It is important to seek the right specialist to evaluate your enlarged neck nodes. Spiking fevers, nights sweats (often drenching) and unexpected weight loss.Pain after consumption of alcohol is said to be a feature of Hodgkin’s Lymphoma Pain – this often points to an infection or inflammation.Failure to respond to antibiotics warrants a specialist consultation Most general practitioners will try a course of antibiotics initially. Presence for more than 2-4 weeks without signs of resolution.Persistent enlargement of one or several lymph nodes without an obvious cause e.g.Some symptoms or signs are reasons to have a specialist consultation for enlarged neck lymph nodes. When should you be worried about enlarged lymph nodes? In recent times, a common cause for enlarged lymph nodes is recent vaccination with an mRNA Covid vaccine. For example, a recent history of a blocked or runny nose, fever and cough may suggest that lymph nodes have enlarged due to a simple respiratory tract infection. I often asks patients of associated symptoms that may give me a clue as to the cause of their lymph node enlargement. Metastatic disease – cancers from elsewhere in the head and neck spreading to the draining lymph nodes.Lymphomas – primary tumours of the lymph nodes.Inflammatory conditions – Kawasaki’s disease, Kikuchi’s etc.Eczema or atopic dermatitis of the skin of the scalp.Infectons – viral (such as glandular fever), bacterial or tuberculosis (TB). There are many reasons for a lymph node to swell. Location of lymph nodes in a child’s neck.
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