OpenHealth Q&A

Get answered by medical professionals

Monitoring an Enlarged Lymph Node

8/18/2025, 1:20:42 AMMale25-34

Earlier this winter, I experienced a strep throat infection, during which I discovered a swollen lymph node just below my jawline. Since then, I've undergone several ultrasounds to monitor its size. Fortunately, all three measurements indicated a reduction, which brought some reassurance to my ENT specialist. Additionally, during a mammogram, an enlarged lymph node in my armpit area was detected, but it has since shrunk significantly, leading the medical team to suggest no further action is necessary for that particular issue. I decided to have one more ultrasound, which I just completed. The results showed that one of the lymph node’s dimensions remained stable at approximately 3.1 cm, similar to the previous scan from three months ago where it measured 3 cm. The ENT outlined two potential paths forward: 1. Schedule another ultrasound examination in three months. 2. Consider an FNA biopsy at any time if I wish to pursue that option. The ultrasound results indicate that the structure of the lymph node appears normal. So far, I haven’t experienced any symptoms associated with lymphoma, which my ENT advised me to keep an eye on. Does it sound reasonable to wait and have another follow-up in November? I've opted for that approach, but I'm not very knowledgeable about these matters and would appreciate confirmation that I'm making the correct decision.

LupusInternal MedicineRheumatology

Answers (1)

Cony

8/18/2025, 1:21:17 AM

OpenHealth AI

It sounds very reasonable to wait for the follow-up ultrasound in November, given your current situation and the medical guidance you've received.

Explanation:

Swollen lymph nodes can often shrink over time, especially after infections like strep throat, and it’s reassuring that your specialists have noted a reduction in size and normal structure during your ultrasounds. Your ENT's suggestion of either a follow-up ultrasound or an FNA biopsy gives you room to assess the situation without rushing into more invasive procedures. The fact that you haven't experienced additional symptoms that's typically associated with lymphoma further supports a careful and monitored approach.

Next Steps:

  1. Continue Monitoring: Keep an eye on any new or worsening symptoms, such as unexplained fevers, night sweats, weight loss, or persistent changes in the lymph node's size or consistency.

  2. Follow-Up Appointment: Make sure to schedule the next ultrasound for November as discussed, and note any questions or concerns you may want to discuss with your ENT during that appointment.

  3. Stay Informed: Do some reading about lymph nodes and potential conditions affecting them, so you feel more knowledgeable. However, avoid putting too much emphasis on worst-case scenarios unless symptoms develop.

  4. Maintain Regular Check-Ins: Keep a healthy communication line with your healthcare providers. If you notice any changes, reach out for advice as needed.

You’re making a well-considered decision by opting for monitoring, and it's important to trust the medical opinions you are receiving while remaining observant about your own health. If you need further clarification on any aspect, feel free to ask.

Related Questions

Concerns About Persistent Cough: Is It Cardiac Related?

Greetings everyone, I’m a 20-year-old male weighing 320 pounds, which qualifies as overweight. Having dealt with asthma for the majority of my life—although it’s generally mild—I typically rely on a nebulizer during occasions of typical chest colds. For some context, I came down with a cold around January 9th. Being on a college campus frequently means exposure to a variety of illnesses, and I suspect I contracted bronchitis, given the lasting cough and breathlessness I experienced for a couple of weeks afterward. However, I believed I had fully recuperated and moved on. Recently, since about Monday, I have noticed a return of my breathlessness along with a persistent cough and a sensation of fluid in my chest and throat. I find myself coughing as I attempt to clear my throat. This comes and goes, but it tends to intensify in the mornings right after I wake up and at night when I try to sleep. Additionally, I spend time with friends who smoke on occasion, and I initially thought that secondhand smoke might be a contributing factor. My concern has grown, and I’m unsure what to think. So, I’m reaching out for guidance: could this be residual effects from my cold in January, or should I be concerned that this might indicate a more serious issue related to my heart?

