Swollen Lymph Nodes in Neck


Q: The lymph nodes on the right side of my neck are very painful and swollen, along with shoulder pain. I went to a walk-in clinic because my PCP is out of town for the week. The ANP could not find any signs of infection in my ears, nose or throat, but said obviously something is wrong. I am also not running a fever. She prescribed 875mg Amox, twice a day for 10 days. I work for a Pharmacy and my RXM said it sounds like something more serious than a possible infection since the swelling is only on one side. She said I need to get checked for Lymphoma. Should I be scared? Or should I seek ER help since my PCP will not be back in town for a week? I am in pain, feel ill (nausea, headache, exhausted), or should I see it through until my PCP returns? Thank you for any assistance.


A:   I agree with your pharmacist that it may be more serious than an infection. However, there is not a need to go to the Emergency Room unless you are feeling very ill. You can wait until your primary care physician returns. He will perform a thorough examination and take a detailed history to better determine the possible causes of the lymph node swelling. You will also need to do several blood test as well as a biopsy of one of the lymph nodes.
You should bare in mind the following possibilities for the lymph node swelling apart for acute infection and lymphoma:

Chronic infections (Eg. Tuberculois, HIV)
Systemic Lupus
Rheumatoid arthritis

Related Q&A

Q: I am diagnosed with pvc. I did a echo, blood test and holter and all normal. I did stress test at the start of year a...

Q: I had to give this Ref ID : 423190. This is another follow up. So I know that my dad has an even bigger mole on hi...

Q: Hi, I just had a lymph node or so they think cut from my lower leg. It has been there for about five years. I have ha...

Q: Can I take coricidin HBO chest congestion & cough with flonase

Q: Stubbed my toe last night and my foot and ankle have been tingling and sore since. The toe is swollen and a little nu...


Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon