Hello, I think you are spot-on correct that your swollen lymph node is due to recent throat infection and dental work, which creates local inflammation. You're also correct that it takes weeks for a node to return to normal size. If I were you I'd likely have the same anxiety, and the only way you will get a definitive answer is to see an ENT for exam and possibly get a needle biopsy of the node if by that appointment it has not regressed in size or if you have new symptoms. I am not medically worried from your post that your lymphoma has recurred, but there is only one way to definitively answer that concern. All Best,
Thanks for your reply. I was expecting a more detailed response for £40. Please explain why you are not particularly concerned? Please tell me how quickly should I seek medical advice and request a referral for further investigation (it's now two weeks since the initial infection). Thanks
I was expecting a more detailed response for £40. Please explain why you are not particulalry concerned? Please tell me how quickly shoold I seek referral for further investigation?
I am not medically worried since the location of your swollen nodes corresponds with an area of known infection and inflammation in your system from the recent throat infection and dental work, as I stated. If you have no adenopathy elsewhere then the nodes are reactive until proven otherwise ; also you did not cite systemic symptoms other than some fatigue which is very non-specific. How quickly to seek referral depends upon your level of anxiety. From a strictly medical standpoint, I would advise watchful waiting for 2-4 weeks, and referral if any new symptoms occur or if your lymph nodes do not shrink in size by that time frame.
Ok. makes sense. Thanks for the advice. Last question: What new sysmptoms should I watch out for? last time I had lymphoma I had no symptoms at all except for slight lump in my belly, and some fatigue. By the time I got to see the consultant my red blood cell count was down to 3.3! I had full transfusion within a few hours, and realised immediately I had a malignancy. Dont want to go there again.
I don't blame you. For reasons that are not well understood, recurrences tend to come to medical attention with similar symptoms as the initial diagnosis. I'd watch for unexplained fever, continued fatigue (only you know what is normal or not for you), loss of appetite, sweating at night, paleness, easy bruising. Wish you all the best!
Thanks Louise. I am somewhat reassured. Watchful waiting it is. Many thanks.