Hearing health

Swollen lymph nodes behind the ear: causes and natural remedies

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Reading time: 3 mins

Author: EarPros team

Found throughout the human body, lymph nodes are small, bean-shaped organs. Generally about 1 cm in size, these glands play a crucial part in our immune system, working hand in hand with the lymphatic system to ward off harmful pathogens. One of the main functions of the lymph nodes is to filter the lymph, a task facilitated by the presence of white blood cells which help in fighting diseases.

Lymph nodes are easily detected behind the ear, thanks to their location on the temporal bone and under the posterior auricular muscle. If you suspect they are swollen, a simple touch behind the ear with your fingers will confirm your suspicion.

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Detecting enlarged lymph nodes by yourself

Ordinarily, lymph nodes in a healthy person are not easy to feel. However, when enlarged, these nodes can be felt as perceptible bumps under the skin, potentially causing slight discomfort or ear pain. Should you discover such a bump, it's possible that an infection exists in the affected area. This is due to the important role lymph nodes play in combating infectious organisms, in which case the area may also feel warm to touch and appear red.

What are normal size lymph nodes?

If the lymph nodes behind the ear swell beyond 2 centimeters, reaching up to 3 centimeters in diameter (beyond 1 centimeter it is referred to as reactive lymph nodes), it is cause for concern. When there's no sign of infection but the swelling persists over three weeks, seeking medical advice is strongly recommended.

Why neck and ear lymph nodes hurt and swell

An infection can cause lymph nodes behind the ears and in the neck to hurt and swell. Various types of bacterial, viral, or fungal, infections in the ear, throat, or eye could be the culprit. Infections potentially affecting these nodes include:

Bacterial infection of the pharynx, tonsils, or larynx
Inflammation of the gums, tooth abscess
Ear infection, i.e., otitis media
Fungal infections causing scalp itching or hair loss
AIDS and HIV
Mononucleosis
Rheumatoid arthritis

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Pea-size lymph nodes in the neck: symptoms

Depending on the cause, symptoms associated with swollen lymph nodes behind the ear and the neck can vary and may be temporary or chronic in nature. These could include:

Swelling
Pain behind the ear on palpation
Red, overheated skin

Additionally, there might be symptoms occurring in the mouth or throat such as cough, sore throat, jaw pain, or toothache. Other observed symptoms might be fever, fatigue, and ear pain.

Swelling of a lymph node behind only one ear

Lymph node swelling can localize to one side of the body, signaling an infection or allergic response on that side.

Malignant lymph node characteristics

While most swollen lymph nodes are benign, determining malignancy requires a biopsy and pathology examination by a medical expert. The following signs might indicate a malignant lymph node:

The lymph nodes are larger than one centimeter.
Swollen lymph nodes have persisted for more than three weeks.
Glands feel hard to touch, sudden swelling, with or without pain.
Skin in the area is red, itchy, or overheated.
Unexplained weight loss.
Persistent fever, fatigue, and night sweats
Shortness of breath

Observing any of these signs warrants immediate medical attention.

Addressing abnormal swollen lymph nodes behind ear

Most cases of swollen lymph nodes resolve independently within a few days or weeks without complications. However, when treatment is required, a physician will first ascertain the cause of the swollen node.

Typically, medical treatment for an acute infection includes anti-inflammatory drugs such as NSAIDs, warm compresses, and rest, with antibiotics employed where necessary. For swollen lymph nodes resulting from inflammation or autoimmune disorders, drugs like NSAIDs, cortisone, or other types of immunomodulators can be prescribed. In the case of lymph node abscesses, surgical drainage may be needed.

How long do neck and ear lymph nodes stay swollen?

Under normal conditions, a swollen lymph node should reduce in size within two to three weeks. Therefore, if swelling persists for longer, medical consultation is vital, regardless of the nodes' sensitivity to pressure or pain.

Enlarged lymph nodes behind babies’ ears

While infants can also experience swollen lymph nodes, typically, they are of infectious origin and self-resolving within a few weeks. These could be caused by bacteria (staphylococcus aureus, streptococcus pyogenes or cat or dog scratch disease) or viruses (cytomegalovirus, herpes simplex, hepatitis B).

A pediatrician should be consulted if:

Lymph nodes are larger than two centimeters
Increase in size for more than two weeks
Do not to resolve entirely after 2-3 months
The child demonstrates symptoms like fever, weight loss, or night sweats

Behind the ear lymph nodes FAQs

Can covid-19 cause swollen lymph nodes behind ears

Indeed, swollen lymph nodes behind the ear or in the neck can be a symptom of Covid-19, as well as ringing in ears. This happens when the virus leads to upper respiratory tract infections, prompting the initial response from the lymph nodes in the neck and in front of the ear. Generally, this type of lymph node swelling poses no danger and resolves independently. However, infections or other complications can occur in rare instances.

Natural treatment for neck lymph node swelling?

Swollen lymph nodes in the neck can be a sign of the body fighting off an infection or an underlying medical condition. While it's essential to consult a healthcare professional for persistent or severe swelling, there are natural remedies that can help alleviate the discomfort:

Warm compresses can be applied to the affected area to reduce swelling and provide relief from pain.
Drinking plenty of water aids in flushing out toxins and supports the immune system.
Herbal teas, especially those with echinacea or ginger, can have anti-inflammatory properties that may assist in reducing lymph node swelling.
Regular gentle massages around the neck area can promote lymphatic drainage, helping to decrease the swelling.

However, it's vital to approach these remedies with caution and always seek medical advice if symptoms persist or worsen.

How long can lymph nodes stay swollen in adults?

In adults, lymph nodes can become swollen for a variety of reasons, from minor infections to more serious medical conditions. Typically, if the swelling is due to a common infection like the cold or flu, the lymph nodes may remain swollen for up to a week or two. Once the body successfully fights off the infection, the swelling usually subsides. However, in cases of more persistent infections or other medical conditions, such as mononucleosis, HIV, or certain types of cancer, the lymph nodes can stay swollen for a more extended period, sometimes several months or more. It's crucial for adults to monitor the swelling and any accompanying symptoms. If lymph nodes remain swollen for more than two to four weeks, or if the swelling is accompanied by other unexplained symptoms like fever, night sweats, or weight loss, it is essential to seek medical advice promptly.

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