Treatments and drugs
By Mayo Clinic staffSwollen lymph nodes caused by a virus may return to normal after the viral infection resolves. Antibiotics are not useful to treat viral infections. Treatment for swollen lymph nodes from other causes depends on the cause:
- Infection. The most common treatment for swollen lymph nodes caused by a bacterial infection is antibiotics. Over-the-counter pain relievers and fever reducers include aspirin, ibuprofen (Advil, Motrin, others) and acetaminophen (Tylenol, others). Aspirin and ibuprofen also have anti-inflammatory properties, which may help reduce some of the swelling. Don't give your child aspirin without consulting your doctor because of its link to Reye's syndrome. Reye's syndrome is a rare, but serious illness that can affect children and teenagers recovering from a viral infection. If your swollen lymph nodes are due to an HIV infection, you'll receive treatment for that condition.
- Immune disorder. If your swollen lymph glands are a result of conditions such as lupus or rheumatoid arthritis, treatment is directed at the underlying condition.
- Cancer. Swollen glands caused by cancer require treatment for the cancer. Depending on the type of cancer, treatment may involve surgery, radiation or chemotherapy.
References
- Armitage JO. Approach to the patient with lymphadenopathy and splenomegaly. In: Goldman L, et al. Cecil Medicine. 23rd ed. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/224582198-6/0/1492/0.html. Accessed Oct. 29, 2010.
- Fletcher RH. Evaluation of peripheral lymphadenopathy in adults. http://www.uptodate.com/home/index.html. Accessed Dec. 6, 2010.
- Henry PH, et al. Enlargement of lymph nodes and spleen. In: Fauci AS, et al. Harrison's Principles of Internal Medicine. 17th ed. New York, N.Y.: McGraw Hill Medical; 2008. http://www.accessmedicine.com/content.aspx?aID=2875326. Accessed Dec. 6, 2010.
- Lymphadenitis. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merckmanuals.com/professional/sec10/ch119/ch119j.html#sec10-ch119-ch119j-691. Accessed Dec. 5, 2010.
- Mohler ER, et al. Lymphedema: Etiology, clinical manifestations, and diagnosis. http://www.uptodate.com/home/index.html. Accessed Dec. 6, 2010.
- Rosenberg TL, et al. Evaluating the adult patient with a neck mass. Medical Clinics of North America. 2010;94:1017.
- Anderson CF (expert opinion). Mayo Clinic, Rochester, Minn. Dec. 7, 2010.

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