Enlarged cervical lymph nodes, normal thyroid gland, what should I do?
Disease description:
I recently noticed swollen lymph nodes in my neck, but my thyroid examination was normal. What could be causing this, and what should I do?
Doctor's answer (1)
Dr. Liu Wenmin
Enlarged neck lymph nodes with a normal thyroid may be caused by infections, inflammation, or immune diseases in the head and neck region. Although relatively uncommon, diseases such as tuberculosis and tumors cannot be completely ruled out.
It is recommended to monitor the size, texture, mobility, and presence of tenderness of the lymph nodes. If the lymph nodes are small, soft in texture, mobile, tender, and there is a recent history of upper respiratory tract infection or similar illness, the enlargement may be due to inflammation. In such cases, the lymph nodes usually shrink gradually as the inflammation subsides. Drinking more water, adequate rest, and other measures can help promote recovery.
If the lymph node enlargement persists or worsens, or if painless progressive swelling occurs along with other symptoms such as fever, night sweats, or weight loss, medical attention should be sought promptly for further evaluation, including tests such as complete blood count, ultrasound, and lymph node aspiration or biopsy.
If the enlargement is caused by infection, appropriate medication can be used according to the specific pathogen. If caused by other diseases, treatment should target the underlying cause.
