Cervical lymphadenitis: causes, symptoms, treatment features. Cervical lymphadenitis: disease and protection rolled into one Purulent lymphadenitis of the neck

Lymphadenitis in the neck is a fairly common problem that occurs in both children and adults. A similar disease is accompanied and occurs against the background of infection activity. So what are the causes and symptoms of the inflammatory process?

Lymphadenitis in the neck and its causes

It's no secret that the main function is to protect the body from infection, since this is where some types of white blood cells are produced and mature. Enlargement and inflammation of the node indicate the penetration of viruses, bacteria or fungal orgasms into the body.

Lymphadenitis in the neck can occur against the background of various diseases, in particular sinusitis, tonsillitis, tonsillitis, and otitis. In addition, the source of infection can be carious teeth, inflamed gums or the oral mucosa. Rubella, colds, mononucleosis, flu - all these diseases can be classified as risk factors. Much less often, pathogenic microorganisms enter the lymph nodes of the neck from internal organs.

Lymphadenitis in the neck and its symptoms

The main signs of the disease directly depend on the degree of its development. Acute lymphadenitis of the neck occurs in three stages:

Of course, lymphadenitis in the neck can cause other symptoms. Some patients already in the initial stages experience a strong increase in temperature, weakness, drowsiness, muscle aches, and heaviness in the body. Depending on the primary disease, a runny nose, sore throat, nausea and other problems may occur.

Lymphadenitis in the neck and its complications

Of course, with qualified medical care, the inflammatory process can be easily eliminated with the help of medications. But in some cases, lymphadenitis ends with an abscess or the formation of phlegmon. Particularly dangerous complications include sepsis, toxic shock syndrome, and the development of rheumatism.

Lymphadenitis in the neck: treatment

Of course, severe enlargement of the lymph nodes is a good reason to visit the doctor's office. In this case, the main goal of the specialist is to determine the primary disease, since if the cause is eliminated, the inflammatory process in the lymph nodes may die out on its own. Patients are advised to have bed rest, warmth and rest, a balanced diet and plenty of fluids. In some cases, anti-inflammatory and painkillers are prescribed, in particular ibuprofen. In the presence of a purulent process, surgical intervention is necessary.

Cervical lymphadenitis is a disease in which the cervical lymph nodes become enlarged and painful. A disorder occurs because the lymphatic system is part of the immune system, and when various pathogenic microflora (viruses, bacteria, fungi) enter the body, the number of lymphocytes increases. Next, we will consider what cervical lymphadenitis is, what are its main causes and symptoms, as well as diagnostic methods and treatment options.

Lymphadenitis of the neck is rarely an independent disease, more often it is a consequence and concomitant symptom of other diseases. However, according to the international classification of diseases (ICD 10), acute lymphadenitis is classified as a separate group and has an ICD code of L04. Acute cervical lymphadenitis is more common in adults than in children.

Causes of neck lymphadenitis

Most often, acute lymphadenitis is caused by the following reasons:

Infectious diseases of various origins (viral, bacterial or fungal). This includes all groups of acute respiratory viral infections and acute respiratory infections, diseases of the ENT organs (tonsillitis, pharyngitis, rhinitis, sinusitis, sinusitis, otitis, etc.), dental disorders of an infectious-inflammatory nature (stomatitis, periodontal disease, caries, periodontitis, etc.) , measles, jaundice, scarlet fever, meningitis, tuberculosis, skin diseases. Some sexually transmitted diseases (for example, syphilis) can cause not only cervical lymphadenitis, but also inguinal lymphadenitis.
Diseases such as HIV and AIDS should be included in a separate group, since their immediate manifestation is enlargement of the lymph nodes, often in several places simultaneously (neck, armpits, groin).
Autoimmune diseases such as systemic lupus erythematosus, rheumatoid arthritis, autoimmune thyroiditis, etc.
Installation of various implants (silicone, metal, plastic, etc.). The immune system perceives the implant as a foreign object and may begin to reject it.
Pathologies of the thyroid gland.
Oncological diseases. Moreover, this includes both oncology of the lymphatic system itself and other organs.
Other reasons:

decreased immunity due to seasonal vitamin deficiency and colds, stress, chronic diseases;
drafts. In this case, lymphadenitis will be an independent disease when the lymph nodes are simply blown through by an open window or air conditioner;
allergic reactions;
alcohol abuse.

