Painful enlargement of the inguinal lymph nodes is most often a sign of bacterial infections or inflammation of the organs in the lower torso. The flow of lymph from infected areas contains pathogens, the accumulation of which causes a response in one of the main organs of the immune system - lymph nodes. They swell, hurt and bother a person, causing the need to undergo a medical examination to understand the causes of this phenomenon.
Role and anatomy of lymph nodes
Lymph nodes (glands) are small, soft, round or oval structures that are found throughout the body and are connected to each other in a chain through channels like blood vessels. They are an element of the complex protective system of our body, the task of which is to combat the introduction of any infectious agents. Lymph, a watery fluid, circulates inside the lymphatic vessels.
Lymph nodes are located throughout the body and are important element immune system
The nodes are bean-shaped and do not exceed the size of a small olive. Each individual lymph node is covered by a capsule made of connective tissue. Inside the shell are certain types immune cells. These are primarily lymphocytes, which produce proteins that capture and fight viruses and other microbes, and macrophages, which break down and remove trapped material.
Groups of lymph nodes are distributed throughout different parts of the body. Some are located subcutaneously, others deep inside the body. Even superficial lymph nodes are normally not visible or noticeable to the touch unless they are swollen for some reason. Inflammatory phenomena in the lymph nodes that occur due to infection or another (non-infectious) reason are called lymphadenitis.
Each group of lymph nodes corresponds to a specific region of the body and reflects abnormalities in that area.
Swollen lymph nodes are most pronounced, and therefore more noticeable, in the following areas:
- on the neck;
- behind the ears;
- in the chin area;
- in the armpit area;
- in the groin.
Doctors first examine these areas, assessing the size and consistency of the nodes.
Video: what are lymph nodes in the body for?
The mechanism of development of lymphadenitis
The inguinal glands in women and men, better known as the inguinal lymph nodes, are located in the upper thigh and lower pelvis and connect along the crease. Sometimes they are also called femoral lymph nodes. There are about 10 elements in total, which together form a group known as superficial lymph nodes. They drain fluid from the skin and subcutaneous tissues below the navel, including the pelvic organs, perineum, genitals and legs. Lymph flows from the superficial to the deeper inguinal nodes (their number is from 3 to 5), which filter it and return it to the bloodstream.
Healthy lymph nodes are usually invisible to the touch; their enlargement indicates an inflammatory process or disease in the area for which they are responsible Since the lymphatic system is designed to filter and remove waste from the body, its components are quite susceptible to various health problems. As soon as the body manages to detect the pathogen, lymphocytes begin to be actively produced by the glands. This leads to the fact that individual inguinal nodes grow in volume.
The human body contains up to 1 thousand lymph nodes. They are compared to filters that purify lymphatic fluid from pathogenic microbes, toxic substances and waste cellular material.
Swollen lymph nodes in the groin, if their diameter does not exceed 2 cm, can be considered normal for young people. In other cases, they indicate:
- one of the sexually transmitted diseases;
- local infection in the pelvis;
- infections of the lower extremities (including the feet and toes);
- genital cancer.
Due to the location of these nodes in the intimate area, both men and women avoid having them examined by a doctor, which is a mistake. In many cases, the tumor will go away without treatment, but for serious conditions it is important to get prompt medical evaluation.
Types of pathology
The nodes can become inflamed locally (local inguinal lymphadenitis) or throughout the body (generalized lymphadenitis). Unilateral inflammation usually occurs when an infectious agent enters the lymphatic system from the outside, while bilateral inflammation indicates an infectious process involving internal organs.
Lymphadenitis may refer to inflammation:
- specific - arise as a result of action specific pathogen and are characteristic of specific diseases, such as syphilis, tuberculosis;
- nonspecific - associated with local bacterial infection.
Lymphadenitis is also distinguished:
- acute - lymph node enlargement occurs suddenly and is accompanied by pain, high temperature and general weakness;
- chronic - caused by a long-existing focus of inflammation in groin area or not properly treated acute lymphadenitis.
Constantly inflamed lymph nodes are susceptible to adhesions and replacement functional fabric to fibrous.
Suppuration is a complication of acute inflammation. Its danger lies in the risk of blood poisoning and the impact of pyogenic bacteria on surrounding tissues.
Possible causes of lymph node hypertrophy
A tumor in the area where lymph nodes are concentrated may be the result of local trauma. In this case, it goes away as the tissue heals. Rarely, the causes of temporary enlargement of nodes may be medications or allergic reactions. If the swelling persists for a long time or is accompanied by other symptoms, then this is a reason to suspect one of the reasons listed below.
Infections
Local infections of the genitals or lower extremities can cause isolated swelling of the inguinal lymph nodes. The cause of lymphadenitis simultaneously of three main groups of nodes - inguinal, cervical and axillary - can be a systemic infection. Conditions that could potentially be considered as an underlying cause include:
Malignant and other neoplasms
Many forms of cancer that occur in the groin area and below lead to swelling of regional nodes - lymphadenopathy. These include:
- leukemia - cancer of the blood and bone marrow;
- lymphoma is a malignant tumor of the lymphatic system;
- oncological processes occurring in the pelvic organs and metastases (spread) from cancer of the anus or vulva can lead to swelling in the groin that is not associated with lymphoma;
- - a type of skin cancer that can cause swelling of the lymph nodes around the affected area.
Medicines and vaccines
The lymphatic system may react to certain medications or vaccines, such as:
Enlarged lymph nodes due to medications are likely to be generalized.
Systemic lesions
General swelling of the lymph nodes can develop with some systemic diseases, including:
- sarcoidosis;
- systemic lupus erythematosus;
- rheumatoid arthritis;
- tuberculous lymphadenitis.
Video: reasons for enlarged lymph nodes
Features of inflammation of the lymph nodes in the groin in women during pregnancy
Often on early stages During pregnancy, a woman may notice a slight, usually unilateral, enlargement of the lymph node in the groin. This happens because pregnancy weakens immune system the expectant mother, and the lymph nodes are sensitive to pathogens.
The node is restored relatively quickly after the first adaptation of the body takes place. If the condition persists (lasts longer than 14 days), is accompanied by fever, or the affected area becomes painful, you should urgently make an appointment with a doctor. This may indicate an infection that requires further treatment.
