Swollen lymph nodes behind the ear

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What you have to know about swollen lymph nodes

Swollen lymph nodes behind the ear indicate an infection. They can be felt with the fingers and are painless in most cases. The lymph nodes swell as soon as a bacterial, viral or fungal infection occurs. Then they produce additional antibodies to find the infectious agents.

Types of lymph nodes

Where are the lymph nodes behind the ear located?

In the human body there are between 600 and 700 lymph nodes, located for example in the armpit and groin, near the internal organs and also on the neck and behind the ears. Here the lymph nodes are located on the temporal bone and under the posterior muscle of the ear. If they swell, you can feel them behind the auricle with your fingers. 

Lymph node under the ear, next to the jaw bone

A lymph node located beneath the ear, next to the jawbone, may indicate an underlying infection or inflammation in the surrounding area. This lymph node plays a vital role in the body’s defence against infections and can become enlarged in response to various health conditions, such as colds, ear infections, or dental issues. If you notice tenderness or pain in this area, it’s important to be vigilant for additional symptoms, such as fever or discomfort when chewing.

To alleviate pain and reduce inflammation in a swollen lymph node in this region, applying a warm compress can be beneficial. Additionally, staying well-hydrated and ensuring adequate rest will support your immune system. If the lymph node continues to swell or worsens, it is advisable to consult a healthcare professional for an accurate diagnosis and appropriate treatment.

Lymph nodes swelling up behind the ear

Lymph nodes behind the ear may swell when an individual is experiencing a bacterial, viral, or fungal infection in the ear, throat, or eye. An allergic reaction can also lead to swelling. Infections that specifically affect the lymph nodes behind the ear include:

  • Fungal infections in or around the head, which can cause scalp itching or hair loss.
  • Bacterial infections, such as tonsillitis or sores in the mouth or gums, necessitating the removal of bacteria by antibodies.
  • Pfeiffer's glandular fever, which can cause prolonged enlargement of the lymph nodes behind the ear.

Additionally, lymph nodes in this region may swell due to sores on the neck. Autoimmune diseases can weaken the immune system, potentially resulting in swollen lymph nodes. Furthermore, certain cancers, such as lymphoma or leukaemia, can manifest as swollen lymph nodes behind the ear, serving as an early warning sign of the disease.

What causes enlarged and swollen lymph nodes?

Swollen lymph nodes behind the right or left ear can be due to several causes , including:

Infections

Infections are the most common cause of swollen lymph nodes. Localised infections in the ear, such as otitis externa or otitis media, can result in the swelling of the retroauricular lymph nodes. These infections prompt the lymphatic system to respond, leading to increased lymph node activity and enlargement as the body fights off the infection.

Dental infections

Dental problems, especially infections of the upper jaw, can also lead to the enlargement of the retroauricular lymph nodes. Such infections trigger a response from the lymphatic system, causing these nodes to swell as they work to combat the infection.

Viral diseases

Viral infections, such as mononucleosis, measles, chickenpox, and flu, can cause the enlargement of lymph nodes. These viruses trigger an immune response, resulting in swollen lymph nodes as the body fights off the infection.

Autoimmune diseases

Conditions like sarcoidosis and systemic lupus erythematosus can provoke inflammation in the lymph nodes. These autoimmune disorders lead to an immune response that may result in swollen lymph nodes as the body reacts to perceived threats.

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Symptoms of swollen lymph nodes

The symptoms associated with swollen lymph nodes in the ear can vary in severity and depend on the underlying cause. When the immune system is activated to fight a bacterial or viral infection, the lymph nodes may enlarge. The skin in the affected area may appear red and feel warm to the touch, and individuals might experience pain behind the ear. Other potential symptoms include fever, fatigue, a sore throat, and difficulty swallowing. 

Swollen lymph nodes and earaches

An ear infection can cause the lymph nodes located in front of or behind the ears to swell. Alongside this, you may experience ear pain and a fever. Ear infections frequently occur when fluid builds up in the ears, which can result from allergies, sinus infections, or a cold. Prompt treatment of ear infections is essential to alleviate symptoms and prevent complications, including further swelling of the lymph nodes.

Painful lymph node under the ear

A painful lymph node located beneath the ear may indicate an infection or inflammation in the surrounding areas, such as the ear or jaw. The swollen lymph node may be sensitive to touch and could be accompanied by additional symptoms, including fever, headache, or discomfort when swallowing. It's crucial to monitor these signs to determine the underlying cause. Generally, a painful lymph node beneath the ear will improve with appropriate treatment for the infection. However, if the pain persists or worsens, it’s essential to consult a healthcare professional for an accurate diagnosis and proper care. Neglecting a swollen and painful lymph node can lead to complications, making it vital to seek prompt medical attention.

Connections between ear, tooth, and lymph node pain

Pain in the ear, teeth, and lymph nodes can be associated with a variety of medical conditions. For example, ear infections can cause intense discomfort that radiates to the teeth and lymph nodes in the neck.