Symptoms

Clinical manifestations of cervical lymphadenitis can be divided into main and accompanying ones.

The main ones include enlargement and swelling of the lymph nodes themselves, discomfort when turning the head and pressing on the neck. The lymph nodes may be slightly red and hot..

Associated symptoms with cervical lymphadenitis depend on the cause of the disease:

increased body temperature (from low-grade to high);
sore throat, runny nose, cough;
sneezing (allergic or cold);
difficulty swallowing;
weakness, general malaise associated with intoxication of the body by infectious agents;
headaches, poor appetite, etc.

Types of disease

There are several classifications of lymphadenitis, they differ on the following grounds:

According to the duration and severity of the course, acute and chronic types are distinguished. Acute develops as a reaction to an infection entering the body (for example, with a sore throat). The chronic form most often occurs in the case of chronic throat diseases (pharyngitis, tonsillitis). In this case, the lymph nodes are only slightly enlarged, and there may be no pain at all.
Depending on the cause of occurrence, cervical lymphadenitis can be specific or nonspecific. The first is the most dangerous and more difficult to treat, as it is caused by serious infectious diseases (syphilis, tuberculosis, plague). Nonspecific usually occurs with colds and acute respiratory viral infections, and is easily eliminated with the cure of the underlying disease.
Depending on the cellular composition of the inflamed lymph node, serous, purulent and simple are distinguished. Serous occurs with a viral course of the disease or with oncology, purulent - with a bacterial one. Purulent lymphadenitis is the most dangerous, as an abscess or phlegmon may occur (spread of purulent contents beyond the lymph node capsule to neighboring tissues). It is purulent lymphadenitis that is fraught with the development of sepsis. That is why, if symptoms such as redness of the skin on the lymph node, its severe enlargement, pain and hotness of the skin appear, you should immediately consult a doctor.

How to determine cervical lymphadenitis

To make a correct diagnosis and determine a treatment strategy, diagnosis must take place in several stages:

Collection of anamnesis and symptoms. The doctor finds out what symptoms are bothering you and collects a medical history.
External examination and palpation allows you to determine which group of lymph nodes is inflamed, how enlarged and painful they are. Also at this stage, the doctor can diagnose the presence of a purulent process.
Blood tests. For a reliable result, you need to take several tests: general, “for sugar,” biochemical, SOI, C-reactive protein, and tumor markers. If you suspect the presence of sexually transmitted diseases, blood is also donated.
Ultrasound. It is done, if necessary, to determine the structure of the lymph node, whether there are any pathologies in it, as well as disruptions in the functioning of neighboring tissues.
Puncture. This is a fine-needle biopsy (sampling a small amount of lymph node tissue) to determine its cellular composition.
If a specific disease is suspected, the doctor will prescribe additional tests. For example, if pulmonary tuberculosis is suspected - fluorography; MRI (magnetic resonance imaging) or CT (computed tomography).

Only after all the necessary laboratory and clinical tests have been carried out, the doctor makes a diagnosis and prescribes specific medications.

Treatment of cervical lymphadenitis

Treatment of lymphadenitis is based, first of all, on eliminating the cause that caused it (only if lymphadenitis is not an independent disease). For this, various drugs (drug treatment) and physical therapy are prescribed. Traditional medicine recipes can also be used.

Drugs

Medications are selected only by the attending physician on an individual basis. In most cases, the following is prescribed:

Seasonal lymphadenitis, caused by decreased immunity, must be treated with measures aimed at strengthening the body's defenses, and the prevention of colds must also be present.

Physiotherapy

Physiotherapy allows you to eliminate the inflammatory process at the cellular level and quickly cure lymphadenitis. For these purposes, ultrasound with hydrocortisone ointment is widely used. The popularity of this procedure is growing among those patients whose cervical lymphadenitis is caused by chronic throat diseases (tonsillitis, pharyngitis). Among the positive reviews, there is information that after a course of ultrasound, discomfort in the neck disappeared, and the condition of the throat improved significantly.

