How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Arun Phophalia Your Own Question

Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 29793
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
5625079
Type Your Health Question Here...
Dr. Arun Phophalia is online now
A new question is answered every 9 seconds

I had a mammogram last October that showed a swollen lymph

Resolved Question:

I had a mammogram last October that showed a swollen lymph node in my left underarm. Had ultrasound the same day that appeared to be fluid filled node. Repeat mammo in april still there. Yearly mammogram last week show still there. Breast is clear. Also a small swollen lymph node at base of skull on right side.
breast clear in all mammograms.
Also, when we sing at church....if we sing too many songs, or if I try to sing too loud, or something like that - my throat will start hurting and go sort of hoarse like. I also have more of an issue when I turn my throat to the side. If I turn while singing it gets worse. Also, if I swallow liquid with my head turned - it sends a sharp pain up my throat. I do not turn my head often and swallow. I guess I have trained myself over the years to keep straight without even thinking about it. But if someone hollars and I turn while drinking or something...then I notice it.
I have had swollen neck glands since I was a child. All these years, thought it was tonsils. I am hard under my ears and feel several swollen spots like lymph nodes from ears down neck. These have been there for a long time but episodes of issues of occuring more frequently.
I am now 43 years old.
Some occasional sinus drainage but nothing significant.
Can the two issues be related?
I thought about seeing a ENT.
Thanks for any advise or suggestions.
By the way, I work for a radiation oncologist. He does not think the underarm is cancerous or anything to worry with. I do not remember him mentioning much about the neck.
We did thyroid lab work several several several years ago. It was all normal. His PA at the time was very worried about my thyroid because the way it shows so clearly when I do certain things.
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 1 year ago.

Greetings Kelly.

The axillary lymph node and your throat / neck symptoms are unlikely to be related. As a matter of fact both of these are not anything worrisome or serious. All of us are worried about the small lymph nodes, if they are felt. But almost all the time they are non specific. Lymph nodes are our body's first defense. So they get enlarged due to trivial issues too like skin irritation, scratching, abrasions etc.

Pain during loud singing or turning during drinking or eating also is a non specific symptoms and do not particularly indicate a serious or significant issue. Since you work at a radiation oncologist and come across cancer patient; these kind of symptoms cause anxiety about the diagnosis of malignancy and can play in the mind. Thus for peace of mind you may get an MRI or a CT scan of the neck to categorically rule out anything abnormal. With your description, I do not think there is any significant pathological process going on.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

 

We have recently implemented a new rating and feedback system. Please be aware that you are rating my courtesy and service as a professional. If you have any questions whatsoever, or there is anything I can clarify for you, please temporarily bypass the rating system by clicking “Continue the Conversation” or "Reply."

Clicking either of the lowest two options reflects poorly on me so please reply to me if there is anything else I can do to help before choosing those options. I appreciate your patience while we work out the kinks. It's important to me that you are 100% satisfied with the service I have provided you. Thank you.

Customer: replied 1 year ago.


The staff, including myself, always say we are over anxious with the word cancer being mentioned so often. I think we have diagnosed ourselves with every type of cancer at one time of another.


 


I am more concerned with the throat area than the underarm. I have heard of singers that had cyst or something in their throats. Not cancer. But that they would cause them problems and had to be removed. With some of them, the removal caused their voices to change.


 


When it happens while singing...


some times it just makes my voice weaker.


sometimes it causes pain that brings tears to my eyes and my voice completely goes away.


sometimes it is just like the sounds do not come out.


 


when it is mild - i can drink water and then be okay


when it gets to the point of hurting and that painful burn is in my throat I just have to stop singing.


 


sometime the swelling, especially under the ear, gets uncomfortable and sometimes painful. Like now. I would not say that I am in pain. But the ache is apparent. It does affect my hearing sometimes. Like now...how can I explain it. It is like when you are driving up a mountain and your ears have that pressure build up and you move your jaws to clear them up. I am doing that but it is like you are still traveling. It does not clear it out.


 


You can clearly see and feel my thyroid. It does not seem to me that it is swollen as much as something else going on in the throat pushing it out.


 


thanks,


Kelly

Expert:  Dr. Arun Phophalia replied 1 year ago.
Hello Kelly,

All of your these symptoms;

1) some times it just makes voice weaker.

2) sometimes it causes pain that brings tears to eyes and voice completely goes away.

3) sometimes it is just like the sounds do not come out.

Would not indicate cancer, as you too mentioned. A cyst or laryngeal swelling or laryngitis may be a possibility. Reflux laryngitis also can cause this problem. Following investigations may be able to confirm it;

 

1) Barium esophagography

2) Ambulatory 24-hour pharyngoesophageal pH monitoring

3) Indirect laryngoscopy.

 

Following specialists are needed to work in tandem for treatment;

 

1) ENT specialist

2) Gastroenterologist,

3) Speech therapist,

 

Following measures are helpful:

 

1) Small 5-6 meals a day.

2) Last meal should be eaten 3 hours before lying down.

3) Avoid; fried or fatty foods, chocolate, peppermint, alcohol, coffee, carbonated beverages, citrus fruits or juices, tomato sauce, ketchup, mustard, vinegar.

4) Eat slowly so air is not swallowed.

5) Swallowing therapy by a speech-language pathologist.

6) Lose weight if obese or overweight.

7) Elevate the head of the bed by 6 inches.

8) Avoid tight clothing.

9) Stop smoking if you do.

 

An enlarged thyroid may also be responsible for it. Thyroid scan, an ultrasound and thyroid function test would rule out any abnormality.

 

The swelling near the ear can be a lymph node due to sinusitis which may cause ear issues. Parotid gland enlargement which is other possibility here is not likely for causative of these symptoms. Again a CT scan of neck will clearly diagnose any abnormality including this swelling.

 

It is privilege assisting you.

Customer: replied 1 year ago.


Thank you very much for your time and answers.


I believe seeing an ENT and having some test to clear up what is going on would be best.


I had rather know it is nothing big then to let Satan worry me with awful thoughts.


I too believe labs and CT's would be the best.


 


I was told many years ago that I had MS but it just had not shown up yet. I did not and do not claim that diagnosis. I have numbness. some noticed in hands and arms. Most noted in face. lips are almost always numb and face area too. Hard to explain but it is like I can feel skin surface and bone but the meat inbetween is numb. MRI's were done at the time and clear. The doctor I was seeing said fibro myalgia and underlying unconfirmed MS.


 


I believe going with all the above to a local ENT and having labs and CT should clear up all these crazy things.


 


I have lost weight but need to loose some more. But as a "chocoholic" and a southern girl - that is not nice to say give up chocolate, ketchup and fried foods. :-)


 


Thanks again for all of your help, advice and information.


 


I will move on to the next step.


 


thanks,


Kelly

Expert:  Dr. Arun Phophalia replied 1 year ago.
You are most welcome, Kelly.

May be slight anxiety too would be responsible for your symptoms. As we discussed, CT scan should be able to resolve the issue.

Good luck
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 29793
Experience: MBBS, MS (General Surgery), Fellowship in Sports Medicine
Dr. Arun Phophalia and 4 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery
 
 
 

Related Health Questions