The left lymph node in the neck hurts and radiates to the ear


Clinical manifestation of diseases


Pain in the lymph nodes, or lymphadenopathy, is a condition that can manifest itself in different ways:

  • in some patients, the symptom is felt only when pressing on the area;
  • with pathologies, the size of the nodes increases, they remain elastic, soft, but mobile;
  • when processes worsen, the diameter can exceed 5 cm, which is noticeable from a distance of several meters;
  • unlike malignant tumors, enlarged lymph nodes remain smooth, with even edges;
  • The skin above the affected area may turn red.

Often the disorders are accompanied by pain when swallowing. When infected with bacteria, the temperature rises and the head hurts. In some cases, swelling and fever are observed.

Symptoms of the disease

The most common cause of lymphadenitis is infectious diseases. Usually, along with the submandibular structures, the behind-the-ear structures also become denser.


Infectious pathologies are especially severe in children; tonsillitis, pulpitis and caries in children are almost always accompanied by lymphadenitis

In the absence of timely treatment, a person may develop dangerous complications - abscess, cellulitis or sepsis. Infectious lymphadenitis is accompanied by the following symptoms:

  • swelling of the neck;
  • chills;
  • pain on palpation of the affected area;
  • rapid fatigue;
  • rise in temperature.

These symptoms of inflammation include signs of the underlying pathology - tonsillitis, tonsillitis, sinusitis or pulpitis. In children, the main causative agent of lymphadenitis is the bacterium Rochalimea henselae, which is transmitted through an animal bite or scratch.

Acute ARVI is also accompanied by an increase in the size of the submandibular nodes. This sign indicates the full functioning of the immune system, which actively blocks foreign agents. Viral lymphadenitis is characterized by:

  • aching bones;
  • headaches;
  • weakness;
  • rise in temperature;
  • sneezing;
  • discharge of purulent or clear mucus from the nose.

Therapy for viral enlargement of lymph nodes includes bed rest, adequate fluid intake, taking vitamin complexes and antiviral drugs.

Lymph nodes also enlarge with sexually transmitted infections - syphilis, genitourinary diseases. Treatment of the pathology in this case will depend on the type of pathogen and its location.

Oncology causes the lymph node to swell, but not hurt. Symptoms appear with an increase in malignant tumors, which metastasize to neighboring sections and organs.

If the lymph node hurts, then along with unpleasant sensations in the neck area, the patient may experience the following symptoms:

  • increased body temperature;
  • general weakness;
  • headache;
  • pain when swallowing and palpation;
  • chills.

In addition to the listed signs, the skin in the area of ​​the cervical lymph node may turn red and severe pain may appear. Such symptoms indicate the beginning of a purulent process.

It should also be noted that a slight increase in the size of the lymph node indicates that it is working more actively than others. As a rule, this condition can be provoked by an incipient disease.

Common causes of discomfort


If a child or an adult has pain in the lymph nodes in the neck, the cause in 70-80% of cases is hidden in infectious pathologies. This includes sore throat, ARVI and the common cold. The lesion may be left- or right-sided. Sometimes the nodes become enlarged due to otitis media and tonsillitis. One of the most common causes is laryngitis. This is an inflammatory pathology that can be caused by other diseases:

  • dental changes;
  • colds;
  • osteochondrosis;
  • mucosal injuries;
  • allergy.

Sinusitis and sinusitis, traditionally accompanied by a runny nose and fever, can also cause swollen lymph nodes. In children, the symptom occurs with eczema, dermatitis, mumps, scarlet fever and rubella.

Thyroid diseases


If the cervical lymph nodes on both sides hurt, this may be a signal of a pathological condition of the thyroid gland. It is located in front of the throat, in the area of ​​the Adam's apple, just below.

Diseases that cause pain:

  • oncological pathologies – benign or malignant tumors associated with changes in hormonal levels and metabolic disorders;
  • thyroiditis is an inflammatory process in organ tissues, including autoimmune;
  • nodular goiter - improper functioning of the hormonal system, leading to the formation of nodules in the tissues of the gland;
  • endemic goiter - an increase in the size of an organ due to a lack of iodine in the body.

Women are more prone to thyroid diseases, which is due to the characteristics of their metabolism.

Other causes of pain


Symptoms affecting the lymph nodes are often associated with the following pathologies:

  • Immune disorders. Autoimmune processes, including systemic lupus erythematosus and AIDS, primarily affect the lymphatic system. Among the many unusual symptoms, sudden manifestations of enlarged nodes, their pain and the equally unpredictable complete disappearance of these symptoms stand out.
  • Tumor processes. Cancers, as well as benign neoplasms, in most cases immediately affect the lymphatic system. During a malignant process, it is susceptible to metastasis.
  • Toxoplasmosis. An infectious pathology, the pathogens of which are concentrated in the lymphatic system.
  • Dental disorders. Accumulation of pus, infection, inflammatory process - all these are characteristics of most pathologies of the teeth and oral cavity. They quickly draw nearby systems into the process, including the lymph nodes.
  • Pharyngitis. Inflammation of the pharyngeal mucosa due to infections, dirty air and injuries.
  • Rubella. Infectious inflammation, the main symptom of which is enlarged and painful nodes. A rash and fever also appear.
  • Cytomegalovirus. A disease that is difficult to treat and has a wide clinical picture.