How to recognize inguinal lymphadenitis
External signs of node hypertrophy do not depend on the patient’s gender: in men and women, the main and associated symptoms are associated only with the underlying cause of the pathology. The inflammatory process can be expressed by the following symptoms:
Swelling of the inguinal lymph nodes is important clinical sign pathologies in the lower part of the peritoneum, legs or genitals.
The condition may also be accompanied by other clinical manifestations, For example:
- inflammation of the lymph nodes in other areas of the body (usually cervical, axillary);
- fever, general poor health, body tremors;
- irritation and soreness in the vagina in women, lower abdomen or genital area in men;
- uncharacteristic discharge from the genitals.
Hypertrophied lymph nodes do not always indicate a serious problem. But in some cases you should consult a doctor for examination:
- if the swelling lasts more than two weeks or there are symptoms such as causeless weight loss, night hyperhidrosis (sweating), fever;
- if the nodes are hard, do not move freely under the skin during palpation or grow quickly;
- if the skin in the area of the swelling is red and inflamed.
External signs of inguinal lymphadenitis do not depend on gender, but are determined by the main cause of the pathology Diagnosis of swollen lymph nodes rarely requires emergency hospitalization. The exceptions are:
- a progressive skin infection that requires treatment;
- a severely infected lymph node that needs to be opened;
- strong pain.
Carrying out diagnostics
If the swelling in the groin does not disappear within 14 days and its cause is unknown, It is recommended to consult a therapist at your place of residence. After the initial examination, the doctor will refer you to the right specialist. This could be a surgeon, gynecologist, urologist, venereologist or oncologist.
The doctor questions the patient about any associated symptoms. Then spends physical examination affected nodes on the degree of their sensitivity and structural features, pays attention to the condition of the skin over this area (redness, increased temperature). A lymph node that grows rapidly over a period of one to two days has a cause and requires treatment that is different from that of generalized lymph node swelling that develops over several months.
During your appointment, you should tell your doctor about any fast-growing nodules because this will help make the diagnosis.
For further diagnosis, the following types of studies may be required:
Treatment methods
The type of therapy is selected based on the main cause of enlarged lymph nodes.
Conservative
Standard treatment for swollen lymph nodes may include painkillers and fever-reducing medications such as ibuprofen and paracetamol. Home remedies such as warm compresses are not advisable, at least until the underlying cause of the condition is determined.
Heat applied to a cancer or purulent lesion can aggravate the patient's condition.
Ibuprofen is a pain reliever used to reduce pain in swollen lymph nodes. If an infectious underlying cause is identified, antibiotics or antiviral drugs. Lymph nodes that are swollen due to viruses return to normal after the person recovers.
Bacterial and fungal inflammations are treated with the following groups of drugs:
- antibacterial drugs (wide-range: Amoxiclav, Flemoxin, Ceftazidime) - specific medications are selected depending on the type of bacterial pathogen;
- antifungal agents (Terbinafine, Clotrimazole) - ointments and creams for local application, as well as tablets for systemic damage to the body;
- glucocorticoids (Hydrocortisone, Prednisolone, Dexamethasone) - reduce swelling and inflammation, relieve pain, available in the form of tablets, creams and ointments;
- nonsteroidal anti-inflammatory drugs (Nimesil, Advil) - have an analgesic effect and at the same time reduce inflammation;
- immune stimulants - prescribed for activation natural defense body;
- antihistamines (Loratadine, Cetirizine, Erius) - used if the cause of swelling is an allergic reaction, including to medications.
Photo gallery: drugs that can be prescribed for the treatment of inguinal lymphadenitis
Amoxiclav is a broad-spectrum antibiotic that is used to treat the bacterial cause of inflammation. 
Clotrimazole is effective against fungal infections 
Nimesil has analgesic and anti-inflammatory properties 
Prednisolone is a hormonal drug that quickly relieves inflammation 
Erius has anti-allergic properties and helps reduce inflammation
Physiotherapeutic
Physiotherapy is used after stopping the acute stage of inflammation. They activate blood and lymph flow, improve tissue metabolism. Physiotherapy modalities may include:
- ultraviolet treatment - destroys pathogens, the effect is necessary not only on the affected lymph node, but also directly on the source of infection;
- ultrasound treatment - activates the resorption of infiltrate (accumulation of spent immune cells, blood and lymph) at the site of inflammation;
- laser radiation therapy - promotes rapid tissue restoration.
Surgical
If there is a localized source of infection (abscess or suppuration), then it is an indication for drainage by cutting the skin and cleaning the cavity from pus and dead tissue, followed by treatment with an antiseptic. After this, a course of antibiotic therapy is prescribed. The manipulation is carried out under local anesthesia.
Nodes that are swollen due to cancer require specific treatment. Surgical removal of the tumor, radiation or chemotherapy are performed.
Traditional methods
The use of natural remedies may be relevant in complex therapy when the infectious nature of the inflammation is confirmed. But before using any folk remedy, you must inform your doctor. Examples of effective natural treatments include:
Garlic has antibacterial and immunomodulatory effects 
Apple cider vinegar helps fight infection 
Peppermint oil cools and soothes the affected area 
Mullein copes well with viral and bacterial infections
What are the dangers of advanced pathology?
Complications caused by inflammation of the inguinal lymph nodes include:
- abscess (suppuration), requiring opening of the abscess and prescribing antibiotics;
- compression (squeezing) of tissues or organs in close proximity.
In some cases, the increased size of the lymph node causes compression of nearby structures. Nerve endings or vascular bundles may be compressed. Hypertrophied lymph node inside abdominal cavity can compress the intestines and cause obstruction. In this regard, urgent surgical intervention is sometimes required.
The condition returns to normal after the underlying disease is cured. However, in cases of serious systemic infections with a weakened immune system and in patients with malignant processes, the tumor can become chronic.
Preventive measures
Not in all cases it is possible to avoid the development of the underlying disease - the cause of enlarged lymph nodes. But general preventive measures will minimize the risk of infectious or viral infections, as well as problems with the immune system. These include:
- commitment to the basics healthy image life;
- regular physical activity;
- healthy diet (plenty of fruits, vegetables), exclusion of semi-finished and processed foods;
- maintaining genital hygiene;
- minimizing casual sexual contacts, using reliable protective equipment to avoid contracting sexually transmitted infections;
- taking vitamin supplements in courses throughout the year.
It is possible to successfully cure inflamed lymph nodes in only one way: to correctly diagnose and act on the main cause that caused the pathological hypertrophy. It is important to promptly pay attention to unusual or strange swellings in the lower abdomen, as they may be evidence of dangerous diseases that should not be neglected.