Cervical lymphadenitis is an inflammation of the lymph nodes located in the neck. The disease occurs in both adults and children, but in the first case it is more difficult to cure. The lymphatic system is the first to respond to viruses and infections, which means that if inflammation of the lymph nodes is detected, we can safely say that the body is fighting the infection, preventing its spread.

Reasons for the development of cervical lymphadenitis

The main provocateurs are viruses and bacteria that cause influenza, sore throat, otitis media, tonsillitis and rhinitis. They enter the body, attacking the immune system, but are blocked by the lymph nodes.

It is worth noting that lymphadenitis can be acute and chronic, so you need to consult a doctor when the first symptoms appear to prevent its progression.

Symptoms of cervical lymphadenitis

First of all, compactions form in the places where the nodes are localized, and swelling may be observed. Pain occurs on palpation. The progression of the disease is accompanied by general malaise, fever (acute course), loss of appetite, headache, and in young children, intoxication occurs. After starting treatment, the swelling subsides (after 1-3 weeks).

Acute cervical lymphadenitis

As a rule, this form occurs as a complication of the underlying disease and is accompanied by
severe suppuration.

Temperature exceeds 38°C. The skin over the nodes turns red, resembling a boil. At different stages of lymphadenitis, the size of the swelling varies; for example, as inflammation progresses, it increases, the nodes lose their contours, and foci of infection become less mobile. Without treatment, the pathology can develop into adenoma or sepsis.

Chronic cervical lymphadenitis

This form occurs with every disease in people with weakened immune systems. The symptoms include enlargement of the nodes, but it is not accompanied by severe pain, and suppuration rarely occurs. The chronic form of lymphadenitis is often accompanied by such a serious pathology as tuberculosis, which is caused by bacteria entering the lymph nodes with the flow of lymph and blood.

Cervical lymphadenitis in children

The disease occurs quite often in children, but, as a rule, does not pose such a danger as for adults. In infants, it is quite difficult to palpate the lymph nodes due to their small size. Palpation can be used after one year of age.

Lymphadenitis manifests itself in children with the following symptoms:

Headache;
Temperature rise over 38°C;
Manifestations of intoxication, especially in infants;
Loss of appetite;
Restless sleep;
Severe swelling of the neck.

If a child has a chronic course of the disease, then his condition does not worsen, the temperature is also within normal limits, the neck does not hurt, but the nodes are enlarged.

However, if left untreated, the disease poses a great danger. It can provoke the development of myocarditis, which is accompanied by lethargy, pallor, and shortness of breath. Sick children do not gain weight well, get tired quickly, and sometimes may refuse to eat altogether.

Cervical lymphadenitis in adults

Inflammation can be triggered by acute diseases of the nasopharynx, dysfunction of the thyroid gland and metabolism, alcohol abuse, connective tissue pathologies, allergies, tuberculosis, HIV infection, and cancer. The most primitive causative agents of inflammation are viral and bacterial infections.

Diagnosis and treatment of cervical lymphadenitis

The first step is palpation. Then clinical and laboratory studies. A biopsy, x-ray, histological analysis, CT and MRI may be prescribed.

For mild inflammation, rest and warmth, plenty of warm drinks, and avoidance of drafts and low temperatures are recommended. If the cause of inflammation is a tuberculosis bacillus, the patient is hospitalized and treated with anti-tuberculosis antibiotics.

It is necessary to follow a diet: exclude simple carbohydrates, trans fatty acids; eat more lean meat, lean fish, fruits/vegetables; limit sugar, flour, dairy.

Drug and physical therapy

If cervical lymphadenitis occurs against the background of viral diseases (sore throat, influenza, acute respiratory infections), specific treatment is not required. Otherwise, anti-inflammatory drugs are needed, for example, medrol or prednisolone. In addition, immunostimulants are prescribed - agents that restore immunity, as well as multivitamins. If there is suppuration, it is necessary to take antibiotics, which are prescribed depending on the causative agent of inflammation.

The main methods of physiotherapy in this case are: electrophoresis with various medications, galvanization and UHF.

