Concerns Over Lymph Node Swelling
I’ll start by saying that discussing my teenage daughter’s situation makes me quite anxious, yet I feel compelled to share due to my growing fear and uncertainty about what steps to take next. Around a month ago, my daughter began experiencing significant swelling in the lymph nodes located under her arms. The discomfort was substantial, particularly after her workout sessions. Each day, the intensity of the pain increased. Then, approximately a week ago, the swelling subsided, and the pain lessened (though there are still discolorations resembling bruises). However, I then observed three bright red patches on her chest. These do not appear to be scabs, lack any textural differences, and are not painful. It’s possible these new spots are unrelated to the lymph node swelling, but I find it pertinent to mention. We’re scheduled to see her doctor next week, who will likely order blood tests. Truthfully, the range of potential issues that could arise from this situation frightens me quite a bit. My daughter is extremely active and follows a very disciplined diet. However, despite her rigorous physical regimen, her caloric intake does not seem sufficient. At 5 feet 5 inches tall and weighing just 95 pounds, even with what she consumes—around 2000 calories daily—she shows signs that align with anorexia, especially given her intense exercise routine. She exhibits a strict control over her calorie intake. Has anyone encountered similar symptoms? I understand that the doctor will have more insight, yet my daughter is terrified of medical procedures. I’m concerned I may struggle to convince her to undergo the blood tests necessary for a clearer diagnosis.
Answers (1)

8/23/2025, 9:21:40 PM
OpenHealth AI
It's completely understandable to feel anxious about your daughter's health situation, especially when it involves concerning symptoms like swollen lymph nodes and changes in her skin. These symptoms can arise from various causes, including infections, inflammatory conditions, or reactions to physical activity and diet.
Explanation:
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Lymph Node Swelling and Pain: Lymph nodes can swell in response to infections or other immune responses, often causing pain, especially if there is physical activity involved. The fact that the swelling decreased is a positive sign.
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Skin Patches: The bright red patches on her chest might be related to various conditions, such as an allergic reaction, irritation, or other dermatological issues. Since they are not painful and lack texture, they warrant monitoring but are not immediately alarming.
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Nutritional Concerns: Regarding her weight and caloric intake, it’s important to recognize your daughter is at a very low weight for her height. The concern over her strict control over her diet, combined with her intense exercise, suggests that she may need to receive nutritional support and counseling.
Immediate Next Steps:
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Prepare for the Doctor's Visit: Write down a summary of her symptoms, including when they started, their progression, and any changes you’ve noticed (e.g., the skin patches). This information will be helpful for the doctor.
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Reassure Your Daughter: Talk to her about why the blood tests are important. Explain that they can help identify any underlying issues that might be causing her symptoms. Emphasize that these tests are routine and can provide peace of mind.
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Focus on Nutrition: Encourage her to consider her diet holistically. If she’s open to it, suggest speaking to a nutritionist who can guide her on achieving a balanced diet that supports her active lifestyle. This can help alleviate concerns over caloric intake and improve her overall health.
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Gentle Encouragement: Since your daughter is terrified of medical procedures, approach the topic gently. Offer support and accompany her for the tests, emphasizing your role in her care and your concern for her wellbeing.
Additional Support:
If she's receptive, consider discussing with your daughter the importance of expressing her feelings about her health and how she can manage her fears surrounding medical visits. This might help her feel more empowered and in control.
It's good to hear that you have a doctor’s appointment scheduled soon, as they will be able to provide tailored guidance and support based on her specific situation. Importantly, your presence and understanding are key as she navigates her health concerns.
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