The human body is one of the most intelligent and thoughtful mechanisms created by nature. One of its most important systems is the immune system, which guards human health. Special structures, the lymph nodes, are of great importance in the operation of this protective system. Sometimes a person is bothered by painful “balls” under the skin when palpated - this is what inflamed lymph nodes look like. In our article today we will talk about the causes and treatment of diseases of the lymph nodes of the lower extremities.
The lymph node is a kind of filter that mechanically retains bacteria, viruses, cancer cells and even foreign bodies from lymph. In addition to filtration, the lymph node is a factory for the production and cultivation of lymphocytes - cells of the immune system.
Lymph node
A lymph node is a small (from a few millimeters to 2 cm) round formation. Such nodules are scattered throughout the body - subcutaneous tissue, digestive tract, internal organs and so on. The limbs are no exception - the legs, where they are located in the groin and under the knee, and the arms.
Lymph nodes in the arms and legs are concentrated in groups and are located in specific areas where they can be felt or found using ultrasound. Such typically located lymph nodes are called regional. Each group of regional lymph nodes collects lymph from a specific segment of the limb, forming two main networks - superficial and deep.
We list the typical localizations of nodes of the lower limb:
- Inguinal folds. The lymph nodes of the groin areas are one of the most significant and powerful groups. These nodules collect lymph not only from the deep and superficial structures of the thigh and partly the buttock, but also from the internal organs of the small pelvis.
- Popliteal fossa. Under the knee there is a deep depression filled with loose fatty tissue - the popliteal fossa. It contains not only blood vessels and nerve bundles, but also the lymph nodes are grouped. Lymph flows here from the skin and fatty tissue of the feet, legs, as well as from the joints, bones and periosteum of the lower half of the leg.
Causes
Lymphatic system of the leg
As we have already said, the task of these small formations is to filter lymph flowing from various organs and structures of the human body. With a massive inflammatory process or malignant cell growth, the overloaded lymph node begins to grow and increase in size, trying to compensate for its tension in size. This abnormal enlargement of lymph nodes is common name lymphadenopathy.
Lymphadenopathy
The main reasons for the development of lymphadenopathy are:
For clarity, let us consider the main causes of the appearance of abnormal lymph nodes of the lower limb.
Inguinal
Lymphadenitis inguinal nodes
Considering the massiveness of this group of nodes, there can be many reasons for enlargement and pain:
Popliteal
The group of nodes located under the knee is significantly smaller than the inguinal one. Popliteal lymph nodes play a role in the development of the following diseases:
- Inflammatory diseases of the skin, subcutaneous tissue, bones and muscles of the foot and leg. This includes all the same erysipelas, streptococcal infections skin, abscesses and boils of the skin, purulent processes of the feet, fingers and nail beds. Inflammatory changes in the nodes lead to various myositis - inflammation of the muscles of the leg and foot, as well as osteomyelitis of the bones of the leg and foot.
- Injuries and arthritis of the knee and ankle joint are very often accompanied by changes in the fossa under the knee.
- Malignant processes of the skin, bones and soft tissues of the foot and leg.
- Systemic diseases and tumors.
Diagnostics
Many people find a ball in their groin or under their knee very scared. There is no reason to panic, but such formations cannot be ignored;
Treatment
Treatment of lymphadenopathy consists of therapy primary cause: inflammatory or systemic.
If the process is cancerous, the patient is transferred to oncologists, where he will undergo specialized treatment.
For systemic diseases such as AIDS, hepatitis, toxoplasmosis, mononucleosis and others, infectious disease doctors will treat the patient, prescribing treatment taking into account the nature of the pathogen.
In case of banal inflammatory changes of a local nature or primary lymphadenitis, treatment will be aimed at fighting the infection. Antibiotics will be used when bacterial infections or antiviral drugs for herpetic infection. In the case of a local process, you can also use local treatment– various compresses and lotions on the affected nodes.
In case of suppuration of the lymph node, an opening, drainage of the source of infection and a massive course of antibacterial therapy are required.
Banal local inflammation of the lymph nodes goes away within 7-14 days, but the nodes can remain enlarged for up to six months.
The lymphatic system is represented in the human body by a network of vessels, fluid (lymph) flowing through them and lymphoid tissue (nodes). In women, the inguinal lymph nodes (located in the pelvic area) play an important protective role. They are responsible for healthy reproductive function.
Lymph nodes perform the function of biological filters. Peripheral organs are located in the joint area - in places where lymph flows from different tissues of the body through the vessels of the lymphatic system.
The appearance of organs may differ in shape:
- round;
- oval;
- in the form of a bean;
- rarely in the form of a tape.
Dimensions in normal condition vary between 0.5 - 50 mm. Healthy lymph nodes are pinkish-gray in color. The organs serve as a barrier to the spread of infected and cancer cells in a woman’s body. Their role is the production of T and B lymphocytes, the body’s protective cells involved in the destruction of harmful and toxic elements.
There are two types of inguinal lymph nodes: deep and superficial. A group of superficial nodes located just under the skin can be palpated. Deep lymphoid tissue is located in the muscle layers, along the path of blood vessels, close to the pelvic organs.
Where are the inguinal lymph nodes located?
Inguinal lymph nodes in women (they are located not one at a time, but in groups) are located in the upper parts hip joint, going down to the lower abdomen along the path of the inguinal fold. Superficial organs are located in the tissue under the skin, deep organs are located under the fascia (connective protective membrane covering the muscles) near the femoral blood vessels.
Close to the inguinal lymph nodes are the reproductive organs and the genitourinary system:
- uterus;
- ovaries;
- bladder;
- external genitalia;
- rectum.
The area where the inguinal lymph nodes are located also includes the lower limbs, buttock and lumbosacral back.
Enlarged lymph nodes in women
The inguinal lymph nodes become enlarged, a manifestation of swelling, which is often confused with inguinal hernia. The diseases differ in that the nodes cannot be reduced like a hernia. Pain may occur when there is pressure from deep nodes on the femoral nerve. If the nodes press on the femoral vein, swelling of the leg occurs.
The causes of enlarged inguinal lymph nodes are:
- Lymphadenitis.
- Oncological diseases: ovarian cancer; cancer of the uterus or cervix; cancer Bladder; lymphogranulomatosis or lymphosarcoma; skin cancer; rectal cancer; vulvar cancer.
- Sexually transmitted diseases: syphilis; gonorrhea; chlamydia; ureaplasma.
