Persistent Swollen Lymph Nodes: Seeking Guidance
For the past year or two, I have been experiencing swollen lymph nodes on both sides of my neck that simply won’t subside. One particular node, located in my lower neck, causes a feeling of pressure and discomfort, especially during or after meals when it seems to swell even more. It’s perplexing; I can palpate it, and it feels quite small, roughly the size of a 1 cm rubber ball. Is there anyone who can shed light on whether this could pose any health risks? I underwent an ultrasound to evaluate the area, and my doctor indicated that the nodes appeared normal and showed no signs of abnormalities. However, I've come across information suggesting that conditions like lymphoma or cancer might not always be detectable via ultrasound, which leaves me feeling anxious most nights. If anyone has insight or recommendations for my situation, I would greatly appreciate it. Thank you for your help, medical professionals!
Answers (1)

8/26/2025, 6:12:53 PM
OpenHealth AI
It’s understandable to feel anxious about persistent swollen lymph nodes, especially when they're coupled with discomfort. Your experience, along with the ultrasound results indicating normal findings, is important to consider.
Key Points:
- Chronic Swollen Lymph Nodes: Lymph nodes can remain swollen for a long time due to various benign causes, such as infections, inflammation, or immune responses.
- Current Findings: Since your ultrasound showed no abnormalities, the nodes themselves are likely not related to serious concerns like lymphoma or cancer.
- Symptoms to Monitor: The pressure and discomfort during meals may suggest a connection to eating or digestive processes.
Explanation:
Swollen lymph nodes can result from the body's immune response to infections or other benign conditions. The fact that your healthcare provider noted no abnormalities in your ultrasound is reassuring. Sometimes, lymph nodes can remain swollen, even after the underlying cause has resolved; this is often referred to as reactive lymphadenopathy.
Your description of discomfort during meals might also relate to nearby structures, so it's worth considering a possible link to digestive issues, such as acid reflux, which could create localized pressure.
Next Steps:
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Monitor Symptoms: Keep a log of when you notice the swelling or discomfort, especially during meals. Note any additional symptoms like changes in appetite, weight loss, or persistent fatigue.
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Try Dietary Adjustments: Experiment with eating smaller meals or avoiding known irritants, like spicy foods or heavy meals, that might be contributing to discomfort.
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Consider a Follow-Up: With your ongoing concerns and discomfort, even with normal ultrasound results, discussing this with your doctor is vital. Ask if further evaluation, such as a referral to an ENT specialist or gastrointestinal evaluation, may be appropriate.
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Address Anxiety: It’s natural to feel worried about your health; consider stress-reduction techniques like mindfulness, meditation, or talking to someone about your feelings.
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Seek Reassurance from Healthcare Providers: If you continue to experience anxiety about your nodes, connecting with a healthcare provider for further peace of mind can be beneficial.
Your well-being is important, so focusing on understanding your symptoms and managing anxiety will serve you well. Let me know if you need further assistance.
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