Concerns About Prolonged Swelling of Lymph Nodes
Greetings everyone! I'm a 24-year-old female and I've been experiencing mounting anxiety concerning a particular lymph node located on the right side of my neck. This issue began back in early June when I caught a typical cold, during which I first noticed the swelling. Although I recovered from the cold, the lymph node remained slightly enlarged. Now, not long after, I find myself battling yet another infection, and this lymph node has become notably swollen again. What worries me is that its size seems to have increased significantly this time, and it feels hard and tender to the touch. In June, I consulted with my doctor about this swelling, and after a brief examination, they reassured me that it was normal for lymph nodes to enlarge while the body is fighting an infection. I recently revisited the issue with my doctor, but once again, it was dismissed in the same manner. I’m hesitant to ignore this, as I fear it could be indicative of something more serious. Should I consider revisiting my doctor and insist on a more thorough examination? Any guidance or suggestions would be greatly valued!
Answers (1)
9/9/2025, 10:40:41 AM
OpenHealth AI
It's understandable to feel anxious about the prolonged swelling of your lymph node, especially given the recent increase in its size and tenderness. While many lymph nodes can remain enlarged after an infection, certain characteristics like hardness and significant growth may warrant closer examination.
Explanation
Lymph nodes swell as part of the immune response when your body is fighting infections or other illnesses. However, persistent swelling, especially with hardness or tenderness, can sometimes indicate other conditions. Your feelings of concern are valid, and it's essential to prioritize your health.
Next Steps
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Monitor Symptoms: Keep a record of any changes in size, tenderness, or other symptoms such as fevers, night sweats, weight loss, or fatigue. This information can be useful for your healthcare provider.
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Consult With Your Doctor: Given that the lymph node has not only remained swollen but has also changed in characteristics, it is advisable to follow up with your doctor. Don’t hesitate to express your concerns clearly and ask for a more thorough examination, which may include imaging studies, blood tests, or even a referral to a specialist.
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Self-Care Practices: In the meantime, focus on self-care by ensuring you're adequately hydrated, resting, and eating a well-balanced diet to support your immune system. You can also use warm compresses on the area to alleviate tenderness.
Your health is important, and seeking clarity with your doctor is a responsible decision. Let me know if you have any questions or need further assistance!
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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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WBC: 5.8 × 10⁹/L (SHOWS IMPROVEMENT) - **RBC: 2.93 × 10¹²/L** (IMPROVED but still low) - **Hemoglobin: 72 g/L** (SHOWS IMPROVEMENT but still low) - Platelets: 223 × 10⁹/L (BACK TO NORMAL) - Neutrophils: 30.0% - Lymphocytes: 64.8% - Monocytes: 4.6% ### Biochemistry (January 28, 2026): - Total protein level: 67 g/L (slightly deficient) - Creatinine: 20.7 μmol/L - **Total Bilirubin: 242 μmol/L** (STILL HIGH - unchanged) - **Direct Bilirubin: 142 μmol/L** (VERY HIGH) - **ALT: 50 IU/mL** (DRASTICALLY LOWER from >1000!) --- ## OVERVIEW OF PROGRESS OVER 6 MONTHS | Parameter | August 2025 | January 2026 | Change | |------------------|-------------|---------------|--------------------------| | **Hemoglobin** | 69 g/L | 72 g/L | ↗ Slight improvement | | **RBC** | 2.1 | 2.93 | ↗ Improved | | **ALT** | >1000 | 50 | ✓✓ MAJOR IMPROVEMENT | | **Bilirubin** | 245 | 242 | → Unchanged (still elevated) | | **Portal vein** | 6.1 mm | 3.9 mm (US) | ↗ Decreased | | **Platelets** | 403 | 223 | ↘ Normalized | | **Shunt size** | 9.9 mm | 9.9 mm | → No Change | --- ## CURRENT SITUATION (February 2026 - 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Should this be a cause for concern? Is there a prospect for it to normalize post shunt closure?** 3. **Are the hemangiomas/nodules (11.6×20.7 mm) linked to the shunt? Will they likely resolve following shunt repair?** 4. **How urgent is the proposed intervention? Is immediate action required, or is there flexibility to wait a few months?** 5. **What complications should we be vigilant for during the waiting period?** 6. **Regarding endovascular closure - what is the average success rate for infants aged 7 months? 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