Swollen lymph nodes in neck (tacran)

    • Gold Top Dog

    Swollen lymph nodes in neck (tacran)

    I was going to post something about this last night, but it was quite late and I figured no one would see it.  This morning, things seem okay, but I'm still a little worried.

    When Ruby was curled up in her usual spot next to DH on the loveseat last night, he was petting her and noticed a big lump in her neck, right behind her jawbone, below her ear.  You could see it very clearly, even without touching her.  I checked the other side of her neck, and sure enough it was there, too, so we assumed swollen lymph nodes.  We looked for swelling in her "armpits" and groin, but didn't spot anything (granted, we may not have looked in the right places).  We're both 99% sure we didn't notice them earlier in the day (she gets lots of neck and ear rubs!).  She seemed okay otherwise (at that time of night, she's in her quiet/cozy mode). 

    She has a horrible habit of eating things in the yard -- a dirt clump or a chunk of bark, or the dried bamboo leaves that fall onto the patio.  Sometimes she'll eat foliage right off a plant.  She'll be doing zoomies, screech to a halt near a plant, pull off some leaves, and continue on.  We try to stop her, but we're not always successful if she's quick or sneaky about it.

    Last night she did some "foraging," and while DH was tossing her toy in the yard for her, she threw up a clump of greenery.  She seemed unaffected, ready to keep playing.  That was about 90 minutes before he spotted the lymph nodes.  She seemed a little quieter the rest of the night (or maybe I thought so, because I was worried).  She slept fine all night, and gobbled breakfast as usual.  She's always very mellow in the morning, but again, I thought she seemed more so today.

    The major swelling was gone this AM, but I can still feel the nodes.  You can always feel them a little, right?  Can they swell temporarily from something like an allergic reaction to a leaf she ate or something like that?  She had no other allergic symptoms (no muzzle or tongue swelling or itchiness, etc.).  Should we bring her to the vet just in case?  Being a catastrophic thinker, I went right to the worst possible reason for swollen lymph nodes -- cancer -- but hopefully I'm being my usual over-reacting self! 

    • Gold Top Dog

    YIKES! Good news is the swelling has gone down! If it hadn't then the worry level would have increased.

    Are you sure it's the lymph nodes and not somehting like the salivory glands? Both are in the same area and for some they're easily mistaken for each other.

    If she's eating alright, drinking, acting normal, and the swelling is gone down then I'd just keep an eye on it for now. Maybe benedryl might help if it is bite, scratch, allergy related.

    And....I'm probably worse than you when it comes to worrying and expecting the worse! 

    Give her lots of luvins for me...K.

    • Gold Top Dog

    Yeah you can always feel them a little (they are usually about the size of a lima bean depending on the size of the dog and *their* body).  I'm going to tell you to err on the side of caution and take her to the vet, just because ....

    They will swell in any response to a 'threat' to the body - bacteria, viral, and beyond.  And they don't ALL necessarily swell when it's something good or bad.  That's one of the biggie reasons I'm saying VET. 

    It doesn't have to be a state of panicked emergency but I would have the vet look at it.  He will know if there is still residual problem and he might decide the body needs a round of antibiotics just because ...

    We had a dog once that had been hugely heartworm positive and we treated her.  But at one stage new foster people took her and they didn't continue the protocol begun and as a result her immune system crashed.  We got her back eventually and got her healthy again and then I found her glands MASSIVELY swollen one day (like it felt like a frigging ping pong ball.  I was SO upset ... like you I zoomed to "cancer"

    Took her to the vet who thost yeah it was likely cancer and her white cell count was off the charts.  BUT he decided just in case he would give her a round of Baytril while I did a cancer diet.  He felt like it couldn't hurt and it *might* help. 

    It turned the trick -- it apparently WAS a systemic infection.  She showed no other signs.  But yeah .. VET. 

    Basically any time you feel something that is just plain beyond your realm of knowledge and you are in doubt.  VET.  It really is the most sensible thing. 

    • Gold Top Dog
    Thanks Johnny & Callie.  I'm heading out now, but I will be sharing these thoughts with DH this afternoon.  I'd rather err on the side of caution, too and go to the vet in the next couple days!
    • Gold Top Dog

    A vet visit is a good idea, but keep in mind that when lymph nodes swell they are doing their job as part of the immune system.  It is only if the canine lymph nodes have trouble handling a problem that serious vet intervention is needed. 

