Glands behind ears swollen pictures

Swollen glands are usually caused by a viral or bacterial infection like: a cold. tonsillitis. glandular fever. a throat infection. an ear infection. a dental abscess. cellulitis (a skin infection) The glands in the affected area will often become suddenly tender or painful.

A physical exam is done on your child. The provider will check the nodes in the neck, behind the ears, under the arms, and in the groin. These nodes can often be felt from outside the body when they are swollen. If the provider thinks your child may have an infection, your child may have more tests.fatigue. dry skin. swelling in the face. Symptoms may also depend on the size of the nodule. The thyroid gland sits in front of the throat, next to the windpipe and the food pipe. If a nodule ...Infections often cause a cheeselike smell. Bacteria, yeast, and fungi are most often to blame. This is because they like warm, moist places. Bacteria, yeast, and fungi can grow behind the ears due ...Swollen lymph nodes behind the ear and in the occipital region. Swollen lymph nodes in this area may correspond to disease around the scalp or conceivably an eye infection. The common cause of inflamed scalp lymph nodes is skin circumstances influencing the scalp, such as an abscess, soft tissue infection, or dandruff or seborrheic …Most salivary gland cancers occur in the parotid glands. Those account for about 80% of all salivary gland cancer diagnoses. The next most-frequent location is in the submandibular glands. The remainder usually occur in the minor salivary glands inside the mouth. The most common type of parotid gland cancer is called mucoepidermoid, followed by ...Mumps symptoms include fever, headache, and muscle aches. There is no treatment, but the MMR vaccine can prevent it. Get the facts about the vaccine. Mumps is an illness caused by ...

There are numerous possible causes of a lump behind the ear. Examples include acne, an infection, cysts, and swollen lymph …These include swollen lymph nodes, reactive salivary glands and dental matters. Lymph nodes: Horses have two major sets of lymph nodes located near the jaw: the submandibular lymph nodes, found between the mandibles (lower jawbones), and the retropharyngeal lymph nodes, situated near the throat. Lymph nodes are a part of the immune system and ...When your dog has an infection or virus of some sort in their system the body can detect this and will try to fight it off. The lymph nodes will react to the infection and can increase in size / become swollen as a result. When your dog's lymph nodes enlarge this is referred to as Lymphadenopathy. So if you suddenly notice a lump in any of ...The lining of the mouth contains many small saliva glands. In addition, there are three major glands on each side of the face, the parotid, submandibular and sublingual glands. What is the parotid gland? This is the largest of the three major glands. It lies partly in the front of the lower half of the ear and partly below the earlobe. LumpsLumps from swollen lymph nodes behind the ear are generally caused by ear infections, viral infections such as flu, colds and throat problems such as tonsillitis. Mono or mononucleosis is also another cause of small, pea sized knots behind ears, jawline and in neck. 3. Mastoid bone infection.Swollen Lymph Nodes. The most common presentation of this symptom is a small, round, painful or painless lump beneath the skin, located behind the ear.In this case, we are talking about an enlarged lymph node. Lymph nodes are the organs which belong to the lymphatic system, and are responsible for the defense from microorganism and harmful substances.The swollen glands (actually lymph nodes) may or may not be related to the ear pain. The only way to tell if you have an ear infection or other infection (throat) is to be examined by your doctor. You can take pain medication such as ibuprofen or acetaminophen (Tylenol) for the pain until you can be seen. Feel better! Dr Minich and another ...Lump Behind Ear. There are glands on the neck bellow the jaws and behind the ears called lymph nodes. They commonly swell when one is having a sore throat or a cold. If there is more serious infection, they tend to swell and become more firm and tender. Though most of the swollen glands or lumps under the skin is not cause for worry.