- Viral infectious diseases: rubella; measles; genital herpes.
- Infection with pathogenic microorganisms: spherical bacteria; Koch stick; candida.
- As a complication after pelvic surgery.
- In case of transplant rejection.
- In case of injury to the groin area.
Symptoms of enlarged nodes include:
Swelling of nodes
In women, the inguinal lymph nodes, which are located in the pelvic area, may become swollen.
This disease is called lymphadenitis and refers to secondary infections that appear after untreated primary diseases:
- influenza and ARVI;
- measles;
- rubella;
- genital herpes;
- chlamydia;
- ureaplasmosis;
- thrush;
- gonorrhea;
- syphilis.
Organ diseases also affect the swelling of lymph nodes:
- bladder - urethritis;
- oncology of the pelvic organs;
- intestinal problems;
- disorders in reproductive function of an inflammatory nature (colpitis, balanoposthitis).
The nodes also swell with severe, prolonged allergic reactions.
In addition to swelling, the following symptoms may appear:
Inflammation of the lymph nodes
Inflammation of the lymph nodes is called acute lymphadenitis. The disease signals a weakened immune system and the presence of an untreated infection in the body.
The causes of lymphadenitis are:
- malignant formations;
- bacterial invasions (Koch's bacillus, staphylococcus, streptococcus, candida);
- viral infections (herpes, influenza, ARVI, measles, rubella);
- sexually transmitted diseases (ureaplasma, chlamydia, syphilis, gonorrhea).
Infections in the nodes come from wounds located close to a group of peripheral organs.
The main signs of the disease are:
- increase in size of nodes;
- pain on palpation.
If a purulent process appears in the body, then redness of the skin is observed above the node. In this case, urgent surgical intervention is required, since lymphadenitis can cause a serious complication - phlegmon (purulent inflammation of tissue).
When oncological diseases of lymphogranulomatosis and lymphosarcoma occur, the nodes increase to 3-4 cm, acquiring a dense consistency.
Diagnosis of pathological processes
Inguinal lymph nodes in women (located along the inguinal fold) are dealt with by general practitioners, infectious disease specialists or family doctors. If surgical intervention is necessary, the patient receives a referral to a surgeon.
Clinical blood tests are used to diagnose the disease:
Additional methods used:
- ultrasound examination;
- radiography;
- magnetic resonance imaging;
- CT scan.
If there is a suspicion of cancer, a biopsy of lymph node tissue is taken.
Treatment regimen for pathologies of inguinal lymph nodes
Treatment is prescribed to a woman after undergoing comprehensive diagnostics. Therapy includes two directions: surgical intervention and conservative treatment.
Conservative therapy consists of taking according to indications:
On initial stages diseases or as additional remedies to the main ones, traditional methods of treatment are prescribed. Surgical intervention is carried out when there is an urgent need and it is impossible to carry out conservative treatment.
Drug therapy
Drug treatment is carried out by the attending physician based on the data obtained from a comprehensive diagnosis of the disease.
Therapy may include the following groups of drugs, for example, antibiotics. A number of remedies are prescribed if the bacterial cause of the disease is proven. The most effective is taking intravenous or intramuscular drugs, as the active substance penetrates faster into the lymphatic system. Drugs are prescribed after pathogens are sensitive to them.
A number of antibiotics prescribed depending on the cause of the disease can be summarized in the table:
| Name of active substance | Disease |
| Penicillin | Syphilis |
| Doxycycline | Bites, scratches received from animals |
| Azithromycin, cephalosporins | Exciter not installed |
| Ciprofloxacin, ceftriaxone | Gonorrhea |
| Trichopolum, pimafucin, levorin | Thrush |
| Erythromycin, doxycycline, macropen | Chlamydia |
| Azithromycin, clarithromycin, josamycin | Ureplasma |
| Streptomycin, rifampicin | Koch stick |
Other types of drugs:
Physiotherapeutic procedures
Inguinal lymph nodes in women (the location of the organs is convenient for physiotherapy therapeutic measures procedures) are treated with auxiliary procedures. Physiotherapy makes penetration easier medicines to the site of inflammation, improves lymph flow and blood circulation.
However, it should be taken into account that there are a number of contraindications for the procedures:
- The presence of malignant tumors.
- Tuberculosis.
- Inflammation in the acute period (with fever and intoxication of the body).
Physiotherapeutic procedures include:
- compresses;
- electrophoresis with drugs;
- ultra high frequency method;
- laser exposure;
- galvanization.
The following medications are used for therapy:
Ointments suitable for compresses:
- Heparin;
- Ichthyol;
- Vishnevsky;
- Diclofenac;
- Piroxicam;
- Ketoprofen.
With the help of gauze bandages it is possible to localize swelling and relieve pain.
Surgical interventions
Surgical treatment is most often used if the lymph nodes are inflamed locally in the absence of the development of systemic pathologies, in the presence of acute purulent inflammation. The operation is performed using local anesthetics.
Possible operation options:
- opening the abscess with cleaning;
- removal of irreversibly changed nodes.
Folk remedies and recipes
Treatment traditional methods perhaps on early stages diseases or as maintenance procedures in addition to primary therapy. It is important to remember that in no case is this type of treatment independent. Below are some suggested effective recipes treatment in complex therapy.
Nettle has a blood purifying, immune-supporting and anti-inflammatory effect:
Blueberries have cleansing and immunostimulating properties:
- crush blueberries;
- fill with water at a temperature of about 40°;
- drink 1 glass after each meal.
Dandelion root helps cleanse lymph, improves metabolic processes, boosts immunity:
Correctly selected treatment of inguinal lymph nodes in women located in the pelvic area gives a favorable prognosis for recovery. The disease is easier to prevent than to treat. You just need to maintain a healthy lifestyle, and if you have health problems, do not put off visiting a doctor.
Article format: Lozinsky Oleg
Video about inguinal lymph nodes in women
Features of inflammation of the lymph nodes in the groin:
One of the most mysterious systems of the body is the lymphatic system. Only when a person begins to get sick does he, often for the first time, understand the significance of this system.
When everything is fine, people don’t think about what role the lymphatic system plays for the whole body.
The role of the lymphatic system in the human body
There are a large number of lymph nodes in the body, but the article will discuss the lymph nodes in the groin of women, where they are located and their significance.
Lymphatic system
Functions of the lymphatic system:
- Drainage.
- Cleansing the body.
