Can Chronic Sinusitis Cause Single Sub Centimetre Lymph Node?
Question: Good morning doctor,
I felt some difference near XXXXXXX apple, not visible to naked eye, as i cjeck my body a lot. I had neck and thyroid scan and it says normal study and solitary subcentimeter lymphnode. I am having chronic sinusitis with no running nose but blocked nose, post nasal drip, facial pain, sometimes ear pain,itchy mouth, palate burning if eaten spicy food and immediate agravation of sinusitis and post nasal drip. tmj joint pain sometimes. Have gastritis and gerd diagnosed with endoscopy. My fear is whether the single subcentimeter lymphnode is due to my chronic sinusitis, or due to my rubbing of that area as i find some anatomy change i am continuously cross cjecking since saturday and had scan in minday or is it due to cancer. Gone through heamogram in September its normal study. Crp is normal in XXXXXXX Sugar levels normal recently.
How much percentage can u assure me its not cancer? I dont have any other problems at all, like weakness etc, Just didnt have proper night sleep due to night shift from 11pm to 7am since last 15 days? Is it due to improper sleep?
I felt some difference near XXXXXXX apple, not visible to naked eye, as i cjeck my body a lot. I had neck and thyroid scan and it says normal study and solitary subcentimeter lymphnode. I am having chronic sinusitis with no running nose but blocked nose, post nasal drip, facial pain, sometimes ear pain,itchy mouth, palate burning if eaten spicy food and immediate agravation of sinusitis and post nasal drip. tmj joint pain sometimes. Have gastritis and gerd diagnosed with endoscopy. My fear is whether the single subcentimeter lymphnode is due to my chronic sinusitis, or due to my rubbing of that area as i find some anatomy change i am continuously cross cjecking since saturday and had scan in minday or is it due to cancer. Gone through heamogram in September its normal study. Crp is normal in XXXXXXX Sugar levels normal recently.
How much percentage can u assure me its not cancer? I dont have any other problems at all, like weakness etc, Just didnt have proper night sleep due to night shift from 11pm to 7am since last 15 days? Is it due to improper sleep?
Brief Answer:
LYMPHADENITIS
Detailed Answer:
DEAR XXXXX,
THANKS FOR POSING YOUR QUESTION THROUGH THIS SITE. THE HISTORY YOU ARE GIVING AND THE INVESTIGATIONS YOU HAVE UNDERGONE STRICTLY SUGGEST THE SMALL LYMPH NODE YOU ARE FEELING IS ONLY BENIGN AND NOT MALIGNANT. IT MAY BE ONLY REACTIONARY LYMPHADENITIS . WHEN THIS REACTIONARY LYMPH NODE PERSISTS FOR LONG TIME IT BECOMES CALCIFIED AND IT DOES NOT GO WITH ANY TREATMENT BUT CAN ALWAYS BE PALPATED. PLEASE KEEP THE NODE UNDER OBSERVATION BUT NOT REPEATEDLY IRRITATING IT BY YOUR REGULAR FIDDLING WHICH WILL INCREASE ITS SIZE AS WELL AS THE TENDERNESS. HAVE SYMPTOMATIC MANAGEMENT FOR YOUR CHRONIC SINUS PROBLEM. YOU WILL SURELY GET RELIEF.
TRULY,
DR. J. TICKU
LYMPHADENITIS
Detailed Answer:
DEAR XXXXX,
THANKS FOR POSING YOUR QUESTION THROUGH THIS SITE. THE HISTORY YOU ARE GIVING AND THE INVESTIGATIONS YOU HAVE UNDERGONE STRICTLY SUGGEST THE SMALL LYMPH NODE YOU ARE FEELING IS ONLY BENIGN AND NOT MALIGNANT. IT MAY BE ONLY REACTIONARY LYMPHADENITIS . WHEN THIS REACTIONARY LYMPH NODE PERSISTS FOR LONG TIME IT BECOMES CALCIFIED AND IT DOES NOT GO WITH ANY TREATMENT BUT CAN ALWAYS BE PALPATED. PLEASE KEEP THE NODE UNDER OBSERVATION BUT NOT REPEATEDLY IRRITATING IT BY YOUR REGULAR FIDDLING WHICH WILL INCREASE ITS SIZE AS WELL AS THE TENDERNESS. HAVE SYMPTOMATIC MANAGEMENT FOR YOUR CHRONIC SINUS PROBLEM. YOU WILL SURELY GET RELIEF.
TRULY,
DR. J. TICKU
Above answer was peer-reviewed by :
Dr. Yogesh D
So How much percentage can u assure me that its not cancer? And also What i need to observe in the node? What can be done if it increases? And what is palpation? Similarly what has to be done to reduce that? I am worried about cancer? Hope U have seen reports?
It is oval shape and uniform boundaries, Radialogist shown me in the scan?
I dont have any pain in that area as well.
