A swollen or enlarged lymph node is most commonly due to an infection. Specific lymph nodes drain a particular region, and hence localized lymphadenopathy is also sit-specific. Some of the causes include tonsilitis, dental caries, flu, sinusitis, skin wounds, etc. In generalized lymphadenopathy, there is lymph node swelling in more than one region in cancer, sexually transmitted diseases, autoimmune disorders, etc. The lymph nodes become tender. Treating the infection resolves lymphadenopathy.

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Is it common to remove a salivary gland instead of a lymph node to check for lymphoma?

Query: Hi doctor, I had a biopsy done, and the surgeon was supposed to remove a lymph node to check for lymphoma. But, the surgeon removed my salivary gland by mistake. The surgeon sent off the salivary gland without knowing that he had removed the wrong part, and they ran a couple of tests. But, the repor...  Read Full »

Dr. Priyanka Aggarwal

Answer: Hi, Welcome to I read your query and understand your concern. Your reports (attachment removed to protect the patient's identity) say that you have lymphadenopathy. The tissue received for biopsy was lymphoid tissue only. But, it was not a complete lymph node, and only an incisional bi...  Read Full »

What are the treatment options for abdominal lymphadenopathy in a child?

Query: Hi doctor, My daughter, who is five years old, was detected with abdominal lymphadenopathy. Her ESR level is 62. She is also suffering from constipation and abdominal pain. Her doctor advised blood tests, ultrasound, and endoscopy followed by histopathology. The biopsy report shows chronic duoden...  Read Full »

Dr. Babu Lal Meena

Answer: Hi, Welcome to You should not worry. There is no evidence of cancer in the given scenario (attachment removed to protect patient identity). Lymph nodes (LN) in the abdomen are normal structures. The lymph nodes enlarge in the presence of infection and malignancy. Here, LN is not s...  Read Full »

What is the reason for recurrent underarm swellings in my wife with a pus discharge?

Query: Hello doctor, My wife develops swelling in her underarm from the last 2 to 3 years. This swelling is painful, and she is not able to lift her hand. After a week, this swelling discharges a bad smelling puss and blood. This happens every 2 to 3 months. Two years back, we consulted a surgeon, who inc...  Read Full »

Dr. Pratik Patil

Answer: Hi,Welcome to lymph nodes swelling especially in armpits is not a good sign. She needs to get investigated thoroughly.Does she have any complaints of a cough since a long time? Any swellings in the breast? The last time you got the nodes operated, did you get a biopsy done?Tu...  Read Full »

Are hot breaths and acidity symptoms of an HIV infection?

Query: Hi doctor, I am having hot breaths, and my eyes feel hot. I have acidity problems. All these problems started after I had sexual intercourse. Is it an indication of HIV? Should I get a western blot test now?  Read Full »

Dr. Murali Rayani

Answer: Hi, Welcome to Hot breaths and acidity problems are non-specific symptoms and are not related to HIV (human immunodeficiency virus) infection. The risk factors for HIV infection is having sex with unknown partners, whose HIV status is not known, or through blood transmission. If you ha...  Read Full »

What are the symptoms of AIDS?

Query: Hi doctor, I had unprotected oral sex with a commercial sex worker five months before. Since then, I have had fleeting lymphadenopathy till now. I did my HIV TRI-DOT test (rapid HIV antibody test) and HIV ELISA test three months before, which were negative. I did an HIV-1 RNA PCR test, HIV-2 RNA PCR...  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hi, Welcome to HIV (human immunodeficiency virus) testing should be done at the sixth week and then three months after unprotected sexual exposure. You had done many different method investigations for HIV, and you have also done ELISA (enzyme-linked immunosorbent assay) testing for HIV...  Read Full »

What causes lymphadenopathy if the scan shows the absence of enlarged lymph nodes?

Query: Hello doctor, I took an ultrasound of the neck, and it says no enlarged lymph nodes, more hypoechoic areas, and have some fatty hila. The impression notes that there is reactive lymphadenopathy and to follow up after three months. I am not sure what is causing the lymphadenopathy, as the notes sa...  Read Full »

Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to Thank you for the query. I can understand your concern. According to your statement, you have recently done a neck ultrasound. The report has suggested that reactivate lymphadenopathy is primarily hypoechoic, and some have fatty hila (attachments removed to ...  Read Full »

Is it possible to get STD through mutual masturbation with a transgender person?

Query: Hello doctor,I had my last intercourse 25 days ago. After four days of intercourse, I started experiencing nausea, weakness, lower abdominal pain, and back pain. My foreskin turned red. I consulted a urologist and got tested for STDs except for syphilis. All the results came back negative. I also ha...  Read Full »

Dr. Basti Bharatesh Devendra

Answer: Hi, Welcome to Thank you for the query. The risk of transmission of HIV (human immunodeficiency virus) by given description is nil. The symptoms are non-specific. The negative HIV antibodies test after 44 days is almost conclusive. You can go for an HIV antibodies test after three mo...  Read Full »

Is lymphadenopathy after unprotected oral sex a sign of HIV?

Query: Hi doctor, My issue is that I had unprotected oral sex with a CSW a few months before. Since then, I have fleeting lymphadenopathy till date. I have done my HIV tridot after a month, and it was negative. I had an HIV ELISA (enzyme-linked immunosorbent assay) test done in the same month after ten da...  Read Full »

Dr. Ravinder Kaur Sachdeva

Answer: Hi, Welcome to 1) Unprotected oral sex carries a low risk of acquiring HIV, especially if there are bleeding gums or active oral ulcers. 2) If the last exposure was a few months ago and there had been no further exposure, your test results for HIV will be considered conclusive. The...  Read Full »

Please compare the CT reports taken for pulmonary sarcoidosis and explain.

Query: I have chronic pain with pulmonary sarcoidosis with possible bone involvement. Can you please explain the impressions from my recent FDG PET/CT? Impression: 1. Comparing to the FDG PET/CT done before 8 years, metabolic and anatomic improvement in scattered multiple pulmonary nodules and the medias...  Read Full »

Dr. Vivek Chail

Answer: Hi, Thanks for writing in to us. The FDG PET CT findings are compared to a previous scan done before 8 years. 1. In the recent scan, the previous lung nodules have become calcified and there is an improvement in the chest findings when compared to the previous scan. There is also mention of incre...  Read Full »

There are pain and swelling in sublingual and submandibular area. Why?

Query: Hello doctor, My sister, a 15-year-old female patient complains of intermittent pain on R sublingual area and neck (submandibular area) graded 6/10 at rest and aggravated when eating to 8/10. Past medical history: She developed fever recently and was diagnosed with UTI and was given cough remedy....  Read Full »

Dr. Navelkar Rohan Sanjay

Answer: Hi, Welcome to It is 23 days now since the infection started, that is quite a long time. Her chief complaint is pain in the submandibular and sublingual region which can happen due to tonsillitis as well as infection of the salivary gland which is located in that region. Typically the...  Read Full »

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