- Maintaining the body's performance.
- Strengthening immunity.
- Improved metabolism.
Diagram of the location of lymph nodes in a woman, what they affect
The main areas where lymph nodes are located in women are as follows:
- axillary;
- inguinal;
- cervical;
- pelvic;
- abdominal;
- chest
Lymph nodes are mainly located in clusters near blood vessels, where there are moving places. Lymphatic capillaries pass through most organs and tissues. It turns out that lymph nodes and vessels are located throughout the body.
The doctor will accurately determine the condition of the lymph nodes Based on the condition of the lymph nodes, you can understand whether there is an inflammatory or infectious disease in the body. When the lymph nodes are in their normal state, they do not deliver any painful sensations, inconvenience. But in the presence of a disease, they increase in size and pain occurs.
Location of lymph nodes in a woman’s groin area and their significance
Inguinal lymph nodes in women can be divided into two types:
- Superficial. There are from 4 to 20 of them. They are located between the groin and thigh.
- Deep lymph nodes in the groin of women. Where are they located: in the depths, near the femoral blood vessels. There are from 1 to 7.
Inguinal lymph nodes in women have great importance. They prevent pathogenic microflora from entering the pelvic area.
Symptoms of enlarged lymph nodes in the groin in women
In appearance, inflamed lymph nodes in women resemble a small tumor appearing in the groin area. Where it will be located depends on the cause of the inflammation. The location is possible on both one and two sides.
Pain is a clear sign of problems with the lymph nodes in the groin At first, the lymph nodes in the groin of women, where the inflammatory processes are located, are not too disturbing. Some discomfort and mild pain may occur.
However, as the disease develops, the following symptoms will be noticeable:
- redness of the skin will become noticeable at the site of inflammation;
- a hard swelling forms, sometimes reaching an impressive size (hard balls have a peculiarity: they roll under the fingers);
- during movement, pain may appear, which further increases and becomes more and more disturbing; pain also occurs when physical exercise, during sexual intercourse, wearing clothes that are tight and uncomfortable;
- body temperature will increase;
Inflammation of the lymph nodes often causes an increase in body temperature - your health will worsen;
- chills, body aches, headache will appear;
- lack of appetite, general weakness and malaise;
- possible discomfort in the form of burning or itching in those places where skin tension occurs;
- swelling may appear in the inflamed area;
- Discharge from the genitals will turn brown.
If lymphadenitis is chronic, then the severity of the above symptoms is mild.
Why do the lymph nodes in the groin become inflamed in women?
There are certain diseases and injuries that manifest as inflammation of the lymph nodes in the groin area. This is due to the fact that pathogenic bacteria enter the body.
Don’t panic, you need to find out the cause of the disease and start treatment The most common ailments:
- Infectious diseases. The appearance of lymphadenitis is caused by a number of diseases: rubella, herpes, measles.
- Complications after suffering from colds, excessive hypothermia. The development of inflammation associated with these reasons is not too noticeable.
- Various pathogens: tuberculosis bacillus, cocci.
- Injury to the groin area - falls, blows. In this case, the enlargement and onset of inflammation of the lymph nodes occurs quickly.
- Sexually transmitted diseases: ureaplasmosis, chlamydia, gonorrhea, syphilis.
- Gynecological diseases – ovarian cyst, thrush.
- Oncology. In a woman’s body, where a malignant tumor is located, at the stage of its development, all existing lymph nodes, including those located in the groin area, can become inflamed.
Any disease requires treatment, relevant information is available to everyone - Diseases associated with hematological and autoimmune systems. Allergies.
- Diseases of the urinary system.
Treatment of enlarged lymph nodes in the groin
How and how to treat the lymph nodes in the groin of women, where the foci of inflammation are located, should be determined by a specialist after conducting the necessary examination and identifying the causes of the inflammatory process.
Traditional methods and remedies
They can be used only at the beginning of treatment, as part of complex therapeutic measures. You can start treatment only after visiting a doctor, who, based on the examination and test results, will exclude oncology as the cause of the development of lymphadenitis. The use of traditional methods helps speed up the healing process.
The most effective folk remedies:
- Compresses made from freshly squeezed dandelion juice. Duration of treatment – 3 days at least 2 times a day.
- Compress of freshly crushed peppermint leaves. It is necessary to apply it in the groin area, where the woman’s inflamed lymph nodes are located. The procedure is carried out 2 times a day for 2 hours.
- Herbal collection for oral administration, which includes a number of plants: oregano, mint, plantain, St. John's wort inflorescences, dandelion roots, raspberry branches, wormwood and meadowsweet herbs. Take all ingredients in equal proportions, chop, mix and brew like tea. Drink 2 to 3 times a day after meals, 200 ml.
- To increase immunity, use a decoction that includes linden flowers, raspberries, dandelion roots, oregano herbs, St. John's wort and mint. The drink is taken 30 minutes before meals. Use until complete recovery.
- Echinacea tincture compress: dilute the solution with warm water in a ratio of 1 to 2.
Echinacea tincture Take gauze, make a bandage out of it, moisten it in the prepared solution and fix it at the site of inflammation of the lymph node with an adhesive plaster. Leave the compress overnight.
Use of medications
When the first symptoms appear, it is recommended to use medications that contain antiseptic components. An effective anti-inflammatory ointment must include antibiotics. Compresses with Levomekol and Levosin give good results.
The use of such drugs for purulent inguinal lymphadenitis is strictly contraindicated
If the expected result is not enough, the doctor may prescribe the use of antibiotics. The main goal of antibiotic therapy is to eliminate the infection that caused the development of the inflammatory process.
The drug "Ampioks" Prescribed drugs from the penicillin group: Ampiox, Ampicillin. The duration of medication and dosage are calculated based on the degree of symptoms.
At fungal infection lymph nodes, tablets with antifungal action are prescribed. These drugs include Itraconazole, Fluconazole, Ketoconazole.
The drug "Fluconazole" It is often difficult to determine the nature of the infection. Therefore, the doctor may prescribe combination therapy: taking antibiotics and antifungals.
Undergoing physiotherapeutic procedures
For lymphadenitis in the early stages of the inflammatory process, electrophoresis with antibiotics and sulfonamides is prescribed.
In case of purulent form, physiotherapeutic procedures are strictly prohibited.
Surgical intervention
Previously surgical removal affected lymph nodes was the only way to treat lymphadenitis. This intervention could affect the reduction of the outflow process lymph fluid.
