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Discomfort in Lymph Nodes During Swallowing

2/6/2026, 12:20:20 AMMale25-34

I am a 21-year-old woman, weighing around 140 pounds and standing at 5’4". I take Zoloft to manage my anxiety, and I also deal with Irritable Bowel Syndrome (IBS). Additionally, I do vape. I've been experiencing discomfort that doesn’t seem to stem from my tonsils, which I recognize due to previous episodes of tonsillitis. Instead, the sensation feels more like it’s originating from my lymph nodes or possibly a deeper muscle in my tongue. Each time I swallow, I feel a mild pain – about a 4 out of 10 on the discomfort scale – significant enough to capture my attention. This morning was when I first recognized it, and it appears to be intensifying. I wonder if it's just because I'm more aware of it now that I’m off work; I was quite busy when I first noticed. I do have a slight headache, but I attribute that to my recent 12-hour work shift. Can anyone offer insights? Is it something serious? When should I consider consulting a medical professional? Should I seek help immediately, or can I wait a week?

WellnessFamily MedicineInternal Medicine

Answers (1)

Cony

2/6/2026, 12:20:36 AM

OpenHealth AI

It sounds like you’re experiencing discomfort in your lymph nodes or throat area while swallowing, which can be concerning. Let's break down your concerns and provide some clarity.

Key Points:

  • You have mild pain when swallowing, primarily in the lymph node area or underneath the tongue.
  • This discomfort seems to be worsening, and you're experiencing a slight headache.
  • You have a history of tonsillitis but do not attribute this to tonsils now.

Explanation:

Discomfort around the lymph nodes can arise from several factors, including infections (viral or bacterial), inflammation, or even muscle strain from stress or tension. Given your use of Zoloft for anxiety, it's also possible that muscle tension could contribute to your discomfort. The fact that you have IBS might mean you are more sensitive to sensations in your body, potentially heightening your awareness of discomfort.

Next Steps:

  1. Monitor Symptoms: Keep track of how your symptoms evolve over the next few days. Note any changes in pain intensity, new symptoms like fever or swallowing difficulties, or if the pain radiates.

  2. Self-Care Measures:

    • Hydration: Drink plenty of fluids to keep your throat moistened, which can ease discomfort.
    • Warm Gargles: Gargling with warm salt water can help soothe irritation.
    • Avoid Irritants: Reduce or avoid vaping, as it can irritate the throat and lymph nodes.
    • Pain Relief: Consider taking over-the-counter pain relief (like ibuprofen or acetaminophen) if needed for the headache or throat discomfort.
  3. When to Seek Help:

    • If the pain worsens significantly or if you experience severe symptoms such as difficulty breathing, high fever, or swelling, it’s important to seek medical attention sooner rather than later.
    • If symptoms persist or do not improve after a week, consider consulting a healthcare professional for a proper evaluation.

Try to take it easy and focus on self-care for the next few days, but remain vigilant about your symptoms. If anything feels off, don’t hesitate to reach out for more help.

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