Anthony Bray, MD : Hello!
Anthony Bray, MD : The lymph nose that you have described fits with a reactive lymph node that was probably associated with your respiratory ( sinus) infection.
is it normal for it to get a bit larger when i touch it constantly
Anthony Bray, MD : Lymph nodes of course are numerous under the jaw and in the neck....
this node is on my jaw though
Anthony Bray, MD : the most reassuring aspect of it is that you state it has decreased in size from its maximum( grape size)
Yes it shrunk rapidly in size and has stayed that size since
Anthony Bray, MD : this decrease would not fit with a lymph node enlarged due to malignancy such as lymphoma which is your fear...
What should you suggest i do? leave it be?
I have a tendancy to touch it and move it around alot
Anthony Bray, MD : As long as you pick at it and feel it several tunes a day it will not return back to complete normal size.... You need to leave it alone!!!
Ok i wont touch it anymore, i just worry and touch it to see if its gotten bigger
I also had a CBC done and it came back perfect, if that helps at all
Anthony Bray, MD : it should gradually decrease in size ( provided no new nearby infection) over the next 4 to 6 weeks... It is not likely to go away any faster than that!! As long as it is not fixed ( it moves under the skin) it is not rock hard, and it is not enlarging plus at the size of a dime >>> then you should relax!!!
So i shouldnt touch it for atleast 6 weeks. What if its the same size in 6 weeks.. Leave it be?
Anthony Bray, MD : it is a very common worry or scare with these type lymph nodes but I advise that you take adept breath. It is very unlikely that this lymph node represents any cancer or anything serious in your case.
Ok thank you Doc, I seriously appreciate your time. Any other advice?
Anthony Bray, MD : your history fits well with a typical reactive lymph node that may have some prolonged swelling and tenderness due to your manipulating it....
Yes i have touched it so much. Honestly about twice every hour i check it
Anthony Bray, MD : resolve to not touch it except once a week.... I think you will find this node drifting out of your worries as you break the habit of obsessing over it and manipulating it--- this will perpetuate the problem!! So try to give it time and space!!
Ok thank you Sir! is very mild pain common from touching it and rolling it so much
Anthony Bray, MD : Right, I understand--- it has gotten you worried and you obsess and worry and check and recheck it.... Try to stop this constant checking!!! The pressing over a lymph node will stimulate the release of chemicals that call in " recruits" of more white cells and it makes the lymph node stay more enlarged than it otherwise would be.... When you break this cycle it will settle down but still very gradually!!
Anthony Bray, MD : Yes mild pain and tenderness would be common . It will feel better when you can leave it alone!!
Ok thank you doctor. Seriously im sure you put up with annoying people as me, thank you for your time, youve made me feel better. As for now i wont touch the dam thing anymore!
Anthony Bray, MD : So break free from this cycle--- quit messing with the node--- quit worrying and be patient!!! You will be fine!
Anthony Bray, MD : I hope that this information helps!
Thank you Doctor, you've helped me alot. have a great night
Anthony Bray, MD : Let me know if you have further questions!