Electrophoresis is a physiotherapy procedure that involves introducing into the body
medications using electric current. Administration of medications is carried out through the skin and mucous membranes;
Galvanization is the effect on the patient’s body of a constant continuous electric current through electrodes applied to the body;
UHF is the effect on the body of a high-frequency magnetic field with different wavelengths (from 1 to 10 meters). The procedure also has a thermal effect.

If conservative methods are useless, they resort to surgical intervention: the suppuration is opened, the affected connective tissue and pus are removed, and drainage is performed.

Treatment of cervical lymphadenitis in children and adults with folk remedies

If the cause of the disease is a bacterial infection and the inflammation occurs against the background of a cold or flu, then you can effectively get rid of it using traditional medicine recipes.

Alcohol tincture of Echinacea. You can purchase the product at any pharmacy. You need to accept it
inside, after diluting with warm boiled water (up to 40 drops of tincture per 100-150 ml of water). Drink the medicine three times a day, regardless of meals. It is also used for compresses: dilute the tincture with water in a ratio of 1 to 2; moisten gauze in the resulting solution and apply it to sore spots; fix with a bandage, scarf or scarf for the whole night;
Herbal compresses are effective remedies for any inflammation of the oropharynx. It is recommended to use the following collection: mix dry crushed herbs (leaves) of yarrow, St. John's wort, walnut, mistletoe; dilute the mixture with water. You need to take 1 tsp of each herb. (without top), and a glass of water (200-250 ml). The mixture is put on fire, after boiling, boiled for about 5 minutes, then removed and left to cool. The decoction is used for compresses, which are applied at night. They must be installed for at least 14 days in a row;
Compress made from alcoholic infusion of celandine. Fresh leaves of the plant should be washed well and crushed in a mortar to obtain 1 tbsp. l. juice Then the latter is poured into a glass container, where 100 ml of alcohol or vodka is added and left for 24 hours. The gauze is first moistened in hot water, then soaked in alcohol tincture. The compress is applied to the sore spot for the whole night, secured with a bandage, scarf, or other material.

Traditional recipes can also be used to treat children. You must always strictly observe the dosage and adhere to the specified method of preparing medications, because violating the recipe can worsen your health.

The term "lymphadenitis" has Latin and Greek roots and is translated as "inflammation of the lymph gland." As a rule, this is not an independent disease, but a complication that occurs as a consequence of the primary inflammatory process. In some cases, the primary focus cannot be identified, but most often the infection enters the body through the skin or mucous tissue. The causative agents of lymphadenitis are staphylococci and streptococci - pyogenic microorganisms that enter the lymph nodes through the vessels of the lymphatic system from foci of purulent inflammation, occurring in acute or chronic form. Pathogens can be transmitted through lymph flow or through direct contact.

All lymphadenitis is classified into purulent and non-purulent, and depending on the duration of the process and the nature of its course - into acute and chronic. The source of inflammation can be localized either in one lymph node or in several at once, if they are nearby. In this case, the further development of the process often becomes the cause of purulent melting of the affected node or nodes.

As for cervical lymphadenitis, in this disease inflammation affects the lymph nodes located in the neck. In the vast majority of cases, it is diagnosed in children, however, it also occurs in adults. It should be noted that cervical lymphadenitis in children occurs in a much milder form than in adult patients.

Reasons for the development of cervical lymphadenitis

Cervical lymphadenitis is initiated by pathogenic bacteria and viruses, which cause diseases such as influenza, pneumonia, tonsillitis, otitis, rhinitis, etc. Also, slowly progressing diseases affecting the oral cavity, including gingivitis, caries, and periodontal disease, can lead to enlarged lymph nodes. In addition, a prerequisite for the development of the disease is often inflammatory lesions of the epidermal layer of skin on the face, neck and head (this could be, for example, carbuncles or abscesses).

The cause of cervical lymphadenitis, in which there is a pronounced enlargement of the lymph nodes on both sides of the neck, are diseases such as toxoplasmosis, infectious mononucleosis, various types of infiltrative lesions, as well as taking antiepileptic drugs with anticonvulsant action (for example, phenytoin).

