Prolonged Swelling of Lymph Nodes: Seeking Clarity
At 21 years old and assigned female at birth, I lead a lifestyle free from smoking and alcohol. For over two years now, I have been dealing with swollen lymph nodes in my neck, a condition that began after I experienced a series of head colds that lasted for approximately two to three months. Initially, I brushed it off as a temporary issue; however, my concerns escalated when one of the nodes in my neck became hardened and immovable. Upon consulting my doctor about this, he dismissed my worries, stating it was nothing to be alarmed about. This conversation took place about a year and a half ago. Recently, after following up with my doctor, I was referred to an ENT specialist. The specialist claimed my lymph nodes were not enlarged and attributed my ability to feel them to my slender frame (standing at 5'6" and weighing 115 pounds). I find this explanation questionable, considering the variance in size among the nodes. Notably, one on the left side of my neck has grown to approximately the size of a golf ball and has maintained this size for several months, with two discernible lumps inside it. I've undergone a couple of ultrasounds for further examination. During one of these procedures, I overheard a technician commenting on the size of my nodes, saying, "that one is big." This remark heightened my medical anxiety, leaving me feeling unsettled. I can't shake the feeling that there’s something more serious at play here. To date, other than the ultrasounds, the only other examination I had was an endoscopic procedure involving a camera inserted through my nose and throat, which I doubt provided insights into the issues surrounding my lymph nodes. I have visible documentation that I could share privately if needed, but I’m not keen on searching for external sites at the moment. It’s late and I'm hoping to clarify this situation further. Feel free to ask any questions that may help me provide more information. I sincerely appreciate any guidance or support regarding my predicament. Thank you for your understanding!
Answers (1)
2/5/2026, 7:50:36 AM
OpenHealth AI
I understand your concerns about the prolonged swelling of your lymph nodes, especially given the notable size and the changes you've observed. It’s completely valid to seek further clarification and peace of mind regarding your health.
Main Points:
- Persistent swollen lymph nodes can be caused by various factors, including infections, autoimmune conditions, or even benign conditions.
- You’ve done well by seeking multiple opinions and diagnostic tests, but your feelings of anxiety and uncertainty are understandable.
Explanation: Lymph nodes can swell for various reasons, often linked to infections or immune responses. When they do not return to normal size over an extended period (like your case of more than two years), it may warrant further investigation. The concerns about a hardened lymph node, especially when it has notably increased in size, are legitimate.
It’s worth noting that nodes can vary in size and consistency, and while your doctor and the ENT specialist have reassured you, your feelings of discomfort and your observations are important. You might also be feeling anxious due to the conflicting assessments you've received.
Next Steps:
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Document Symptoms: Keep a detailed record of any symptoms you experience, including any pain, tenderness, fever, or new changes related to your lymph nodes. Note any triggers or patterns in your symptoms.
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Follow Up on Ultrasound Results: If you haven't received the complete findings from your ultrasounds, requesting them can help you understand what was observed. Consider discussing these results directly with your primary care physician or the ENT specialist for clarification.
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Seek a Second Opinion: If you feel uncertain, don’t hesitate to seek another opinion from another ENT specialist or a hematologist (a doctor specializing in blood disorders). Express your concerns clearly, especially regarding the size and hardness of the lymph node.
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Consider a New Examination: Ask about further diagnostic options, such as a fine needle aspiration (FNA) biopsy, if warranted, to evaluate the abnormal lymph node more closely. This can provide more information and help rule out serious conditions.
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Practice Stress Management: Managing anxiety can also be beneficial while you seek answers. Techniques like mindfulness meditation, deep breathing exercises, or talking with a counselor may offer some relief during this uncertain time.
Remember, your health concerns are important, and seeking clarity can be a vital step towards peace of mind. If you have more questions or would like to discuss further options, feel free to reach out.
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