AsthmaCOPDInternal Medicine
Male25-34
8 minutes ago

Hernia Diagnosis Without Follow-Up: A Conflicting Situation

A 22-year-old male recently visited the emergency room due to discomfort in his lower abdomen. Upon examination, the medical team was indecisive about whether he was experiencing an oblique muscle problem or a hernia. Surprisingly, they opted against performing a CT scan or ultrasound and did not schedule any follow-up appointments. To the best of my knowledge, hernias typically do not resolve themselves with merely the use of ace bandages or over-the-counter pain medication; surgical intervention is usually necessary for proper treatment. Is there a specific rationale behind their reluctance to pursue further diagnostic testing or surgery?

ArthritisCrohn's DiseaseInternal Medicine
Male25-34
8 minutes ago

Experiencing Wheezing During Deep Breaths

Greetings, everyone! I'm seeking your insights on a particular issue I'm facing: I experience a wheezing sound only when inhaling deeply. Interestingly, it's noticeable on one side, and it's audible to others as well. I've never used tobacco or any other substances, nor do I consume alcohol. My weight falls within a healthy range, and I do not have asthma. Additionally, my oxygen levels are normal, and I don’t struggle with breathing; this situation is more of an irritation than a serious problem. I’ve recorded the noise, but I’m unable to share it here; it honestly resembles the sound of a rubber chicken. I would appreciate any thoughts or suggestions! Thank you in advance!

AsthmaCOPDInternal Medicine
Male25-34
8 minutes ago

Understanding My Symptoms: A Personal Account

I’m sharing my experiences here, as I haven’t received much feedback elsewhere. I am a 15-year-old female, measuring about 5 feet tall (152 cm) and weighing between 105 and 110 pounds (47-50 kg). I identify as Hispanic and Cuban, and legally fall under the white classification. I reside in Palm Beach County, Florida, and I am a U.S. citizen. I have a diagnosis of Autism and previously had ADD, although that diagnosis has been dropped, which leaves me unsure about my current condition—whether ADHD applies or not. Additionally, I have a past history of anemia, although it is currently not diagnosed. For the past year, I've experienced a range of symptoms that appear intermittently and are often present almost daily. While these symptoms vary, they haven’t subsided. I’ve noticed that both physical activity and caffeine can either trigger or exacerbate these issues. Now, I’d like to detail the symptoms I've been facing. One of my major concerns is my balance; when I stand, I often feel unsteady, and sometimes I even limp. This particular symptom is quite troubling as it occurs frequently. I also experience occasional dizziness and fatigue, which leaves me feeling too weak to move, causing me to remain still for prolonged periods. During episodes of significant fatigue or balance issues, I find myself starting to stutter and I suspect my speech may slur at times. Additionally, my hands sometimes shake, especially when I struggle to walk. There could be other symptoms I haven’t recalled yet, but this is what I remember for now. I will provide updates if I think of anything else, and I welcome any engagement. Furthermore, I’ve noticed irregularities with my heart rate. Initially, when these symptoms began, my resting heart rate dropped from the 80s and 90s to the 50s and 60s; this lower rate has persisted. Lately, however, even simple tasks such as standing, walking short distances, or rocking back and forth (which I do as a self-soothing mechanism) have caused my heart rate to spike to the 100s. These changes are new, while the other symptoms have been consistent for about a year. I genuinely seek guidance or support, as I feel uneasy relying on AI for self-assessment. Unfortunately, I can't afford doctor visits at this time, and my caretaker has shown little concern for my well-being. Therefore, please refrain from suggesting medical consultations. Thank you for taking the time to read my story. I’m open to any questions.

Multiple SclerosisLupusCrohn's Disease
Male25-34
47 minutes ago

Understanding Lymph Node Sensitivity

A 32-year-old female with a BMI of 28 poses a concern about potential lymph node activity. Over the past three months, she has noticed tender areas coinciding with her menstrual cycle. She has detected slight lumps, but is careful not to press deeply into the tissue to avoid further discomfort. Initially, in December, the sensitivity was localized to the left side of her breast. In January, she observed similar tenderness in her inner left thigh, and by February, both areas and the region above her armpit were affected. Additionally, she has been experiencing fluctuations in her hormonal balance lately. The discomfort in her left breast has persisted for most of this time since December. She wonders whether this is a typical response from lymph nodes due to hormonal changes or if it would be advisable to consult her general practitioner for further evaluation.

Thyroid DisordersInternal MedicineEndocrinology
Male25-34
48 minutes ago