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Suggest Remedy For Lumps In Neck After Recovering From Cold
Question: I observed movable non aching lumps on left side of neck. I underwent FNAC twice with the interval of 4 months and both time result was reactive lymphadenetis. I consulted 2-3 doctors and everyone had the same opinion that its nothing to worry. 15 days back i had severe cold and i observed 3 movable non aching lumps on right neck. Please let me know what could have caused it. I have no other health issues. Sometimes I feel nasal congestion.
I have undergone 12 months treatment for pulmonary TB in 2013. I had undergone brain aneurysm surgery 8 years back.
I have undergone 12 months treatment for pulmonary TB in 2013. I had undergone brain aneurysm surgery 8 years back.
Brief Answer:
As the name suggests reactive mean not specific
Detailed Answer:
Hi.
Thanks for your query and an elucidate history.
To recapitulate: Female/ has undergone treatment for Pulm TB in 2013, brain surgery 8 years back - reactive lymphadenitis left side of the neck- cold 15 days back and observed movable non-aching lumps on right neck - wants to know the reasons - nasal congestion sometimes, otherwise no health issues.
The diagnostic dilemma in reactive hyperplasia is always there and when FNAC shows it. This is observed in cases who have undergone treatment for TB. This does not mean that there is active infection but some lymph nodes get enlarged and do not get fully regressed due to an increase in the cell number (hyperplasia). Hence called reactive.
After cold, some infection in the upper respiratory tract is ought to come and present again as the same reactive hyperplasia.
If the nodes are more than 1 cm in diameter, you can go for ultrasonography of the neck and FNAC of the lymph nodes on the right side too. Ultrasonography helps to rule out any cold abscess inside the lymph nodes. If FNAC is not conclusive, one may opt for a lymph node biopsy to confirm the diagnosis as this gives 100% results and thus reduces the anxiety caused by its enlargement.
Please let me know a few details:
- What is the size of the lymph nodes?
- What treatment was given during cold?
- Any clinical signs like low grade fever in the evening, loss of appetite, weight or weakness or a feeling of something is not alright? These can be mild symptoms.
- Was there any X-ray chest repeated in recent past to see for the condition of the lungs and done any blood tests?
If yes, post the reports please.
I hope this answers your query and please feel free to ask for further relevant queries if you feel that there is a gap of communication.
As the name suggests reactive mean not specific
Detailed Answer:
Hi.
Thanks for your query and an elucidate history.
To recapitulate: Female/ has undergone treatment for Pulm TB in 2013, brain surgery 8 years back - reactive lymphadenitis left side of the neck- cold 15 days back and observed movable non-aching lumps on right neck - wants to know the reasons - nasal congestion sometimes, otherwise no health issues.
The diagnostic dilemma in reactive hyperplasia is always there and when FNAC shows it. This is observed in cases who have undergone treatment for TB. This does not mean that there is active infection but some lymph nodes get enlarged and do not get fully regressed due to an increase in the cell number (hyperplasia). Hence called reactive.
After cold, some infection in the upper respiratory tract is ought to come and present again as the same reactive hyperplasia.
If the nodes are more than 1 cm in diameter, you can go for ultrasonography of the neck and FNAC of the lymph nodes on the right side too. Ultrasonography helps to rule out any cold abscess inside the lymph nodes. If FNAC is not conclusive, one may opt for a lymph node biopsy to confirm the diagnosis as this gives 100% results and thus reduces the anxiety caused by its enlargement.
Please let me know a few details:
- What is the size of the lymph nodes?
- What treatment was given during cold?
- Any clinical signs like low grade fever in the evening, loss of appetite, weight or weakness or a feeling of something is not alright? These can be mild symptoms.
- Was there any X-ray chest repeated in recent past to see for the condition of the lungs and done any blood tests?
If yes, post the reports please.
I hope this answers your query and please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Above answer was peer-reviewed by :
Dr. Sonia Raina
Thanks for the quick response. I observed the lumps during cold but I am sure if it was present before. There are 3 lumps one seems to be large. I took sinarest tablet to treat cold. I dont feel any weakness or loss of appetite. there was a chest xray done and it was normal. no blood tests. Is it something serious?
Brief Answer:
Does not look serious.
Detailed Answer:
No.
Not at all serious.
Please stop worrying.
If the cold had increased the lumps, this again goes in favor of reactionary nodes.
Noted your feedback about taking Sinarest, no weakness, no loss of appetite and normal X-ray chest.
Does not look serious.
Detailed Answer:
No.
Not at all serious.
Please stop worrying.
If the cold had increased the lumps, this again goes in favor of reactionary nodes.
Noted your feedback about taking Sinarest, no weakness, no loss of appetite and normal X-ray chest.
Above answer was peer-reviewed by :
Dr. Prasad
Brief Answer:
If in doubt- go for excision biopsy.
Detailed Answer:
Yes, HIV is one of the many reasons for swollen lymph nodes, but at the same time other things should be considered like:
Is there such an exposure to HIV?
If yes, go for the HIV tests, if not forget about it.
Once the FNAC have proved reactive hyperplasia, and if you still have a worry or a doubt, go for formal excision biopsy. This will prove beyond doubt the cause.
If in doubt- go for excision biopsy.
Detailed Answer:
Yes, HIV is one of the many reasons for swollen lymph nodes, but at the same time other things should be considered like:
Is there such an exposure to HIV?
If yes, go for the HIV tests, if not forget about it.
Once the FNAC have proved reactive hyperplasia, and if you still have a worry or a doubt, go for formal excision biopsy. This will prove beyond doubt the cause.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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