The cause of cervical lymphadenitis in adults can be syphilis or tuberculosis.

In cases where the course of cervical lymphadenitis is recurrent, enlarged lymph nodes are often a sign of impaired immunological reactivity (in other words, immunodeficiency or dysfunction of the immune system) or Hodgkin lymphoma (a malignant tumor that develops from lymphoid tissues).

When the body becomes infected, its lymphatic system is one of the first to respond to the pathological process. And this is manifested primarily by enlarged lymph nodes. In most cases, there is no need to be afraid of such manifestations, since malignant cells are present in the tissues of the lymph nodes only in rare cases. A cause for concern should be the progression of cervical lymphadenitis, accompanied by a significant enlargement of the lymph nodes (when their diameter is three centimeters or more), severe hyperemia (excessive redness) of the skin located above the affected node, as well as soreness of the node itself.

Symptoms of cervical lymphadenitis

The main sign of the development of lymphadenitis is the appearance of characteristic compactions in the area of the lymph nodes located on the neck. The skin that surrounds such a seal may be somewhat swollen, and palpation causes pain. The progression of the disease is accompanied by the following symptoms:

Headaches;
Feeling of general malaise, increased weakness;
Increased body temperature (this symptom is characteristic of acute lymphadenitis);
Decreased appetite;
Manifestations of general intoxication of the body (intoxication mainly occurs with cervical lymphadenitis in children).

For all patients, it is very important to prevent the disease from developing into its acute or chronic form, since this is fraught with quite serious complications.

Thus, acute lymphadenitis, which is a complication of some other inflammatory process, is complemented by severe suppuration in the lymph nodes, a sharp increase in temperature of more than 38 degrees, and a change in the appearance of the affected lymph node (it begins to resemble a boil). In the absence of timely treatment, cervical lymphadenitis develops into adenoma or sepsis.

Chronic cervical lymphadenitis is a problem for people who have impaired immune system function. Even a minor cold causes swollen lymph nodes. Despite the fact that they can be quite large in size, there is no pain when palpated, and suppuration of the node, characteristic of the acute form of the disease, is usually absent. Chronic lymphadenitis is often one of the main symptoms of tuberculosis.

Cervical lymphadenitis in children

In children, lymphadenitis develops very actively. In this case, the condition is accompanied by headaches, high fever, deterioration of sleep and appetite, swelling of the neck and intoxication. Manifestations of intoxication are especially pronounced in children under one year of age. At the same time, their lymph nodes are practically not palpable (which is due to their small size).

The inflammatory process, which has become chronic, is characterized by normal health (and, in particular, normal temperature) against the background of enlarged lymph nodes.

In its advanced form, the disease causes torticollis, myocarditis, significant weight loss and other complications.

Cervical lymphadenitis in adults

Cervical lymphadenitis in adults has symptoms similar to lymphadenitis in children, however, it often provokes more serious diseases, including HIV, diseases that affect the endocrine system, and cancer.

In addition, in adults, enlarged lymph nodes can be a reaction to alcohol abuse, allergies or metabolic disorders.

Treatment of cervical lymphadenitis

An integrated approach is used in treating the disease. Firstly, the doctor, depending on the nature of its course, prescribes the patient to follow a certain regimen and a special diet. Secondly, after determining the cause of the development of the pathological process, drug treatment is prescribed to eliminate it, and in some cases, anti-inflammatory drugs (Medrol or prednisolone, for example). Thirdly, physiotherapeutic measures (electrophoresis, UHF or galvanization) are prescribed.

In cases where conservative therapy does not give the expected effect, surgical treatment of cervical lymphadenitis is resorted to.

- this is nothing more than an inflammatory process in the cervical lymph nodes. The disease is more common
only affects young children. They tolerate it quite easily, in addition, lymphadenitis of the neck is not
poses a particular danger to the child and is easily cured. In adults, the disease is much less common and is quite difficult to treat.

