Treatment of swollen or enlarged lymph nodes (lymphadenopathy) depends on the cause of the swollen lymph node. Sometimes, without any treatment, lymphadenopathy disappears spontaneously.
- Treating the infection will resolve the swollen lymph node. The lymph node may remain swollen and firm long after the initial infection is healed.
- Generally, most upper respiratory tract infections caused by viruses will resolve spontaneously and the swollen lymph node will also resolve spontaneously after the infection is cleared.
- Antivirals should be prescribed for diseases that really need antiviral treatment. If you are swollen, your lymph nodes are due to HIV infection and you should also receive specific HIV treatment.
- Bacterial infections should be treated with appropriate antibiotics.
- Protozoa and fungal infections should also be treated properly and the swollen lymph node will also resolve with this.
- If you have any concerns about the lymph node not resolving even after treatment, you can consult a doctor. The doctor will further investigate to diagnose or rule out other causes.
Anti-Inflammatory / Autoimmune Conditions
If your swollen nodules are due to rheumatoid arthritis, systemic lupus erythematosus, serum sickness, then appropriate treatment for these conditions will resolve the swollen node. Your doctor will prescribe the necessary medication.
The stage and degree of cancer are important in the treatment of primary or secondary malignancy lymphadenopathy. The swollen knot may not resolve until the cancer is treated. Primary malignancy should be treated and then treated for lymph nodes can be performed by:
- Surgically removing the involved lymph nodes
- You can combine the above methods and treat well.
Other Home Remedies and Treatments
If the swollen lymph nodes are painful, you can ask your doctor for a pain reliever. The usual painkillers that can be taken are acetaminophen, ibuprofen and naproxen. Be cautious about taking NSAIDs (ibuprofen, naproxen) as these may cause gastritis, stomach ulcers and intestines, if so you need to take with a proton pump inhibitor. Also remember pain medication is not the treatment for swollen lymph nodes, when the cause is healed lymph nodes will resolve.
Applying a warm compress. This is something you can easily do at home, soak a piece of clean cloth in hot water and gently wring it on the affected area. Heat decreases inflammation and relieves pain.
Get adequate rest until your underlying condition is healed.
Your doctor will arrange a follow-up visit to check if your condition has improved, otherwise the doctor will decide what further investigations the treatment is required for you.
Swollen Lymph Node Complications
The following complications may occur:
- Superficial lymphadenopathy
- Abscess formation
- Systemic involvement – septicemia
- Mediastinal lymphadenopathy causes pressure symptoms and serious complications
- Superior vena cava syndrome
- Tracheal and bronchial obstruction
- Malignancy-associated lymphadenopathy
- Uric Acid Nephropathy
- Renal insufficiency
- Abdominal lymphadenopathy
- Abdominal pain
- Bowel obstruction
O tratamento dos gânglios linfáticos inchados é direcionado ao tratamento da causa da linfadenopatia. Alguns nódulos linfáticos inchados desaparecem sem qualquer tratamento. Se a linfadenopatia for devida a uma infecção, ela deve ser tratada e a linfadenopatia desaparece posteriormente. Condições antiinflamatórias também devem ser tratadas adequadamente. Se os gânglios linfáticos inchados são devidos a malignidade, a malignidade primária deve ser tratada e o tratamento de nódulos inchados pode incluir cirurgia, quimioterapia, radioterapia ou combinação destes. Outros remédios para tratamento incluem analgésicos para reduzir a dor, aplicação de compressas mornas e descanso adequado. Se a linfadenopatia não for tratada adequadamente, pode haver complicações devido a ela.
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