Symptoms of cervical lymphadenopathy, it is best to stick to this diagnostic basis

There are many symptoms of cervical lymphadenopathy. A small number of patients may have systemic poisoning symptoms such as low fever, night sweats, loss of appetite, and weight loss. Generally, there are multiple enlarged lymph nodes of varying sizes located at the anterior and posterior edges of the unilateral or bilateral sternocleidomastoid muscles. As described in the overview, the above-mentioned lesions at different stages may appear simultaneously in the lymph nodes of the same patient.

1. Clinical manifestations

1. A small number of patients may have symptoms of systemic poisoning such as low fever, night sweats, loss of appetite, and weight loss.

2. There are usually multiple enlarged lymph nodes of varying sizes located at the anterior and posterior edges of the sternocleidomastoid muscles on one or both sides. As described in the overview, the above-mentioned lesions at different stages may appear simultaneously in the lymph nodes of the same patient.

2. Diagnostic Basis

1. Adolescent patients who have recent symptoms of systemic poisoning such as low fever, night sweats, weight loss, loss of appetite, etc.

2. There are multiple enlarged lymph nodes at the anterior and posterior edges of the sternocleidomastoid muscle on one or both sides, or as described in the overview, the above-mentioned lesions at different stages appear simultaneously in the lymph nodes of the same patient.

3. Perform a biopsy to confirm the diagnosis if necessary.

3. Treatment principles

1. Pay proper attention to nutrition and rest.

2. Systemic anti-tuberculosis treatment.

3. Treatment of local tuberculous lymph nodes. A small number of localized, larger, and movable lymph nodes can be removed surgically. For those with cold abscesses, ulcers or sinus tracts, the pus can be drained and anti-tuberculosis drugs can be injected into the cavity, or the tuberculosis lesions can be removed and the dressings replaced with anti-tuberculosis drugs and wait for the wound to heal. If necessary, surgical removal can also be performed.

IV. Principles of Medication

1. Early mild cases can take isoniazid orally for six months to one year, and intramuscularly inject streptomycin for 1-2 months.

2. If there are still a few localized, larger, and movable lymph nodes after the above-mentioned tuberculosis treatment, they can be surgically removed.

3. Patients with cold abscesses or chronic fistulas or sinus tracts can use rifampicin or rifadin alone or in combination.

Traditional Chinese medicine believes that the main cause of this disease is liver qi stagnation, spleen dysfunction, phlegm and fire condensation, and accumulation into nuclei. Therefore, after suffering from cervical lymphadenopathy, patients must pay attention to their diet and emotions, and can eat more vegetables such as bergamot, which have the effects of soothing the liver, regulating qi, reducing fire and removing phlegm. The diet should be nutritious, and you can choose a balanced diet with high protein, high calories, high vitamins and appropriate amounts of minerals. Eat more meat, fish, eggs, dairy products and foods that nourish yin and replenish qi, such as lean pork, fungus, taro, winter melon, apple, lotus root, tomato, soy products, etc.