An infected lump or a lump caused by infections may be painful, sore or tender (painful when touched). A painful lump or bump behind ear may also be caused by physical injury or venom from insect stings or bites. Generally, acne, abscess, mastoiditis, ear infection and swollen lymph nodes form painful lumps.A swollen lymph node behind the ear may be a sign that there is an infection in the affected area. You may suffer from a bacterial, viral, or fungal infection in the ear, throat or eye. The infections that may …An outer ear infection comes with inflammation, tenderness, and ear pain. Symptoms can start within 48 hours. Your child may tell you they have ear pain or fidget with their ear. Along with ear pain, you may experience the following: Itching. Swelling and redness. Mild fever in rare cases.Colds, sore throats and ear infections all lead to swollen lymph nodes. We treat the infection, it goes away, and the lymph node shrinks. Location matters: The glands under your jawline are rarely ...Hey guys. I know that your lymph nodes swell when you are sick etc., but my daughter has had a little larger than a per size lymph node behind her right ear for a while now. I wanna say months... it's hard but rubbery and moves. Just had an ultrasound Friday and they said it's nothing to worry about at the hospital and I have a follow up with ...A lump behind the ear can have many potential causes, including acne, cysts, and infections. Swollen lymph nodes and certain cancers can also cause lumps. It is best to contact a doctor for advice ...

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This means it comes for your lymph nodes, killing off the lymph cells, which are a key part of fighting infections. “In addition, HIV can lead to swelling and inflammation of the lymph nodes ...Swollen nodes under the jaw are mostly due to an infection in the head and neck region. This may be: A dental infection affecting the mouth, tongue or gum. An ear infection. A throat infection. An infection of the upper respiratory tract. The lymph nodes may increase in size and be noticeable, turn red and become painful.My doctor asked if I had enlarged lymph nodes under my armpits or groin. I said no but he then said he could feel something and asked if I could stay for blood ... Nodes in the neck and behind the ears are most often affected during childhood illness because of the respiratory infections that commonly affect children during this time. You may see or feel swellings behind the ears and along the back of the neck or under the jaw. Lymph nodes are palpable, or able to be felt, and are typically less than 1/2 ... Lymphadenopathy means swelling of the lymph nodes or glands. These are the bean-shaped glands in the neck, armpits, groin, chest, and abdomen. These glands act as filters for lymphatic fluid. This fluid contains white blood cells (lymphocytes) that help the body fight infection. Lymphadenopathy can occur in just one area of the body, such as ... Lymph nodes that are swollen are the most common cause of lump behind the ear. It is quite common when there is an existence of infected wounds. The lymph nodes are located throughout the body and belong in the immune system. The lymph nodes function in warding off infection and removing cellular waste from the body.

Most of the time, mastoiditis symptoms develop days or weeks after you or your child develop a middle ear infection. Mastoiditis causes a throbbing pain that doesn't go away. Other symptoms include: The skin covering your or your child's mastoid may look red and swollen. It may hurt when someone touches the area behind your or your child ...Advertisement Basically, the sweat gland is a long, coiled, hollow tube of cells. The coiled part in the dermis is where sweat is produced, and the long portion is a duct that conn...Last updated on: 22 November 2023. Reading time: 5 mins. Author: EarPros Team. Many people may become worried when they notice swollen lymph nodes behind their ear. …Mastoiditis is most often caused by a middle ear infection ( acute otitis media ). The infection may spread from the ear to the mastoid bone. The bone has a honeycomb-like structure that fills with infected material and may break down. The condition is most common in children. Before antibiotics, mastoiditis was one of the leading causes of ...1. Lumps in the skin. There are three main noncancerous causes of lumps behind the ear. Acne. Lipomas. Skin cysts. Acne is a common cause of why you have lumps behind your ear. Acne occurs when your skin’s pores get blocked with sebum, an oily substance present at the base of your hair follicles. When the sebum mixes with …Tumors which commonly metastasize into the neck lymph nodes include oral, throat, and laryngeal cancers. Even certain medications can be responsible for swollen jaw lymph nodes. Also, goiter is an enlargement of the thyroid gland. Since the thyroid gland is situated in the neck, its swelling may be sometimes confused with enlargement of lymph ...Causes of swollen lymph nodes in cats swelling of temples closed head injury TEMPLES feel Swollen, sometimes i cant even touch them swollen area behind ear and down jaw line Chronic swollen glands problem Headache and pressure at temples TMJ lymphadenitous Left temple pain twitching of the temple Possible causes of swollen lip Constant Swollen ...Following are several potential causes. 1. A Sign of Infection. Lumps on both sides of the dog's neck in can be possibly caused by an infection. In dogs, an increase in size of the lymph nodes in this location are often triggered by a local infection.Jan 4, 2024 · Swollen ears can be red, painful on the outside or inside, and sometimes itchy. Ear swelling can be caused by ear piercing, trauma to the area (such as getting hit by a ball), an infection, and certain medical conditions. The location of the swelling can be: In the ear canal. On the earlobe. On the cartilage. Mar 8, 2020 · One major reason for the lump behind the ear is the lymph nodes. The lymph nodes behind the ear is called the posterior auricular lymph nodes. If your lymph nodes are swollen, it is likely due to an infection, illness, or injury. Swollen lymph nodes behind the ear may be a result of: Cold. The most common benign cause of swollen lymph nodes is ... Nov 19, 2018 · 4. Ear infection. Sore throats, swollen glands in the neck, and ear infections often go together. One reason is because a sore throat and congestion can cause or be associated with an ear ...

