To start treatment of the enlargement of the supraclavicular lymph nodes before the exact diagnosis is considered not only impractical, but also dangerous. Thus, one can only exacerbate the situation by distorting the results of diagnostic studies and allowing the pathology that caused the enlargement of the lymph nodes to develop further, passing to more severe stages.
For example, with the inflammatory nature of the pathology, the use of anti-inflammatory drugs from the group of NSAIDs (Nimesil, Nimid, Ibuprofen, Ketorolac, etc.) or glucocorticosteroids of SCS (Prednisolone, Hydrocortisone, Dexamethasone and others .). Both types of drugs relieve swelling and pain, reduce the intensity of the inflammatory process. They can be used in the form of tablets, injections or ointments.
However, the use of anti-inflammatory drugs, especially SCS, in malignant neoplasms can play a cruel joke, disguising the symptoms of the disease and thus postponing their treatment for a while, allowing cancer to take new positions through metastasis.
If the increase in supraclavicular lymph nodes is associated with pulmonary tuberculosis, then taking steroids can only exacerbate the situation, worsening the patient's condition.
If a bacterial infection becomes the culprit of inflammation of the lymph node, a course of antibiotic therapy is prescribed . Antibacterial drugs are selected taking into account the causative agent of infection, giving preference still to broad-spectrum antibiotics.
With staphylococcal and streptococcal infection, it is customary to prescribe antibiotics of the penicillin series (Flemoxin, Augmentin, etc.) in a weekly course. However, with these and other types of infectious agent, as well as with mixed infections, doctors often prefer nevertheless to antibiotics-cephalosporins, which have a wide spectrum of antibacterial action ("Ceftriaxone", "Suprax", "Ciprofloxacin", etc.).
In some cases, preference is given to macrolides ("Clarithromycin", "Azithromycin", etc.), the course of which is less than 3-5 days, lincosamides ("Lincomycin"), quinolones (Norfloxacin) or tetracycline antibiotics (Doxycycline ).
The increase of supraclavicular lymph nodes, which was the culprit of a viral infection, does not require special treatment. However, drugs with immunomodulatory action, which are called antiviral agents (Arbidol, Novirin, Amiksin IC, Isopronein, etc.) and vitamins can help the body to cope with infection more quickly .
Widespread popularity in the treatment of enlarged lymph nodes of different localization use external agents with anti-inflammatory and analgesic effect. It can be as non-steroidal ointments (Diclofenac, Ketoprofen, etc.), as well as agents that have antibacterial action or improve blood circulation (ointments "Heparinic", "Ichthyol", Vishnevsky liniment).
In addition to medication, in most cases, prescribe a physiotherapy treatment, which is aimed at improving lymph flow and optimizing blood supply. Among the methods of physical therapy is:
- Influence on the inflamed lymph node with an electromagnetic field of high frequency (UHF therapy).
- Medicinal compresses to the affected area. As an auxiliary component that facilitates the penetration of drugs into the tissues, "Dimeskid" is used.
- Electrophoresis with drugs from the groups of glucocorticosteroids (ointments and suspensions) and antibiotics.
- Galvanization (the effect of a direct current of low voltage).
- Laser therapy (exposure to a concentrated beam of light).
Methods of physiotherapy are effective in most pathologies that have caused the increase in lymph nodes. However, they are contraindicated in tuberculosis and suspected malignant processes. Physiotherapy is also not carried out in case of intoxication of the body or if the patient has a fever.
If the cause of enlarged lymph nodes is found in oncology or in the inflamed lymph node, the purulent process begins, the treatment tactics will be different. In the case of malignant tumors, chemotherapy and radiotherapy are prescribed. If these methods do not lead to a decrease in the size of the lymph node, surgical treatment is performed (excision of the tumor on the organs or removal of the metastasized lymph node itself).
Purulent lymphadenitis requires surgical intervention immediately after its detection. During the operation, inflamed lymph nodes open and clean out pus and necrotic tissues in them, after which they prescribe a course of antibiotic and anti-inflammatory therapy.
Effective drugs with increasing lymph nodes
As already mentioned, drug therapy makes sense if the increase in supraclavicular lymph nodes is inflammatory, and not associated with cancer problems. In this case, usually prescribed topical anti-inflammatory therapy.
Good reviews in this regard about a drug from the NSAID called "Nimesil", which is made in the form of powder for the preparation of a suspension that is taken orally.
Method of application and dosage. The drug is recommended to take after eating, dissolving the contents of the package in half a glass of water. The recommended daily dose is 1-2 packets, which take 1 sachet per 1 reception. Duration of the drug is prescribed by the doctor, but not more than 15 days.
The drug is not prescribed for therapy of patients younger than 12 years, in the 3rd semester of pregnancy and breastfeeding. Contraindicated taking the drug and people who suffer from alcohol or drug dependence, patients with increased body temperature.
Among the pathologies in which NSAIDs are not recommended, it is worth highlighting: gastrointestinal and other bleeding (even if they occurred earlier under the action of NSAIDs), acute stages of gastrointestinal ulceration, severe blood clotting pathologies, acute and chronic heart failure in the stage of decompensation, disorders liver and kidney function, hypersensitivity to the drug and other NSAIDs.