Herpes, mononucleosis and tuberculosis are dangerous viral infections that can sleep in the body for years. Under the influence of negative factors they are activated. Symptoms can be sudden and completely uncharacteristic of viruses. For example, the lymph nodes under the jaw on the left or on the right in the neck may hurt.

There are so many reasons and factors that provoke an unpleasant symptom that it is impossible to name additional signs by which it is easy to distinguish one disease from another. Therefore, timely and complete diagnosis using laboratory tests and devices is very important.

Types of cervical lymphadenitis

Lymph nodes hurt for various reasons. As a rule, the “culprits” of the inflammatory process are infectious diseases, dental problems, or various malfunctions in the functioning of internal organs. So, if the lymph node in the neck on the right under the jaw hurts, this may indicate:

  • for strepto-, staphylococcal infections, laryngitis, sore throat, otitis media, chicken pox, measles, mumps, sinusitis and other infectious diseases;
  • benign and malignant neoplasms of the upper and lower jaw (lipoma, atheroma, dental cyst, various tumors);
  • severe immune diseases (AIDS, leukemia, systemic lupus);
  • parasitic diseases (helminthiasis).

The inflamed lymph node increases in size, becomes painful on palpation, and can cause discomfort when turning the head left or right or every time you try to move your jaw

Important! The above pathologies do not necessarily lead to pain under the lower jaw and “local” lymph nodes become inflamed. The presence of a pathological process (or absence thereof) is determined by the individual characteristics of each person’s body - in particular, the “proper functioning” of his immune system.

Why is the lymph node in the neck inflamed and painful? Such organs in the neck cannot become sick and inflamed on their own. Their pain and enlargement indicate the presence of pathology.

After a bacterium or other harmful microorganism enters the lymph node, lymphocytes begin to actively resist and destroy the pathogenic flora. Quite often, this destruction process provokes pain and other associated symptoms.

Inflammation in the lymph nodes in the neck is divided into three types:

  • With pain of low intensity. In a normal state, it is not felt, but it manifests itself upon palpation. In this case, there is no obvious enlargement of the lymph node. It can be felt under the skin, but does not protrude above the surface of the skin. In this condition, the patient does not experience fever, headache or weakness, although slight soreness in the throat may be present.
  • Pain occurs not only with palpation, but also in the usual position. In this case, the lymph node hurts constantly and is noticeably enlarged. Its size can be seen with the naked eye. The node can be easily felt and protrudes above the skin. Associated signs of such inflammation are weakness, headache, fever and sore throat.
  • With purulent inflammation of the lymph node, it hurts very much, plus, as already mentioned, the disease is accompanied by redness of the skin. The patient also experiences high body temperature, sometimes fever, chills, general malaise, weakness and severe headache.

What to do if your lymph node hurts? To identify the causes of this condition and its treatment, you should immediately consult a doctor.

Methods for identifying the cause of pain

Diagnostic capabilities largely depend on factors such as the patient’s city and means of access to paid clinics. Free methods are more limited or require a wait of several months. But you can visit a doctor within 1-2 weeks after the appearance of neck pain in the area of ​​the lymph nodes.

Contact a therapist or ENT specialist, and then prescribe a diagnosis:

  • the doctor examines the patient, gives a referral for instrumental examination and blood and urine tests;
  • in some cases, additional research is required for hormone levels and cancer markers;
  • ultrasound is also prescribed, including of blood vessels;
  • in difficult situations, an X-ray, MRI or CT scan is required.

Additionally, an infectious disease specialist can provide treatment, since inflammation is often associated with pathogenic microorganisms.

Basic methods of therapy


Various methods are used for treatment, but since in most cases a foreign agent is detected, antibiotics and antiviral agents are used:

  • cephalosporins – Ceftriaxone, Cephalexin;
  • semisynthetic penicillins – Flemoklav, Augmentin;
  • macrolides – Azithromycin, Clarithromycin.

Therapy with such drugs can be started only after testing and obtaining results regarding resistance to a particular group of drugs.

For fungal diseases, local antibiotics based on clotrimazole or ketoconazole are used. For candidiasis and stomatitis, antiseptics and agents such as Diflucan and Fluconazole are used.

If mononucleosis is detected, a combination of drugs against viruses and to strengthen the immune system is prescribed. NSAIDs will be common to all cases - they help cope with pain and inhibit inflammatory processes.

Therapy for autoimmune processes is more difficult. It requires the use of drugs with many side effects. Treatment courses last for several years. In most cases, it is impossible to cope with such pathologies forever.

Basic treatment methods

The most common cause of pain in the lymph nodes is a bacterial infection. Which pathogenic microorganisms provoked inflammation can only be determined through biochemical studies. And you have to wait several days for their results. To prevent a child or adult from suffering from pain, doctors prescribe broad-spectrum antibiotics. These are macrolides (Azithromycin, Clarithromycin), cephalosporins (Ceftriaxone, Cephalexin), protected semisynthetic penicillins (Augmentin, Flemoclav).