Swollen supraclavicular lymph nodes may occur as a reaction to infection or because of metastatic cancer. This type of swelling typically occurs just above a person’s collarbone. Lymph nodes are ...

What May Cause the Swollen Lymph Nodes Behind the Ear. There could be several reasons for swollen lymph nodes behind the ear. The most common causes of swollen lymph nodes are infections in or around the head, including: Tooth abscesses or gum infections; Otitis media; Bacterial infections in the throat or larynx; Fungal infections in the scalpThe lacrimal gland, a small organ in the human eye, is located above the eyeball towards the upper outer corner of the eye socket. This gland secretes the watery part of tears (lacrimal fluid) that cleanses, lubricates, and nourishes the eyes, often causing tearing when produced excessively. The gland is divided into the larger orbital lobe and ...Contact your doctor if you notice swollen lymph nodes that worsen or do not improve. Tell them if you have other symptoms like fatigue, fever, weight loss, or joint pain. 1. Swollen lymph nodes are a common side effect of lupus, especially during flares. Lymph nodes are a part of the immune system and found throughout the body.This can be due to general swelling around the surgical wound. This usually goes down within a couple of weeks. But it can also be a sign of lymphoedema, this ...When the lymph nodes behind the ears become swollen, it is a sign that an ear infection is present. Eye, throat and scalp infections may also cause the lymph nodes behind the ears to swell. Ear Infections. Ear infections are one of the usual causes of swollen lymph nodes, particularly the lymph nodes under the jaw. Examples of ear infections ...Signs of a salivary duct infection can also include: A bad taste in your mouth. Trouble opening your mouth all the way. Dry mouth. Fever. A feeling that your mouth is being squeezed, especially while chewing. Redness on the side of your face or neck. Swelling, especially in front of your ears and below your jaw.A typical local reaction to a bee or wasp sting produces the following symptoms: instant pain at the site of the sting that is sharp, burning, and usually lasts a few seconds. a swollen ...Swollen lymph nodes behind the ear can feel like small lumps that may cause discomfort or itching. It can be a result of many possible causes, including a cold, infection, or flu. Most cases of swollen lymph nodes …Lump Behind Ear. There are glands on the neck bellow the jaws and behind the ears called lymph nodes. They commonly swell when one is having a sore throat or a cold. If there is more serious infection, they tend to swell and become more firm and tender. Though most of the swollen glands or lumps under the skin is not cause for worry.Lymphoma is a cancer of the lymphatic system, which is part of the body's germ-fighting network. The lymphatic system includes the lymph nodes (lymph glands), spleen, thymus gland and bone marrow. Lymphoma can affect all those areas as well as other organs throughout the body. Many types of lymphoma exist.