Surgery is a last resort for treating the purulent form of the disease. For this reason, surgical the operation is used only in emergency situations - if the disease is purulent in nature. In this case, drainage of the suppurating cavity is performed at the location of the inflamed lymph nodes.
How to treat inflamed inguinal lymph nodes
Only a specialist, after receiving the examination results, will be able to prescribe the necessary therapeutic measures. Before receiving the test results, the doctor will prescribe medications that are aimed at strengthening the immune system. It is recommended to take Echinacea purpurea tincture 15-30 drops 3 times a day.
During treatment, care must be taken to ensure a balanced and proper nutrition. It is recommended to increase the amount consumed in the daily menu. fermented milk products, garlic, onion in fresh.
Garlic and onions are foods necessary to strengthen the body Fatty, salty, heavy foods should be prohibited. The consumption of alcoholic and carbonated drinks is prohibited.
If inflammation of the lymph nodes occurs due to hypothermia, foot baths should be done.
Warming up inflamed lymph nodes is strictly prohibited.
The main treatment for enlarged lymph nodes in the groin in women will be aimed at eliminating the cause of inflammation. As soon as it becomes clear where the original source is and when it is eliminated, the inguinal lymph nodes will shrink and the disease will recede.
Take measures on time and the lymph nodes will not bother you The appearance of an inflammatory process in the lymph nodes in the groin area in women means that pathogenic bacteria have entered the body. You should not put off visiting a doctor, as only a specialist can determine the cause and prescribe treatment.
All about inflammation of the inguinal lymph nodes in women. Watch this helpful video:
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U healthy person lymph nodes are no more than pea-sized or cannot be palpated at all. These organs of the immune system are filters that, by letting in lymphatic fluid, trap pathogenic microorganisms, preventing them from entering the blood. When in contact with strangers, the lymph nodes intensively produce T-, B- and NK-lymphocytes to normalize the body’s condition. If it is not possible to quickly cope with foreign elements, painful changes begin to occur in the lymph nodes, leading to their enlargement, of inflammatory (lymphadenitis) and non-inflammatory origin (lymphadenopathy).
First of all, the reaction occurs in the group of lymph nodes closest to the affected organ. Hyperplasia of the inguinal nodes signals the presence of trouble in the area of the buttocks, lateral areas of the torso, intestines, reproductive organs and lower extremities.
ICD-10 code
R59 Enlarged lymph nodes
Epidemiology
Medical statistics show that more than 90% of cases of inguinal lymphadenopathy occur after injury to the perineum and genital organs. Out of thousands of people who applied for medical care two or three people come in regarding enlarged lymph nodes of any location, of which about 60% are male patients and approximately 40% are female. Most patients with lymphadenopathy (60-80%) are over forty years of age.
Lymphadenopathy is divided into nonspecific, the causative agent of which is in most cases staphylococci, somewhat less often - streptococci and other pyogenic bacteria, sometimes in combination with anaerobes, and specific, accompanying rubella, sexually transmitted diseases, actinomycosis, tuberculosis. The pathogenesis of hyperplasia is based on the entry of a pathogen with the lymph flow from the primary source of infection or invasion of cancer cells into the lymph node, where B lymphocytes, recognizing the antigen, begin to produce antibodies to it. Also in the lymph node, active synthesis of serum proteins and immunocytes (T-killers, T-helpers, NK-lymphocytes) begins, trying to destroy foreign microorganisms. If the pathogenic microflora is not completely suppressed, then the lymph node becomes a focus of chronic infectious pathology. Its relapse (acute lymphadenitis) can develop as a result of decreased immunity due to endogenous or exogenous factors (nervous stress, freezing, exacerbation of an autoimmune disease, etc.).
Enlarged lymph nodes in the groin area are a sign of progressive pathology of the organs from which lymph flow flows to them. The upper nodes of this group enlarge when the buttocks, sides and pelvic organs are infected, the middle ones - the intestines, the lower ones - the legs.
Forms
Types of acute lymphadenitis according to the nature of the inflammatory process:
- simple or serous (catarrhal) - moderate hyperplasia of the lymph nodes, they are soft, not hyperemic, mobile and not fused to each other, no swelling is observed, there may be slight pain when pressing;
- purulent - infiltrate from inflamed lymph nodes, severe pain, soreness, hyperemia and swelling of the surrounding tissues, accompanied by a sharp rise in temperature (38-39 ° C), significant growth of lymph nodes, making it difficult to walk, the abscess can break through with the formation of a fistula or go to the next stage;
- adenophlegmon - inflammation spreads to the surrounding tissue capsule of the node, the patient is in a feverish state, which is accompanied by chills, tachycardia, headache, difficulty breathing, hypotension (requires surgical intervention).
Complications and consequences
Swollen lymph nodes in the groin that last more than two weeks, even if they do not cause serious discomfort, should not be ignored. You can skip the development of such serious illnesses such as tuberculosis, cancer pathologies and others. You definitely need to consult a doctor and find out what caused it. This condition can be a symptom of serious health problems, and the earlier it is diagnosed and treated, the greater the chance of restoring health.
Acute lymphadenitis usually causes serious discomfort, and people try to get rid of it. However, they do not always immediately consult a doctor, but try to be treated with traditional methods, which can lead to purulent inflammation. Complications of purulent lymphadenitis can be an abscess or adenophlegmon, which require surgical intervention.
The body's response to a local inflammatory process can be infection entering the systemic bloodstream, the appearance of purulent foci in distant organs and sepsis.
Untimely treatment of acute lymphadenitis is fraught with the development of purulent inflammation of the veins, the consequence of which can be phlebothrombosis or pathology of lymphatic drainage and the development of elephantiasis (elephantiasis). Thrombophlebitis of the lower extremities can result in blockage of the pulmonary vessels and death of the patient.
Chronic, sluggish inflammation of the lymph nodes, which does not cause much trouble and is ignored by the patient, can lead to hypoplasia of the lymph nodes, their scarring and degeneration. Grows in the affected lymph nodes connective tissue, the drainage of lymphatic fluid is disrupted, chronic swelling appears, and in severe advanced cases - lymphostasis (elephantiasis of the legs, scrotum).