After receiving laboratory test data, the doctor adjusts the therapeutic regimen. Antibiotic therapy is indicated for patients with bacterial respiratory and intestinal infections, furunculosis, osteomyelitis, purulent inflammation of the ear canals and dental cysts. If lymphadenitis is complicated by an abscess or adenophlegmon, then antibiotics are combined with surgery.

Drugs from other clinical and pharmacological groups are used depending on the detected pathology:

  • for fungal infections of the body, including the scalp, systemic and (or) local antimycotics with the active ingredients ketoconazole and clotrimazole are prescribed;
  • lymphadenitis caused by fungal stomatitis, oral candidiasis are treated with Diflucan, Fluconazole, Clotrimazole and antiseptic solutions;
  • The dentist deals with the treatment of dental pathologies. He sanitizes inflammatory foci, prescribes antibacterial and painkillers, UHF, galvanization, laser therapy;
  • cervical lymphadenitis caused by viral pathologies (measles, rubella) does not require specific treatment. Patients are prescribed medications to reduce the severity of symptoms - NSAIDs, analgesics, vitamins and plenty of fluids;
  • when diagnosing infectious mononucleosis, patients are advised to take antiviral and immunomodulatory drugs - Viferon, Cycloferon in doses appropriate for age;
  • lymphadenitis of herpetic origin is treated with Acyclovir, Vacyclovir, Famciclovir and immunomodulators that enhance the production of the patient’s own interferons;
  • When a malignant neoplasm is detected, the oncologist is responsible for selecting adequate treatment tactics. This may include surgical removal of the atypical lesion and (or) chemotherapy or radiation;
  • in the treatment of autoimmune systemic pathologies, drugs that suppress excessive activity of the immune system (immunosuppressors) and glucocorticosteroids are used.

To eliminate pain of any intensity, NSAID tablets containing ketoprofen, ibuprofen, nimesulide, diclofenac, and ketorolac are usually prescribed. In the treatment of children, NSAIDs are used in the form of syrups or sweet suspensions - Nurofen, Ibuprofen. They reduce temperature, relieve inflammation, eliminate fever and pain in the lymph nodes. The symptoms of lymphadenitis are treated well with drugs containing paracetamol - Panadol, Efferalgan.

It is strictly forbidden to use folk remedies , especially those that increase the temperature in the lymph nodes. Do not use heating pads, alcohol rubs, ointments with a warming effect, or essential oils. The cervical lymph node serves as a kind of “storage” for infectious agents. As the temperature rises, blood circulation will increase and toxins, bacteria, viruses will penetrate the systemic bloodstream, causing sepsis or meningitis. Folk remedies that can stimulate cell division are prohibited. These are echinacea tinctures, aloe juice, honey applications. If the lymph nodes are swollen and painful, you should consult a physician. After diagnosis, patients are referred for treatment to specialized doctors.

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Prevention methods


To prevent the lymph nodes on the left or right side of the neck from hurting or becoming inflamed, especially against the background of a cold or infection, you can follow simple prevention tips:

  • In cold weather, you need to dress warmly, be sure to wear a scarf and hat.
  • In warm weather, the body should not be allowed to overheat, as heat also has a bad effect on the immune system and lymphatic system.
  • To strengthen the immune system, you need to eat more fresh vegetables and fruits, take courses of vitamins and natural supplements: honey, aloe extract, echinacea.
  • To maintain the body's defenses, you need to engage in moderate physical activity.
  • Viral and infectious diseases should not be ignored: stomatitis, caries, any organ pathologies, colds.

If you have frequent ailments and the presence of chronic pathologies, it is important to regularly visit your doctor and take care to prevent complications.

Soreness of the lymph nodes in the neck does not always indicate severe pathologies. In most cases, this symptom only indicates that you need to be more attentive to your own health and take care of strengthening it. However, this condition should not be ignored; it is better to get diagnosed by a doctor.

Causes of pain

The lymph node hurts and constantly ache... What could this be connected with?
Lymphadenitis, or the so-called inflammation of the cervical lymph nodes, is not an independent disease, but is only a fairly common symptom of an infectious disease or other pathological conditions. If the lymph node in the neck under the jaw hurts, then this indicates that there are some serious disorders in the human body.

In addition to white blood cells, the lymph nodes contain a yellowish, clear fluid called lymph. According to experts, it washes all cells of tissues and organs, carrying dead cells, bacteria, viruses and toxins that enter the body with food, water and air into the lymphatic capillaries. It transfers the beneficial substances obtained from the blood to the cells. As a result, tissue fluid is continuously renewed, and cells receive nutrition.

So, along with lymph, pathogenic bacteria and other harmful microorganisms enter the lymph nodes. The latter delay the infection and prevent it from spreading throughout the body. After this, all viruses and pathogenic bacteria, as well as degenerated cancer cells, are destroyed.

When the human body cannot independently get rid of foreign cells, lymphocytes actively multiply. Thanks to this, they can cope with the infection faster and better. As a result of this phenomenon, the lymph nodes become enlarged and begin to hurt.

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