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Hyperthyroidism causes very high metabolism with sudden and unexplained weight loss, rapid and irregular heartbeat, sweating, nervousness, and anxiety. Goiter, or swelling of the thyroid gland, may appear at the base of the neck. The eyeballs can protrude and become irritated, a condition called Graves' ophthalmopathy.Keep your mouth moist. Suck on hard or sour candy to get your saliva to flow. Massage the area of your swollen gland. This may help relieve swelling and pain. Apply heat on your swollen gland for 20 to 30 minutes every 2 hours for as many days as directed. Heat helps decrease pain and swelling.Most swollen glands or lumps under the skin aren't cause for concern. The glands ( lymph nodes) on either side of the neck, under the jaw, or behind the ears often swell when you have a cold or sore throat. More serious infections may cause the glands to get bigger and become very firm and tender. Glands can also swell and become tender after ...Neck injuries : Trauma or injuries to the neck can lead to swollen lymph nodes in this area. Wisdom teeth : Swollen lymph nodes behind the ear can sometimes be associated with wisdom teeth issues, especially if there is an infection or inflammation in the mouth and jaw area. 6. Infected ear piercing.Local bacterial infections, such as in the throat or nearby skin, may cause your occipital lymph nodes to swell. Impetigo of the scalp is one common bacterial infection that can cause this. It ...Published on April 27, 2016. Swollen lymph nodes behind the ear can be a result of many causes, some more serious than others. Found throughout the body, lymph nodes are …There are a few other potential causes of swollen lymph nodes in dogs that are not associated with an infection or cancer. These include but are not limited to: Autoimmune disease: In some cases, the body's immune system may mistakenly attack healthy tissue, resulting in swollen lymph nodes. Allergies: Dogs with severe allergies may have ...If they didn't then your lymph nodes aren't actually swollen. If you can move the node then it isn't cancer, so don't worry. If you can't it is most likely an infection, they don't run blood tests for 'every infection possible' that'd be foolish and a waste, not to mention insane. And please please please stop asking for antibiotics whenever ...Swollen glands, specifically behind the jaw and in front of the ears. Joint pain, swelling or stiffness. Prolonged dry skin. Skin rashes. Chronic dry cough. Vaginal dryness. Problems urinating, including pain, urinating more than usual, getting up at night often to urinate and needing to urinate suddenly. Numbness or tingling in your fingers ...The exact cause of itching in Hodgkin lymphoma is not known, but it is believed that some blood cells release chemicals near the nerves of the skin and irritate these nerves. People feel irritation in the form of itching. However, an itch does not necessarily mean that the cancer is in your skin. Non-specific skin symptoms or other skin ...Allergies, sinus infections, colds, and post-nasal drainage can all interfere with the Eustachian tube. Signs and symptoms of otitis media include fever, pain, difficulty hearing, sore throat ... ….

The lymph nodes behind the ear can also swell if the person has sores on the neck. In an autoimmune disease, the immune system is weakened, and this can also cause the nodes to swell. In addition, with some cancers, such as lymphoma or leukaemia, swollen lymph nodes behind the ear can be the first sign of the disease.Lymph nodes are small, rounded structures (glands) that are part of your immune system. They are fleshy and they filter the lymph, a fluid with a special type of white blood cell that helps the body fight infection. Lymph nodes are in clusters throughout the body, including: Behind your earlobes. On the sides of your neck.Otitis externa, or swimmer’s ear, is a condition that causes inflammation, irritation, or an infection of the ear canal. It can sometimes cause the lymph nodes around the ear to swell. Other ...Grass Glands or "Grass Mumps" are nicknames for the swelling of the Parotid Glands, which are the horse's largest Salivary Glands. The technical term for inflammation of the Parotid Salivary Glands is called Parotitis, or Parotiditis. The Parotid Glands are located just below the ears and along the jawline area of the throatlatch, going ...The exact cause of Bell's palsy is unknown, but viruses, stress, autoimmune conditions, and infections can trigger an onset. Symptoms of Bell's palsy include: Facial pain, numbness, and weakness on one side of the face. Pain around the jaw or behind the ear. Eye tearing and mouth drooling.4. Your Mask (or 'Muffs) Is to Blame. When you wear something around your ears, like glasses, face masks, ear muffs or a helmet, the straps or frames trap sebum, pollution and bacteria, Dr. Hollmig says. "When these have no place to escape, build-up can cause acne, an unpleasant smell and various other skin conditions, like dermatitis," he ...My left side has been swollen in a small hard but spongy lump for a few weeks, and now seems swollen but more evenly spread, not