    However, lymph nodes swelling can be a red flag that something is developing, so I would want blood tests for my peace of mind.

    http://www.petmd.com/dog/conditions/cancer/c_multi_lymphadenopathy

    Note:  I looked like a little bulldog when I had the mumps as a child.    My lymph nodes were working like crazy to help clear the virus from my system.  They eventually prevailed and my face went back to normal. 

    • Gold Top Dog
    No advice but just wanted to say I hope Ruby is indeed fine and her lymph nodes stay settled. 
    • Gold Top Dog

    Thanks Jackie and Janet.  Janet, that link had some good information -- thanks for sharing it.

    All seems okay this evening --- she had a good dinner and started her early evening mischief when she wants to play or walk rather than wait for us to finish our dinner!  I feel like she seems "mellower," but I'm probably being overly sensitive.  We called the vet, and of course, on short notice, appointments were tight.  We're on a waiting list for Thursday, but if that doesn't work, she'll go in first thing next week, at least for some baseline bloodwork.

    She had a full panel done in mid-April.  It was normal, with just a couple items borderline high (high neutrophils and red blood cell count).  It'll be good to get another panel to look for a trend or change in anything. 

    • Gold Top Dog
    Just seeing this but I'm thinking good thoughts for Ruby. As Janet said, when they lymph nodes swell, they're doing their job. When Sassy had that raging tummy infection that went on for months, there was a point when the lymph nodes in her armpits swelled up to the size of golf ball. I panicked but the vet was thrilled because she felt like Sassy's body was finally doing what it was supposed to do. I used to get fever blisters on my lips all the time and the lymph nodes under my jawbone would swell and feel very tender for a few days. I hope it's something as benign as that for Ruby.
    • Gold Top Dog

    An update:  I was working -- DH took Ruby to the clinc, so I heard second-hand what the vet said.  She said lymph nodes feel normal, the basic bloodwork was good, and Ruby looks great (she's got a super shiny coat and is a lean 55 pounds).

    There was one measurement (I think it's called monocytes?) -- the percentage measurement was elevated, but the actual count was within acceptable ranges.  The vet said she was not concerned, that some of those blood percentages can be slightly high or low, depending on the specific breed the dog is.  She gave an example (I think she said greyhounds) -- their red blood cell percentages can be higher than other breeds.  I guess it's like comparing the blood tests of an endurance athlete with your average person who isn't highly active.  Some high or low marks aren't necessarily an indication of an illness.

    Thanks again for all the replies.  It looks like this was just an isolated thing, but we've got baseline info now.

    • Gold Top Dog

    Monocytes are essentially the body taking out its own trash.  So "some" is actually good.  And the fact that her body was disposing of whatever residue from this "thing" was probably really good.  that's an over-simplistic explanation but that's how it's been explained to me.  If monocytes are really high that's another thing and if they are high with something *else* high .. that's a different thing.

    Some breeds (typically your really lean very thin coated really active breeds (greyhounds whippets, iggy's, etc.) DO have higher red blood cell counts-- they also tend to be the preferred breeds for stuff like giving blood (Dr. Dodds keeps a whole bank of retired greyhounds for exactly that purpose -- after they give a couple of years as donor dogs she then finds homes for all of them and rotates them out constantly,''

    You have experience now -- now you *Know* what a lymph gland feels like and where some of them are.  (there are also lymph glands behind the knees.  They aren't something to obscess over but it's nice to know!!

    • Gold Top Dog

    calliecritturs
    Some breeds (typically your really lean very thin coated really active breeds (greyhounds whippets, iggy's, etc.) DO have higher red blood cell counts

      Interesting you say that, Callie.  Ruby's RBC is on the higher end of normal (on this test and on 2 previous ones).  She's 100% lean muscle strung on a skeleton, and her coat is very thin (although healthy).  She is quite active, and based on her general body shape and the insane speed of her zoomies, we've said from Day 1 that she has Greyhound or Whippet in her.  Her head is pitbull-like, but her body is far more like those other breeds.

    Thanks for the extra explanation of monocytes.  It is good to add this to our "knowledge base" for Ruby's medical history!