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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Swollen Cervical Lymph Node?

Sir,
I have a Cervical Lymph Node on the left side. Montoux test showed 28mm and ESR was 27 per hour. Physician has started my TB Medicines and I gained 3kgs in last 15 days (earlier I had lost 12 kgs in around a year). Now for last 4 days this swelling sometimes pain and gives shrinking feeling. Is everything alright ?

Thanks for your kind reply :)
Wed, 30 Sep 2015
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Pulmonologist,  's  Response
Thanks for your question on Health Care Magic.
I can understand your concern.
No need to worry much for this symptoms.
You are improving with gaining weight, absence of fever and shrinking in size of lymphnodes.
So all these are favourable and suggest that treatment is working.
Pain is mostly due to healing and fibrosis in the lymphnode.
Anti tb drugs cause healing in the lymphnode.
Healing takes place in the form of fibrosis.
So this process is painful to some patients.
Shrinking in size is suggestive of healing also.
So no need to worry at present, continue anti tb drugs for atleast 6 months.
Don't worry, you will be alright.
Hope I have solved your query.
Wish you good health. Thanks.
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What Causes Pain In Swollen Cervical Lymph Node?

Thanks for your question on Health Care Magic. I can understand your concern. No need to worry much for this symptoms. You are improving with gaining weight, absence of fever and shrinking in size of lymphnodes. So all these are favourable and suggest that treatment is working. Pain is mostly due to healing and fibrosis in the lymphnode. Anti tb drugs cause healing in the lymphnode. Healing takes place in the form of fibrosis. So this process is painful to some patients. Shrinking in size is suggestive of healing also. So no need to worry at present, continue anti tb drugs for atleast 6 months. Don t worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.