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Family Medicine  (Expert Forum)
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lymph nodes normal?
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Family Medicine forum are answered by Dr. J.M. Keyes. Topics covered include general health issues, adolescence, babies, child health, eating disorders, fitness, immunizations and vaccines, infectious diseases, medical tests and procedures, and senior health.

lymph nodes normal?

by ashleel, Mar 05, 2006 12:00AM
About 6 months ago I was scratching my neck and noticed a small lump underneath the skin.  I was surprised because I have never felt anything like it.  I felt on the other side and had a similar one.  I finally figured out that they were lymph nodes.  I looked on the internet and read that as long as they were about 1 cm and moveable not to worry.  They are very small (about 1 cm or pea size).  They are also moveable.  They don't feel rock hard either.  They feel slightly bigger right when I wake up.  They may be larger than a pea size after getting out of bed but they shrink down to pea size within an hour.  I tried to see if my husband had lymph nodes I could feel and he did not.  The lymph nodes still feel about the same as they did 6 months ago.  I am somewhat concerned about this because everything I have read is somewhat conflicting.  I looked at a lymph node chart and they appear to be posterior cervical lymph nodes.  Is it normal to be able to feel these lymph nodes under the skin?  Is the size I have described normal?  I saw a NP and she told me that they were ok and not to worry unless they were the size of a quarter.    Also, my father has myeloma.  Not sure if that is even relevant but I thought I'd mention it.  Any information would be greatly appreciated!

by Kevin Pho, MD, Mar 05, 2006 12:00AM
It is difficult to say without examination.  Lymph nodes of varying sizes may be felt under the skin - depending on your body habitus as well.  

If the lump persists, you can consider a referral to an ENT physician or surgeon.  A blood count can be considered to help  evaluate for any lymphoma.

The definitive test would be a biopsy of the lymph node.  This option can be discussed with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_b
Member Comments (2)

by DMattson, Mar 22, 2006 12:00AM
I can also feel these lymph nodes under my skin. They are small and can be moved. I have no other symptoms and was wondering if this is normal?

by borninquisitive, Mar 22, 2006 12:00AM
From what it sounds, seems perfectly normal. I wouldn't worry unless you notice changes and/or develope other symptoms.
We all have these and sometimes they enlarge in trying to fight off an infection.

As was mentioned, an Ear Nose and Throat doctor would be a good choice of doctor to visit if you are truly concerned. However, from the sounds of it, nothing to worry about.

by freakykittie, Jun 28, 2006 12:00AM
Hi.
I have had a lump behind my left ear for a very long time. for as long as I can remember.  Im 21 and have had it for more then 4 or 5 years.... maybe even 10 years... I dont remember it NOT being there, ive always assumed it was a swollen lymph node but I have been reading more about it, and seems as though the swollen lymph nodes go away.  IS it possible for a lymph node to permanatly stay there. its about the size of a pea and has never bothered me or hurt. its also soft and dosent hurt to play with.  Please let me know what you think.

by indayrose, Feb 05, 2009 10:18PM

by ani203, Feb 22, 2009 08:04AM
A related discussion, node was started.
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