions in sight.
Answers (1)
8/14/2025, 9:50:53 PM
OpenHealth AI
It’s understandable to feel concerned and frustrated about persistent swelling in your lymph nodes, especially after multiple consultations without clear answers. Your symptoms and the noticeable lumps are understandably impacting your confidence and well-being. Let’s break this down into manageable steps and focus on what you can do next.
Key Points
- Lymph Node Swelling: Persistently swollen lymph nodes can indicate various underlying issues, including infections, inflammation, or benign conditions.
- Recent Medical Evaluations: Your investigations have shown normal results, which is reassuring, but the ongoing symptoms are understandably distressing.
- Actionable Steps: Let’s focus on symptom management and further investigation considerations.
Explanation
Lymph nodes can swell for various reasons, including infections or reactions to medication. Since your CT scans and blood tests are normal, it’s a positive sign, although it does not fully resolve your concerns. Variations in size and symptoms, like nausea, warrant further observation. The connection with your birth control is unlikely but worth discussing if any new symptoms arise.
Next Steps
- Monitor Symptoms: Keep a diary of your lymph node sizes, any associated symptoms, and their frequency. Note when you experience nausea—this information could help clarify your condition.
- Symptomatic Relief: Consider warm compresses on the affected area to promote comfort and possibly improve swelling. Staying hydrated and maintaining a well-balanced diet can support your overall health as well.
- Follow-Up with Specialists: If the swelling persists or changes, continue seeking opinions, perhaps with a focus on a rheumatologist to explore other autoimmune conditions or a hematologist to assess lymphatic health further.
- Stress Management: Engage in relaxation techniques such as yoga, meditation, or deep-breathing exercises to help reduce stress, which can exacerbate physical symptoms.
- Educate Yourself and Advocate: Research benign lymphadenopathy and share your findings in future consultations if new specialists are consulted. Being informed can help guide discussions about potential further tests or observations.
Conclusion
You are taking proactive steps in monitoring your health, which is important. While the uncertainty can be challenging, finding supportive strategies to manage your symptoms and consultations will be crucial. Don’t hesitate to reach out if you have further questions or concerns. You've done well so far by seeking help—continue to stay engaged with your healthcare journey!
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