Hi. They are not so large as to jump to thinking aboiut lymphoma. For all but the last one, the shape is okay. On the last one, is that a submandibular (on either side of windpipe) node? They are naturally more rounded.
Looking through your posting history, I would guess that your inflammation (which must be maddening for you) comes from:
- some unusual infection, such as a virus
- some allergy
- immune system running wild
Did you happen to start off with a very bad cold years ago?
P.S. They do seem larger than merely "borderline enlarged ".
- any new medication when it started
- change of where you live or work when it started
- any family history of autoimmunity or bad allergies
- bad reactions to bee stings
- frequent rashes
- can you draw a line on your sternum with your fingernail
(mast cell conditions)
- when you get chills, is your temperature normal or not?
- can't tolerate alcohol
- can't tolerate exercise
(similar to Chronic Fatigue Syndrome aka immune dysfunction)
The throat is full of mast cells. So is the GI tract and the skin. Immune disorders are mysterious and can commonly take tears to diagnose.
Since lymphoma is a cancer of immune cells, immune dysfunction will have symptoms in common.
years, not tears... or both, I suppose.
btw, if your nodes haven't gotten larger in 8 months, then that tends a lot against lymphoma, too. If every node got large suddenly instead of continuously growing, that tends against lymphoma.
Before an excisional biopsy, a sono would likely be wanted anyway by most docs. The presence of a 'fatty hilum' would pretty much rule out lymphoma.
do you feel light headed when you stand?
These are minor but common features of Chronic Fatigue Syndrome:
exercise intolerance would generally mean feeling sick, as if with flu, after exercise
But what is CFS? No one really knows anyway and it not uncoincidentally has several names. AFAIK, there is still no test for it.
Itching could well be from histamine from mast cells.
It's interesting about your varying experience with alcohol. Seemingly, you sometimes have very little acetaldehyde dehydrogenase (ALDH enzyme) but at other times you have a lot of ALDH and also alcohol dehydrogenase. That's probably too detailed for you unless you intend to be your own #1 diagnostician. You'd have to become something of an expert in yourself. You already have discovered that regular mainline medicine is not much help to you.
ALDH also helps a person clear the byproducts of exercise.
I think that having been very fit and active before CFS is not uncommon, especially in women.
There is a very long thread here about pain in nodes from alcohol. Lots of people get terrified because a websearch tells them that is a sign of Hodgkins Lymphoma. But the people in the thread almost always have other causes, usually relating to the vasodilation effects on their nodes.
I'm guessing you are in your twenties and Hodgkins Lymphoma (as opposed to non-Hodgkins Lymphoma) is the most likely for that age group. I mention all this so you don't get terrified from hearing about alcohol and node pain :)
As far as singing: would you say that you normally would put a lot of stress on the tissue of the throat? That could conceivably stir up mast cells if you happen to have MCs that are either too numerous or overly active. You could try 'mast cell stabilizers'.