Diagnosis of enlarged lymph nodes in the groin
The accumulation of lymph nodes in this area is one of the largest in the body. Hyperplasia of one or more nodes may indicate the existence of a serious pathology of vital organs. How to determine enlarged lymph nodes in the groin? If they are of normal size, it is problematic to palpate the nodes on your own. Enlarged superficial lymph nodes are noticeable visually, since their size can reach 50-60mm. They are painful, especially when walking. An accurate conclusion about the presence of pathological changes in the nodes of the inguinal group can be given by ultrasonography, and in order to find out the reason for their increase, a number of diagnostic measures need to be performed.
The first and very important step in determining the etiology of lymph node hyperplasia is a thorough collection of anamnestic information, infectious, occupational, and migration. Organs and tissues are examined, the lymphatic drainage from which leads to enlarged lymph nodes. Nodes in other clusters are monitored. The size, intensity of pain, single nodes or those connected to each other and surrounding tissues, density and elasticity are taken into account.
The patient is prescribed lab tests– blood (clinical), biochemistry, rheumatic, serological tests, urine and others, depending on the presumptive diagnosis of the underlying disease. Sometimes, to establish an accurate diagnosis, a puncture biopsy of the contents of the lymph node and its excision for histological examination are prescribed.
Instrumental diagnostics – ultrasound, radiography, computed tomography and magnetic resonance imaging.
Differential diagnosis
Differential diagnosis carried out in order to distinguish specific lymphadenopathy in tuberculosis, syphilis, toxoplasmosis, and other infections. Malignant and metastatic neoplasms and blood diseases are excluded. Local hyperplasia should be differentiated from generalized, nonspecific lymphadenitis - from phlegmon and osteomyelitis.
Treatment of enlarged lymph nodes in the groin
The size of lymph nodes can increase under the influence of many factors, so the cause of hyperplasia is first established, depending on which treatment is prescribed. There is no independent therapy for enlarged lymph nodes.
For non-inflammatory lymphadenopathies that occur with lymphogranulomatosis, leukemia, metastasis, the underlying disease is treated, as with specific lymphadenitis. Depending on the underlying disease, recommended treatment regimens for tuberculosis, sexually transmitted diseases, infectious mononucleosis, childhood infections.
Conservative treatment of enlarged lymph nodes in the groin is carried out for nonspecific chronic lymphadenitis, acute catarrhal and in the initial stages of the purulent process. At chronic disease The main goal of therapy is to identify and eliminate the source of prolonged infection of the lymph nodes. Identify the cause chronic inflammation inguinal lymph nodes are not always possible. In such cases, treatment is prescribed aimed at eliminating inflammation in the lymph nodes and increasing the body's defenses.
Appointed antibacterial drugs penicillin series, For example, Augmentin, the spectrum of action of which is expanded due to the presence of clavulanic acid in its composition. An antagonist of almost all bacterial pathogens that infect the genitourinary tract, skin, bones, soft tissues, and intestines, it is active against the pathogens of gonorrhea and syphilis. Available in forms for oral administration and intravenous injection, dosed individually taking into account the severity and localization of the infectious and inflammatory process. It can be used at any age, with the exception of the first trimester of pregnancy and lactation. May cause allergic reactions, since antibacterial drugs of this series cause them most often. At renal failure patients require dose adjustment; in case of hepatic dose, it is prescribed with caution, especially intravenously.
An alternative choice can be made with second generation cephalosporins. For example, Cefuroxime axetil, showing activity against the main infectious agents that provoke inflammation of the lymph nodes, staphylococci and streptococci. It is used for infections of the urinary and genital organs, bones, joints, skin and soft tissues. Available for oral administration and for intramuscular and intravenous injections. Dosed individually, used from the first days of life; during pregnancy and lactation, use is undesirable; its effect has not been studied. If renal function is impaired, dosages are adjusted. Causes allergic reactions; special caution should be exercised by persons with known allergies to penicillin drugs.
In the treatment of acute lymphadenitis, antibiotic therapy is also used; when choosing a drug, the sensitivity of the infectious agent of the primary focus is taken into account. Simultaneously with the treatment of the inflamed lymph nodes, the primary infection is eliminated. After its elimination, catarrhal inflammation usually goes away. Purulent – requires more long-term treatment. The patient must remain in bed; in addition to antibacterial therapy, analgesic and restorative therapy is carried out. In addition to antibiotics, leukocyte production stimulants are prescribed, for example, Methyluracil. Activates hematopoietic processes, especially leukopoiesis, promotes cell renewal and restoration, increases cellular and humoral immunity, relieves inflammation. Contraindicated for leukemia, lymphogranulomatosis, bone marrow cancer. Occasionally, when using suppositories, a slight burning sensation is felt, and there may be skin and vegetative-vascular allergic disorders.
Oral administration is carried out during or after meals. The recommended dose at the age of 3-8 years is 250 mg, more than eight years - 250-500 mg, the number of doses per day is three. Adult patients are dosed at 500 mg four times a day, the maximum daily number of doses allowed can be increased to six. When treating inflammation of the large intestine, suppositories are prescribed - from one to four units per day. Long-term non-healing skin surfaces are treated with 10% ointment simultaneously with oral administration.
Lycopid– a powerful immunostimulant, used in severe cases in the treatment of purulent lesions for the prevention of sepsis. It has bactericidal and cytostatic properties, activates the resorption of tumor formations. Pregnant and lactating women are not prescribed; children aged 3-15 years are dosed at 1 mg/day for no more than ten days. It may cause mild hyperemia, which does not require its withdrawal; it is not prescribed in case of exacerbation of autoimmune processes, in case of febrile temperature in the patient, or lactose intolerance. The tablets are taken orally or dissolved until completely dissolved under the tongue half an hour before meals. The dosage and therapeutic regimen are developed individually by the attending physician, taking into account the characteristics of the disease and interactions with other prescribed drugs.
In cases of primary infection in the form of bedsores and other long-term recurrent wound formations, the source of infection is treated Vishnevsky ointment. It is used in combination with other measures, destroying pathogenic microorganisms in the primary lesion and promoting its healing.
In the initial stage of acute nonspecific lymphadenitis, it is used Ichthyol ointment . It does not have a pronounced antiseptic effect, but powerfully resists inflammation, soothes and heals the wound surface. These are ancient, fairly safe and proven remedies, the use of which promotes the sanitation and healing of the primary source of infection, and, accordingly, the reduction of lymph nodes.
In a complex that strengthens the immune system and general state vitamin therapy is used in the body of measures. Prescriptions are made based on diagnostic findings and medications used in treatment regimens. Vitamins C, E, A, group B, vitamin-mineral complexes accelerate the process of eliminating the infection and the patient’s recovery.
