HomeAnswersOtolaryngology (E.N.T)lymphadenopathyHow to treat reactive hyperplasia of the lymph nodes?

What is the treatment for reactive hyperplasia of the lymph nodes?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At September 3, 2022
Reviewed AtDecember 26, 2023

Patient's Query

Hi doctor,

I have enlarged lymph nodes. Is reactive hyperplasia lymph nodes risky in the future? How do resolve these lymph nodes? Is it normal? Please help.

Hello,

Welcome to icliniq.com.

Lymphoid hyperplasia is expected in infections, but since tuberculosis has been taken care of, there is nothing to worry about. Well, as I can see, there are two reports (the attachments are removed to protect the patient's identity). The first one was suggestive of tubercular lymphadenitis. However, after taking ATT (antitubercular drugs) for nine months, it has resolved, and now follow-up FNAC (fine needle aspiration cytology) suggests no evidence of tuberculosis. Instead, it shows simple lymphoid hyperplasia. Thanks and regards.

Patient's Query

Hi doctor,

Which treatment do I follow? When will the lymph nodes return to standard size? It is risky in the future? Please help.

Hi,

Welcome back to icliniq.com.

This is nothing to be worried about. Specific nodes remain enlarged for a long time or permanently after they become enlarged due to certain infections. The original disease may be taken care of, but nodes can persist. As long as they do not grow in size or change in character, like become extra hard or extra soft or ulcerate or become fixed to skin or deeper tissues, they do not pose any significant risk. In such a scenario, observation for any noticeable change in character is suggested. Kind regards.

Patient's Query

Hi doctor,

I was apprehensive about this lymph node. Can I use homeopathy medicine to reduce it?

Hi,

Welcome back to icliniq.com.

There is no wrong with trying homeopathic medicines, but asymptomatic lymphoid hyperplasia needs no treatment except for treating underlying tuberculosis in your case and which you have treated. Thanks and regards.

Patient's Query

Hi doctor,

When will the lymph nodes return to standard size? Is reactive hyperplasia lymph nodes a severe disease? What do reactive hyperplasia lymph nodes mean?

Hi,

Welcome back to icliniq.com.

Reactive hyperplasia will resolve in a few weeks; however, chronic lymphadenitis might take longer, even years, and some might not even resolve completely. Thanks and regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Syed Peerzada Tehmid Ul Haque
Dr. Syed Peerzada Tehmid Ul Haque

Otolaryngology (E.N.T)

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