Experiencing Multiple Swollen Lymph Nodes Without Illness
Hello everyone. I created a new account for this discussion to keep my personal details a bit more private; I hope that’s acceptable. A bit of background about myself: I’m a 30-year-old woman, standing at 5 feet 2 inches tall and weighing 110 pounds. My medical history includes lupus and what appears to be primary hypertension, as no other causes have been identified. Over the past two years, I’ve experienced two spontaneous vertebral dissections, one to the right and one to the left, the latter occurring in June of this year. I also manage ADHD and depression effectively. Currently, I am on a regimen of losartan, metoprolol, spironolactone, adderall, bupropion, azathioprine, hydroxychloroquine, and baby aspirin. This evening, while preparing for bed, I discovered about a dozen swollen lymph nodes across various locations on my body. I have one positioned beneath the left side of my jaw, three in a chain located in my right armpit toward the outer region, two more in the middle of that area, and four in my left armpit. Additionally, there is one near the left collarbone and two on the right side of my neck, closer to my head. I might be missing some others, as I’m uncertain where to look besides my head, neck, and armpits. If needed, I can share images for clarity. None of these lymph nodes are painful, and most are visible through my skin. Typically, I would assume that such an occurrence indicates an impending illness, but I don’t have any signs of being unwell. My throat appears normal, and although my left ear is mildly uncomfortable, I suspect it’s due to referred pain from a dental filling. I have no fever or additional symptoms. I’ve never encountered this many swollen lymph nodes before; while a couple of them wouldn’t usually concern me, this feels excessive. I’m questioning whether this might signal the onset of the flu or if I’m about to be significantly affected by some other virus. I greatly appreciate any insights or advice from those who might be able to assist! 🩷
Answers (1)
9/16/2025, 4:50:47 AM
OpenHealth AI
It’s understandable to be concerned about the sudden appearance of multiple swollen lymph nodes, especially given your medical history. Swollen lymph nodes can indicate various things—from infections to inflammatory conditions—but their presence without accompanying signs of illness can also be less alarming. Let's break this down.
Main Points
You have several swollen lymph nodes, but you currently don't have signs of illness. Given your history of lupus and other health conditions, this requires careful observation but is not necessarily urgent.
Explanation
Lymph nodes are part of your immune system and can become swollen for various reasons:
- Infections: This can be viral or bacterial, but you mentioned not having any symptoms like fever or illness.
- Inflammation: Conditions like lupus can cause lymph nodes to swell due to systemic inflammation.
- Normal Variations: Some individuals experience lymph node swelling without an identifiable cause, particularly in response to minor infections or stress.
Next Steps
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Monitor Symptoms: Keep an eye on any changes. If you develop fever, significant pain, night sweats, loss of weight, or if the lymph nodes continue to grow or persist beyond a couple of weeks, it's important to seek further evaluation.
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Stay Hydrated and Rest: Ensure you're drinking enough water and getting ample rest, as your body needs energy to manage inflammation.
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Jaw and Ear Pain: For the mild discomfort in your ear, consider using warm compresses and over-the-counter pain relievers if necessary, but monitor if it progresses.
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Document Changes: Keep a log of the size of the lymph nodes and any new symptoms. This will be helpful if you need to discuss it with a healthcare provider later.
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Reach out if Needed: If your mild ear discomfort worsens or if you experience any new concerning symptoms, consider reaching out to a healthcare provider.
Understanding and monitoring your body can be empowering, especially managing multiple health conditions. Don’t hesitate to reach out for help if needed; you deserve support in this process.
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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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