In the treatment of enlarged lymph nodes in the groin, physiotherapeutic treatment is widely used: medicinal electro- and phonophoresis, galvanization, UHF and laser therapy. In the initial stages of catarrhal inflammation, physiotherapy can lead to recovery. However, the use of physiotherapeutic procedures is contraindicated until the exact origin of the enlarged lymph nodes is established.
If a primary purulent focus of infection is detected, then in almost all cases it is opened, sanitized and drained surgically.
At running forms diseases when drug therapy and physical procedures are not effective, surgical treatment is necessary. It consists of opening suppuration, sanitation and drainage of the wound. Necrotic changes in the lymph nodes may require removal of the node itself. However, this operation is performed in extreme cases, since the patient subsequently develops lymphostasis and elephantism of the lower body.
Traditional treatment
When lymph nodes are enlarged, folk remedies may well be successfully included in therapeutic regimens. However, they cannot be used independently, without a diagnostic examination and consultation with a doctor.
In the initial stages of serous lymphadenitis, it is advisable to use compresses, which should absolutely not be done during suppuration.
The following compositions can be used for compresses:
- The easiest way is to buy echinacea tincture at the pharmacy, dilute one part of the tincture in two parts warm water, moisten natural fabric or cotton pads in the solution, apply to the enlarged nodes, secure, wrap a woolen scarf on top, and leave overnight.
- Bake one large onion, peel and stir until smooth with a tablespoon of tar (pharmaceutical). Apply the mixture to a piece of natural fabric or a cotton pad, apply to the inflamed areas, secure and wrap a woolen scarf on top, leave overnight.
- Place a mixture of crushed dry herbs (a teaspoon each): yarrow, St. John's wort, walnut leaves and mistletoe on the bottom of the pan, add water (200 ml), boil and simmer over low heat for three to five minutes. Soak cotton pads or pieces of cotton cloth in the strained warm broth and apply, securing and wrapping them to the sore spots overnight.
Compresses are applied to the inflamed lymph nodes until they noticeably decrease.
- The same echinacea tincture - drink a solution of 25-40 drops in 100 ml of water twice or thrice a day. Contraindicated for use when autoimmune diseases. If a drug immunomodulator is present in the treatment regimen, be sure to consult a doctor.
- Make a mixture of dried and crushed hazel leaves and bark (1/4 cup each), pour ½ liter of boiling water into a thermos, leave for about an hour, stir, strain. Drink before each meal, shaking the infusion each time and measuring ¼ cup per meal. Take two to three weeks, then can be repeated at intervals of one week.
- Prepare the raw materials - crushed soft young pine shoots should fill a two-liter container by volume. Place them in a saucepan, add three liters of water, boil and, reducing the heat, cook for 90-120 minutes, covering with a lid. Then strain the resulting broth into another container, add a glass of sugar and cook for another two hours. Cool the finished broth and take one tablespoon after meals once or twice a day. The duration of treatment is one to one and a half months, after a two-week break it can be repeated.
To prepare herbal decoctions, you must use fireproof glass or white enamel containers. It is advisable to store decoctions after straining in a glass container.
To reduce the size of lymph nodes, herbal treatment is used. It is good to cleanse the lymph nodes with an infusion of St. John's wort: a tablespoon of the herb is poured into ½ liter of boiling water, the infusion is filtered after 20 minutes. They drink half a glass three times a day and eat food half an hour later.
An infusion of birch buds, prepared as follows in the same proportions and strained after cooling, is taken three times a day, a tablespoon for 4-5 days before meals, a third of an hour, then the dose is increased to ¼ cup and taken for another week or two. This drug is contraindicated in peptic ulcer stomach.
An infusion of rose hips is also prepared, which must be crushed before preparation. This infusion is taken three times a day before meals for 20 minutes. It is better to drink it through a straw, since rosehip negatively affects tooth enamel. You can rinse your mouth immediately after use.
Homeopathy
Homeopathic medicines can be included in treatment regimens as agents that increase the body's defenses. Moreover, they usually do not cause side effects and do not interact with medications.
For example, Anaferon, which is a combination of homeopathic dilutions of affinity-purified antibodies to human γ-interferon. Effective for viral and bacterial infections of the genitourinary organs, in case of immunodeficiency of various origins. Contraindicated in case of allergies to components, during pregnancy and lactation.
Sublingual intake, one tablet from three to six pieces during the day, after relief acute symptoms take one piece for eight or ten days.
Children's Anaferon is produced for children:
At the age of 6 months-3 years, one tablet is dissolved in clean water(15 ml) and give once a day. Take it for a week.
Lymphomyosot homeopathic preparation, contains 16 components. Strengthens lymphatic drainage, relieves intoxication and inflammation, reduces exudation, activating cellular and humoral immunity. Available in drops and solution for injection. Pregnant and lactating women take only as prescribed by a doctor. Contraindicated in case of hypersensitivity to ingredients. Use caution in case of thyroid pathologies. In rare cases, allergic skin reactions may occur.
Drops are dissolved in water (10 ml) and held in the mouth for absorption as long as possible, taken three times a day before meals, half an hour or an hour after. Patients 12 years of age and older receive 10 drops, infants - one or two, from one to three years - three, from three to six - five, from six to 12 - seven.
For cupping acute conditions a single dose is taken every quarter of an hour, however, no more than 10 times. Then they switch to the usual reception.
In case of increased thyroid function, take half the dosage corresponding to age, increasing it daily by one drop and bringing it to the age norm.
In severe cases, an injection solution is prescribed. A single dosage is one ampoule and is used from the age of six. Injections are given two or three times a week intramuscularly, sub- and intradermally, intravenously and at acupuncture points.
It is also possible oral administration solution from the ampoule, for this purpose its contents are diluted in ¼ glass of water and drunk throughout the day at regular intervals, retaining the liquid in the mouth.
Homeopathic pharmacies in big cities usually have complex preparations, used for lymphadenitis. They usually contain Aurum metallicum, Calcium fluoricum, Silicea, Bromum, Tuberculinum, and may contain other substances.
Calcium fluoricum (calcium fluoride) is used for very dense nodes, Barium jodatum (barium iodide) is also often prescribed for enlarged lymph nodes, as well as other drugs. At the same time, the homeopathic doctor will take into account many other symptoms and modalities in a particular patient. Therefore, if you want to be treated with homeopathy, you must consult a doctor of the appropriate profile.
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