Among the frequently occurring side effects of the drug can be identified: loosening of the stool, nausea and vomiting, increasing the level of hepatic enzymes, allergic reactions (rashes and itching), hyperhidrosis.
"Prednisolone" - SCS, also often used in the increase of lymph nodes, including supraclavicular. The preparation is produced in the form of tablets, drops, ointment, solution and powder for its preparation.
The drug has many indications for use, but contraindications can be noted only increased sensitivity to the drug and systemic fungal infections.
Take the drug in the form of tablets once a day in the morning. The recommended dosage is set by the doctor individually in each specific case and ranges from 5 to 60 mg per day (max. 200 mg).
The pediatric dose is calculated as 0.14 mg per 1 kg of the patient's weight with a reception rate of 3 or 4 times a day.
Side effects of the drug can develop either against the background of increased sensitivity to NSAIDs, or on the background of long-term use of the drug.
When bacterial infection resort to antibiotic therapy, in which preference is given to cephalosporins.
"Ceftriaxone" is a bright representative of cephalosporins, effective against most pathogenic microorganisms. It is made in the form of powder for injection and is designed to treat patients of any age, including newborns.
Dosage for patients over 12 years is 1-2 grams (maximum 4 g). Injections in most cases are done intramuscularly every 24 hours.
The infant dose is calculated according to the age of the patient. For babies up to 2 weeks of age, it is from 20 to 50 mg per 1 kg of weight, for older children - from 20 to 80 mg per kilogram of body weight 1 time per day.
It is undesirable to use the drug in the first trimester of pregnancy and in newborns with hyperbilirubinemia. Among other contraindications can be identified: inadequate liver and kidney function, pathology of the gastrointestinal tract (ulcerative colitis, enteritis, etc.), increased sensitivity to the drug.
Side effects that occur more often are: diarrhea, nausea in combination with vomiting, stomatitis, various changes in the blood composition, allergic manifestations in the form of rash, itching on the skin, swelling. Sometimes there is swelling and pain at the injection site. Occasionally, patients complain of headache and dizziness, fungal infections of the genitals, fever and chills in the background of normal body temperature.
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The use of alternative treatment in the case of an increase in supraclavicular lymph nodes is justified only as an auxiliary method and means for basic therapy. With the help of our grandparents' recipes, a small inflammation in the lymph nodes can be removed, but not a serious purulent process or a cancerous tumor. In addition, to combat the cause of enlarged lymph nodes may require completely different means and alternative recipes.
Here are the recipes that help with lymphadenitis, as a mild form of inflammatory process in the lymph nodes:
- Bulb-tar compress. 1 tbsp. L. Chemist's tar should be mixed with the mash 1 medium onion and applied to the affected area, covered with a thin natural tissue.
- For a medical compress, you can use a pharmacy or home-made alcohol tincture of echinacea. One part of the tincture is bred in 2 parts of warm water, moistened with a tissue napkin and adjusted to a sick lymph node at night.
- For ingestion suitable fine natural antibacterial agent based on garlic. To make it, a large head of garlic is ground and poured with warm water in an amount of 0.5 liters. Insist 3 days, periodically mixing the composition. Take 1 tsp. Morning, afternoon and evening outside eating.
- Helps with lymphadenitis and drinking of beet juice. Freshly prepared juice of one salad beet is insisted in the refrigerator for a quarter of a day. Take it on an empty stomach in the morning for half a glass of juice (or 1 glass of 50 to 50 beet juice and carrot).
Good results with inflammation of the lymph nodes show and treatment with herbs. Powder from the root of a dandelion (1 tsp 3 times a day), decoction from young shoots of pine (1 tablespoon 2 times a day), infusion of bark and leaves of hazel (50 ml 4 times a day) - effective means for internal reception. And for the compresses, the herb of St. John's wort, walnut leaves, celandine tincture, nettle, norichnik and other herbs will suit well.
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With the increase of supraclavicular lymph nodes and other pathologies of the lymphatic system, the drug of choice in homeopathy is "Lymphomyosot". It is presented in the form of multicomponent homeopathic drops, which must be taken, dissolving in water (half a glass), three times a day. A single dose of the drug - from 15 to 20 drops.
Contraindications to the use of the drug are the periods of pregnancy and breastfeeding, as well as hypersensitivity to at least one of the components of a multicomponent drug. Do not apply drops and to treat patients younger than 18 years.
They found their use in the treatment of lymphadenopathy and immunostimulating homeopathic remedies, such as "Ergoferon" (from 6 months of age) and "Engistol" (from 3 years). Their use is especially important in the viral etiology of diseases of the lymphatic system.
"Ergoferon" take 4 tablets during the first 2 hours, then 3 more tablets at regular intervals until the end of the day. Then the reception is carried out according to the scheme: 1 tablet 3 times a day.
"Engistol" for 2 or 3 weeks are taken under the scheme: 1 tablet 3 times a day.
Homeopathic tablets should not be chewed, they need to be kept in the mouth until they completely dissolve. It is recommended to take them outside the food intake in the absence of hypersensitivity to the components, requiring reconsideration of the appointment.