Similarly, dental infections—particularly abscesses—may lead to inflammation and pain in the lymph nodes near the ear. Additionally, upper respiratory infections, such as sinusitis, can result in widespread pain affecting the ear, teeth, and lymph nodes. In all cases, it is essential to consult a healthcare professional to identify the underlying cause and receive appropriate treatment. Prompt medical attention can help prevent complications and alleviate discomfort.

Swollen lymph nodes after COVID-19 vaccine

It is common for lymph nodes to become enlarged after receiving the Covid-19 vaccine, as this is a normal immune response to vaccination. Swelling may occur on the side where the vaccine was administered, particularly affecting the axillary lymph nodes. However, there have been no reported cases of enlarged lymph nodes in the ear following vaccination.

This temporary swelling is generally a sign that the body is building protection against the virus and should resolve within a few days. If swelling persists or is accompanied by other concerning symptoms, it is advisable to consult a healthcare professional.

Parotid and lymph gland cancer

Swollen lymph nodes can indicate serious health conditions, including parotid gland cancer and lymphoma. A common sign of lymph node cancer is the presence of painless swollen lymph nodes, which are often accompanied by symptoms such as fever, weight loss, and night sweats. Although lymphoma can develop at any age, it tends to affect men slightly more frequently than women. Treatment options vary depending on the type and stage of the lymphoma.

Parotid gland cancer, also known as parotid carcinoma, is typically diagnosed at a later stage since the tumour may not become noticeable until it has significantly enlarged. However, swollen lymph nodes can serve as an initial indicator. The tumour is usually felt as a hard, non-displaced lump in front of or beneath the ear and may be painful. Parotid cancer is considerably more common in men than in women, but it remains an extremely rare form of cancer overall. If you notice persistent swollen lymph nodes or related symptoms, it is crucial to seek medical advice for a thorough evaluation and appropriate treatment.

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Frequently asked questions about swollen lymph nodes behind ear

When are the lymph nodes too big?

Lymph nodes can enlarge up to two centimetres when actively fighting off infections. However, if the swelling remains for more than three weeks without any clear signs of infection, it is advisable to consult a doctor to investigate the cause of the persistent enlargement.

Can I feel swollen lymph nodes by myself?

A swollen or enlarged lymph node can be felt as a lump beneath the skin. During a cold or other infection, you may notice swelling on the side of your neck or behind your ears. These are the lymph nodes actively working to fight off the infection. In a healthy individual, lymph nodes are typically not noticeable.

How long does it take for lymph nodes to swell?

Lymph nodes typically return to their normal size within three weeks. However, if the swelling persists beyond two to three weeks, it is advisable to consult your GP, even if the nodes are not painful or tender. The doctor will assess the lymph nodes, investigate potential causes for the swelling, and, if necessary, begin treatment without delay.

Can lymph nodes swell on one side only?

Yes, lymph nodes can swell on just one side. If you notice a small lump behind the ear, it is often a sign of an enlarged lymph node, usually indicating an infection or allergic reaction. If the swelling does not subside on its own within three weeks, it’s important to see a doctor for a thorough examination to identify the underlying cause.

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Therapy for swollen lymph nodes

Since swollen lymph nodes are not a disease themselves, but only a symptom of a disease, they are not treated directly. The treatment is aimed at fighting the disease that has caused the activity of the immune system and thus the swelling of the lymph node. This could be for example an infection in the mouth or throat, which the doctor treats with antibiotics.

Homeopathy

For swollen lymph nodes, the following homeopathic remedies are often recommended by an alternative practitioner:

Kalium chloratum
Echinacea
Iodum
Cistus canadensis
Home remedies
The following home remedies are recommended for treating lymph node swelling: 

Warm or cold compresses applied to the swelling for about 10 minutes. Cold compresses are mainly said to relieve pain and warm compresses are said to promote blood flow to the lymph nodes. 
Add honey to the tea; this is said to have an anti-inflammatory effect on infections in the throat and mouth area and thus promote the swelling of the nodes.
Castor oil has an anti-inflammatory effect and activates the immune system. The filtering capacity of the lymph nodes is thus improved and they decongest more quickly. For this purpose, the oil is massaged onto the swelling several times a day. 
Apple cider vinegar is said to have an antibacterial effect. For this, a poultice is dipped in apple cider vinegar and water and applied to the swelling. This should be repeated two to three times a day.
Salt dissolved in water is said to have a healing effect on infections in the throat and neck area. For this, the water-salt solution must be gargled several times a day. 

Acupuncture

For swollen lymph nodes, Traditional Chinese Medicine (TCM) can also help support the immune system through acupuncture. Acupuncture therapy can usually successfully treat the immune deficiency and some inflammations. Fine needles are inserted into the surface of the body along the meridians to release the dysfunctions.

Swollen lymph nodes behind the ear in babies

Swollen lymph nodes can also occur in babies, but this is usually harmless. It shows that the baby has an intact immune system which, especially in the first years of life, often fights against still unknown pathogens and viruses. An appointment with the paediatrician is only necessary if the swelling persists for more than two to three weeks or the child suffers from fever, loss of appetite, tiredness or weight loss. 

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