Actually I observed change in area near our thyroid gland will be there., I am attaching picture for ur detail understanding.
Had thyroid profile in september, its normal as well, But stiffness is there in neck muscles, Is the place I pointed thyroid gland?
It is oval shape and uniform boundaries, Radialogist shown me in the scan?
I dont have any pain in that area as well.
Actually I observed change in area near our thyroid gland will be there., I am attaching picture for ur detail understanding.
Had thyroid profile in september, its normal as well, But stiffness is there in neck muscles, Is the place I pointed thyroid gland?
Brief Answer:
LYMPH NODE ENLARGEMENT
Detailed Answer:
DEAR XXXXX,
THYROID SCAN IS ESSENTIAL TO KNOW ABOUT THE SUSPICION OF MALIGNANCY WHICH IS DESCRIBED AS NORMAL. OTHER PARAMETERS OF THYROID MAY NOT BE DISTURBED IN EARLY CANCER. SO AS PER YOUR HISTORY AND RESULT OF THE INVESTIGATION IS CONCERNED IT IS 80 TO 90 PERCENT NON CANCEROUS. I HAVE SEEN THE PICTURE, THERE ARE SIGNS OF INFLAMMATION ON IT. FROM THE LOOK OF THE PICTURE I WONDER IF IT IS NOT GRANULOMATUS WHICH IS AGAIN INFECTION ONLY. I AM OF THE OPINION THAT IT IS INFLAMMATORY REACTIONARY NODE. IF STILL THE SUSPICIAN PERSISTS, THE BEST THING TO DO IS FINE NEEDLE ASPIRATION TEST FOR CYTOLOGICAL P EXAMINATION WHEN YOUR ATTENDING PHYSICIAN ALSO THINKS SO. OTHERWISE YOU CAN CONTINUE TO OBSERVE THE NODE FOR ITS CHANGE IN SIZE AND FEEL I.E WHETHER IT IS FIRM OR SOFT.SOFTENING SUGGESTS THAT IT CONTAINS INSIDE INFECTIVE MATERIAL.
HOPE YOU GOT THE ANSWER FOR YOUR QUERY.
TRULY,
DR. J. TICKU
LYMPH NODE ENLARGEMENT
Detailed Answer:
DEAR XXXXX,
THYROID SCAN IS ESSENTIAL TO KNOW ABOUT THE SUSPICION OF MALIGNANCY WHICH IS DESCRIBED AS NORMAL. OTHER PARAMETERS OF THYROID MAY NOT BE DISTURBED IN EARLY CANCER. SO AS PER YOUR HISTORY AND RESULT OF THE INVESTIGATION IS CONCERNED IT IS 80 TO 90 PERCENT NON CANCEROUS. I HAVE SEEN THE PICTURE, THERE ARE SIGNS OF INFLAMMATION ON IT. FROM THE LOOK OF THE PICTURE I WONDER IF IT IS NOT GRANULOMATUS WHICH IS AGAIN INFECTION ONLY. I AM OF THE OPINION THAT IT IS INFLAMMATORY REACTIONARY NODE. IF STILL THE SUSPICIAN PERSISTS, THE BEST THING TO DO IS FINE NEEDLE ASPIRATION TEST FOR CYTOLOGICAL P EXAMINATION WHEN YOUR ATTENDING PHYSICIAN ALSO THINKS SO. OTHERWISE YOU CAN CONTINUE TO OBSERVE THE NODE FOR ITS CHANGE IN SIZE AND FEEL I.E WHETHER IT IS FIRM OR SOFT.SOFTENING SUGGESTS THAT IT CONTAINS INSIDE INFECTIVE MATERIAL.
HOPE YOU GOT THE ANSWER FOR YOUR QUERY.
TRULY,
DR. J. TICKU
Above answer was peer-reviewed by :
Dr. Yogesh D
Met an ent here. He said the place pointed is cartilage. As throid is normal he asked me to ignore. Regarding sinusitis he said it is negligible and it raises for even infections in eye ear sinu oral and all. So ignore it. And cervical lymphnode is not of so much importance as it enlarges for infections or allergy of sinusitis. Ear eye nose and oral infections. He said yes post nasal drip is there seeing in camera to the nose. Is his inference correct.
Brief Answer:
LYMPH NODE ENLARGEMENT
Detailed Answer:
Dear XXXX,
In the beginning only I said that small insignificant nodes secondary to chronic infection are present in the neck. If the ent doctor has examined it, you should accept his opinion positively. Just keep it under observation and relax.
Truly,
dr. J.ticku
LYMPH NODE ENLARGEMENT
Detailed Answer:
Dear XXXX,
In the beginning only I said that small insignificant nodes secondary to chronic infection are present in the neck. If the ent doctor has examined it, you should accept his opinion positively. Just keep it under observation and relax.
Truly,
dr. J.ticku
Note: For further queries related to kidney problems Click here.
Above answer was peer-reviewed by :
Dr. Sonia Raina