sure if that makes sense. It is definitely bigger on the left than the right. Does not hurt or anything. What are these glands for?A stone might irritate your throat and make you cough. White debris. You might be able to see a tonsil stone in the back of your throat as a lump of solid white material. Trouble swallowing ...Multiple ear infections can easily lead to lumps on your dogs' ears because they can cause damage to the ear tissues or glands. Infection can also cause your dog to suffer from inflammation, irritation, discharge, odor, or pain. Don't let your dog's ears become a breeding ground for bacteria, yeast, parasites, or foreign objects.There are several causes of swollen glands behind the ear. A lump behind the ear is caused by various issues, including … Glands behind ears swollen pictures, The symptoms of mastoiditis usually include: pain, soreness or tenderness behind the ear. redness behind the ear (this can be harder to see on brown or black skin) swelling behind the ear, which can cause it to stick out. discharge from the ear. a high temperature. tiredness and irritability., This nerve in the middle ear connects to the eardrum. Keloids are a type of fibrous scar tissue. They can form after an ear piercing or trauma to the outer ear. Osteomas and exostoses form on bones in the external ear canal (benign bone tumor). Sebaceous cysts contain skin cells and oil. They can develop in the ear canal, behind the ear or on ..., While swollen lymph nodes can be a sign of an underlying issue, not all cases are dangerous. Infections, such as a common cold, can cause temporary swelling that resolves on its own. However, if the swelling persists, worsens, or is accompanied by other concerning symptoms, medical attention should be sought to determine the underlying cause. 3., Ear lumps due to local infectious causes may appear as boils or abscesses. Infections elsewhere in the body can cause the lymph nodes behind and below the ears near the jawbone to enlarge and feel like lumps. Learn more about swollen lymph nodes. An ear lump and tenderness behind your ear, along with pain and swelling, could …, Symptoms. Symptoms of a sore throat can vary depending on the cause. Signs and symptoms might include: Pain or a scratchy sensation in the throat. Pain that worsens with swallowing or talking. Difficulty swallowing. Sore, swollen glands in your neck or jaw. Swollen, red tonsils. White patches or pus on your tonsils., Swelling behind the jaw near the ear usually indicates inflammation in the salivary glands or lymph nodes. This could be due to an infection, an autoimmune condition, or a blockage in the salivary ducts. How can one treat swollen glands located under the ear? Treatment for swollen glands under the ear depends on the cause., Apr 27, 2016 · Swollen lymph nodes behind the ear can be a result of many causes, some more serious than others. Skip to the content. FREE SHIPPING ON Orders OVER $59+ Call Us:1-866-531-0466 My Cart (0) , Lymphadenopathy is the enlargement (swelling) of a single lymph node, a group of lymph nodes, or all lymph nodes. Lymphadenopathy is not a primary disease; it is a symptom of an underlying condition, such as lymphoma, a tick-borne illness, or another infectious disease. This enlargement of lymph nodes can happen quickly or gradually., Dec 22, 2023 · Coliform bacteria. the mumps virus. HIV. coxsackievirus. parainfluenza types 1 and 2. the herpes virus. the influenza A virus. A salivary gland infection typically develops due to a reduced flow ... , Mastoiditis symptoms usually accompany ear infection symptoms. This includes ear pain, ear drainage, fever, hearing problems, and headache. Sometimes, swelling of the mastoid bone is visible behind the ear. It can progress to the point that the cleft or crease behind the ear disappears. This can cause the ear to stick out instead of lying flat., Swollen lymph nodes behind the ear can be a result of many causes, some more serious than others. Skip to the content. FREE SHIPPING ON Orders OVER $59+ Call Us:1-866-531-0466 My Cart (0), I always get Swollen glands behind my ears if I'm about to come down with something - most of the time it's my only symptom as my body is fighting it off. I really wouldn't worry or over think it. It would be very unlikely you have picked up toxoplasmosis. I've had cats all my life, always handled cat litter and never had a problem., Swelling behind the jaw near the ear usually indicates inflammation in the salivary glands or lymph nodes. This could be due to an infection, an autoimmune condition, or a blockage in the salivary ducts. How can one treat swollen glands located under the ear? Treatment for swollen glands under the ear depends on the cause., Most often, swollen lymph nodes in your neck are a sign of an upper respiratory infection (like a common cold) or an infection in nearby tissues. Viral infections are the most common cause of cervical lymphadenopathy in children. These issues are usually temporary and/or treatable. However, there are many other possible causes, and some are ..., I have 2 swollen lymph nodes behind my left ear that hurt a. 1.27.2021. Dr. P. Jyoti. Consultant MD. 12,818 Satisfied Customers. Lower leg from the knee down feels tight and swollen. tight. 