What Causes Swollen Lymph Node While On Treatment For Sinusitis?
It is normal
Detailed Answer:
Hello,
sinusitis can be from mild to severe regarding its symptoms. Most of the times sinusitis follows a common upper respiratory infection which usually causes neck lymph node enlargement and tenderness. After some days have passed and the respiratory infection seems to get better, there is a second phase of worsening (sinusitis).
Pain above the infected sinus, pressure or sensation of fullness to the ear, neck tenderness are symptoms that sometimes coexist.
So this is a rather normal condition. The antibiotic and the decongestant you were prescribed should make you feel better soon.
Signs that should raise concerns about the outcome of the treatment include the appearance (or the worsening) of fever, pain that won't get better after a few days of treatment, steady worsening ear pain or fluid coming out of the ear canal and neurological symptoms. Contact your doctor as soon as possible, if any of the above appears.
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Does not seem like meningitis
Detailed Answer:
Hi,
I'll try to be more descriptive. Lymph node enlargement and tenderness or pain, can be usually localized and won't involve the whole neck. You should be able to palpate small almond sized nodes that feel as firm (or as soft) as a tennis-ball and are tender or painful. Anything that goes beyond that is abnormal.
Please keep in mind though that meningitis has a very severe presentation including very high fever, severe headache, neck stiffness (you shouldn't be able to move your chin towards your chest) and sometimes neurological symptoms. Photophobia ("photo" for light and "phobia" for fear, which means that the patient tries to avoid light) is a common companion of meningitis. The symptom of neck pain that you've described does not sound like meningitis although a clinical encounter would be more appropriate to decide that. Meningitis is a potential complication of sinusitis, indeed.
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