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What Causes Lymph Node Swelling Under The Chin And Profuse Sweating?

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Posted on Fri, 12 May 2017
Question: I have had a swollen lymph node under my chin in the middle for 4 years. The ear nose and threat specialist said we should monitor it (I wasn't thrilled with him). Now I have 2 more all in the centre under my chin.

As a background of my medical history. I have had allergies to dust and polen since my teenage years. I am 52. Nine years ago my lip was swollen for between 3-6 months. We thought it was food allergies. Prednisone helped but the swelling came back after the short course. It eventually went away and I have been able to eat anything since.

I had my appendix removed 8 years ago. There were multiple non caseating granulomas in it but I do not have Chrohns or diarrhea symptoms.

I have had plantar fasciitis on and off since my forties.

I do not have a fever, night sweats, or insomnia. Sadly, I have not lost weight but in fact have gained about 40 pounds in the last decade.
doctor
Answered by Dr. Shafi Ullah Khan (1 hour later)
Brief Answer:
Supportive care

Detailed Answer:
Thank you for asking

I read your question and i understand your concern. Swollen submental lymph node with no associated history of weight loss, night sweats, make it very benign . As you already have history of allergies from dust and pollen and that makes it more likely to be the cause and nothing to worry aout. Your doctor is right just observing them is enough and if painful take some advil or tylenol for the pain. Meanwhile focus on prevention of allergies by avoiding the triggers. If its upper respiratory infection and you have history of fever then it could be bacterial cause otherwise allergic airways is a very common sequelae and treatment is mostly supportive.

Apart from that you appendix history is not correlated here, plantar fasciitis needs supportive care with pain killers and physiotherapy.

I hope it helps. Take good care of yourself and dont forget to close the discussion please.

Regards
Khan
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shafi Ullah Khan (6 minutes later)
I was under the impression that allergies do not cause swollen lymph nodes unless they cause an ear or sinus infection. I have no so infection but have had one swollen lymph node for 4 years.
doctor
Answered by Dr. Shafi Ullah Khan (18 minutes later)
Brief Answer:
Supportive care

Detailed Answer:
Thank you for getting back to me

Lymph nodes swell as inflammatory response and infections are not always needed to be bacterial. It could be even benign cold, flu, congested sinuses or inflammation of any kind secondary to allergies that can cause these swollen lymph nodes , thats why i said these are always benign and nothing to worry about. Supportive care is enough just like your doctor said.

A swollen node for 4 years is too much though and your doctor must have examined it as well, if it has not increased in size then its benign too and can be observed in next few months for size etc and if it increases can be taken out and studied for histopathology but i am sure it wont come to that.

I hope it helps.
Regards XXXXXXX
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3613 Questions

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What Causes Lymph Node Swelling Under The Chin And Profuse Sweating?

Brief Answer: Supportive care Detailed Answer: Thank you for asking I read your question and i understand your concern. Swollen submental lymph node with no associated history of weight loss, night sweats, make it very benign . As you already have history of allergies from dust and pollen and that makes it more likely to be the cause and nothing to worry aout. Your doctor is right just observing them is enough and if painful take some advil or tylenol for the pain. Meanwhile focus on prevention of allergies by avoiding the triggers. If its upper respiratory infection and you have history of fever then it could be bacterial cause otherwise allergic airways is a very common sequelae and treatment is mostly supportive. Apart from that you appendix history is not correlated here, plantar fasciitis needs supportive care with pain killers and physiotherapy. I hope it helps. Take good care of yourself and dont forget to close the discussion please. Regards Khan