5.29.2020. drbrush. Doctor. 2,612 Satisfied Customers. I'm worried my girlfriend has mastoiditis but is concerned., Got a suddenly swollen lymph node in my groin area. Initially thought it’s a rupture, but my general practitioner made a ultrasound and found it’s two lymph nodes. One 2cm, the other 1.5cm. Both in my left. I don’t think I‘ve got an infection, don’t see any signs. I thought it’s my recent run, because I found them swollen just after ..., Otitis externa, or swimmer's ear, is a condition that causes inflammation, irritation, or an infection of the ear canal. It can sometimes cause the lymph nodes around the ear to swell. Other ..., AIDS. 13 /13. The advanced stage of HIV infection is AIDS. You might have night sweats, long-lasting fever, and diarrhea that lasts more than a week. You could be tired all the time and have ..., This is a wonderful herbal remedy for swollen lymph nodes in neck, groin, chest, full body, throat, neck, armpit, behind ear, under jaw or in children. Ayurvedic physicians use it popularly for all types of cancers, lymphomas, tonsillitis and lymphatic gland obstructions and to shrink various non-lymphatic growths like tumors and cysts of any ..., 11 /12. You can get a bacterial infection called cat-scratch disease if one scratches you, bites you, or licks an open wound on your skin. It takes about 2 weeks for symptoms to show up. You'll ..., Swollen lymph nodes behind the ear can feel like small lumps that may cause discomfort or itching. It can be a result of many possible causes, including a cold, infection, or flu. …, The symptoms accompanying swollen lymph nodes behind the ear and in the neck can differ based on the underlying cause and may be short-lived or persistent. They can manifest as: Noticeable swelling. Tenderness and discomfort when touched, pain located behind the ear. Skin that is warm and appears red., making hot tea with honey, or honey and hot water, which can help to soothe a sore throat. chewing on ice chips, which may help reduce swelling. drinking tea made with basil leaves, which can help ..., · Typically about .5-1 cm long, swollen lymph nodes can swell up to the size of a golf ball—or larger in extreme cases. Severely swollen lymph nodes can be seen protruding from under the skin and can even cause redness or bruised-like discolorations on the skin. Swollen lymph nodes can also be found behind the ear, under the ear, or in front of ..., The cancerous lump may be any of the following: A cancer of a nearby structure, such as the mouth or throat, that has grown into the neck. A cancerous lymph node, which may occur when a cancer spreads (metastasizes) from a nearby structure or from more distant parts of the body. A cancer that begins in the lymphatic system ( lymphoma., Man with headache, weakness, fever, swollen lymph nodes, skin rash. editable image. Vector illustration, flat. lymphatic system concept. Lymph nodes and ducts in female silhouette. Lymphatic vessels, tonsil, thymus, spleen in woman body. Medical anatomical poster for clinic, education. Flat vector illustration., Common signs of relapsing polychondritis include: A dip in the bridge of your nose ("saddle nose" or "pug nose") Ear pain and redness. Red, painful, and swollen eyes. Painful, swollen joints ..., Lymph nodes that are swollen are the most common cause of lump behind the ear. It is quite common when there is an existence of infected wounds. The lymph nodes are located throughout the body and belong in the immune system. The lymph nodes function in warding off infection and removing cellular waste from the body., Pictures of Cyst Behind Ear. Cyst behind ear Picture - Big hard lump behind ear lobe. Picture - cyst behind ear filled with pus. Picture - small painful sebaceous cyst behind ear. ... Swollen lymph nodes. The treatment for this cause depends on what is causing your swollen lymph nodes. You will need to see your physician to find out the ..., You might think that Clubhouse is the final word on audio-centric social networks, but a San Francisco startup called Swell is launching its own iOS and Android app focused on voic..., Swollen lymph nodes can cause pain in arms but not in legs. Yes, swollen tender glands in the upper neck can cause a pain in the ear. While you wait for your appointment drink plenty of fluids, rest when you are tired and try and regain your energy. Deep breathing exercises too will help calm your nerves., Rash Behind Ear Picture. You are said to have a skin rash when one or more parts of the skin becomes swollen or itchy (irritated). A rash behind ear can include a bump, sores, scaly or colored skin patches or a burning sensation behind ear. There are a variety of medically condition that can result in skin rash. ... Swollen lymph node behind ..., The main symptom of lymph node swelling is a palpable lump in your baby's neck, behind the ears, under the jaw, or even in the groin region. Symptoms can be associated with the cause of swelling such as an infection or inflammation. These include: Sometimes, however, these lymph nodes can continue to swell, which might be due to an infection ...