Causes of the disease

The cause of cervical lymphadenitis is mainly viruses. Our lymphatic system is a kind of barrier for the body. If a pathogenic virus penetrates it, the lymph nodes can become enlarged and inflamed in the fight against the “stranger.” It is very important to properly treat diseases such as tonsillitis, rhinitis, pharyngitis and others. The fact is that inflammation in the lymph nodes can become chronic, which is extremely difficult to cure. There are several other causes of the disease:

Excessive drinking and smoking.
Thyroid gland dysfunction.
Tuberculosis, syphilis, HIV, as well as hepatitis of all types.

Signs of illness

Symptoms of cervical lymphadenitis are difficult to miss:

Headache
General poor health.
Enlarged cervical lymph nodes.
Temperature increase
Loss of appetite, weakness.
Pain when swallowing.

It should be noted that the enlargement of the lymph nodes begins to subside within a couple of days after the start of treatment.

Acute form of the disease

Acute cervical lymphadenitis is extremely dangerous and can even lead to blood poisoning. A severe form of inflammation often begins in the absence of adequate treatment of the lymph nodes. In case of acute inflammation, they become like a boil. The patient's body temperature rises sharply and can reach 40 degrees. The treatment of purulent lymphadenitis of the neck must be taken extremely seriously.

Chronic form of the disease

Persistent cervical lymphadenitis most often occurs after a particular illness that has not been completely cured. For example, influenza spread to the legs may well cause chronic inflammation of the lymph nodes. Unlike acute lymphadenitis of the neck, it does not cause high fever and tissue suppuration. If a person’s immunity is weakened, then the lymph nodes will become inflamed every time there is hypothermia or stress. Sometimes cervical lymphadenitis in adults can signal a serious illness such as tuberculosis. Tuberculosis bacilli spread throughout the body through the blood and lymph flow.

Diagnosis of the disease

Lymphadenitis is diagnosed using several procedures. First, the doctor palpates the lymph nodes to determine whether they are inflamed or not. If the tissues are really enlarged and painful, it is necessary to take a general blood test and take a puncture of the lymph node tissue. The procedure is similar to a regular injection - the doctor will take a piece of material for further examination. This is necessary in order to exclude cancer. The doctor will outline all further actions.

Treatment of the disease

Treatment of cervical lymphadenitis depends entirely on the severity of the disease. Mild inflammation can usually be treated without medication. The patient is advised to keep his neck and legs warm, not to get too cold, and to drink plenty of fluids. A course of vitamins will also not be superfluous.

If the cause of inflammation is a tuberculosis bacillus, urgent hospitalization is necessary. All necessary measures will be taken in the hospital.

The patient must be prescribed a diet. To treat lymphadenitis in the neck, it is necessary to exclude spicy, fatty and smoked foods from the menu. The following foods perfectly help restore inflamed areas of tissue - lean meat, fatty fish (herring, salmon, salmon, pink salmon), nuts, as well as fresh vegetables and fruits. Sugar is best minimized or completely eliminated.

Treatment with medications

In some cases, medication cannot be avoided.

The most commonly prescribed drugs are:

Medrol. The product perfectly destroys bacteria and also accelerates the restoration of lymph node tissue.
Prednisolone. It is a fairly strong hormonal drug. Only a doctor can prescribe the exact dosage. In addition, prednisolone should not be taken by people with high blood pressure and pregnant women.

In such cases, the doctor must prescribe a course of immunomodulatory drugs, as well as drugs with vitamin C. If bacteria are the cause of inflammation of the lymph nodes, it is necessary to be treated with antibiotics. If malignant cells are detected, the doctor will prescribe chemotherapy as well as radiation therapy.

Physiotherapeutic treatment

Many doctors prescribe physiotherapy for inflammation of the lymph nodes.

Electrophoresis. This method is based on the fact that using an electric current, the drug penetrates the body.
Galvanization. The procedure consists of applying electrodes to certain points. They transmit current, which in small quantities is very beneficial for health.
UHF therapy. This procedure is carried out using a powerful magnetic field. During this therapy, the patient feels a pleasant warmth.

Surgery

If medications and physical therapy do not help, the doctor may decide to undergo surgery. Usually doctors try to cure lymphadenitis with all available methods before raising the question of surgery. The surgical method involves opening the abscess and removing the pus. In some cases, it may be necessary to remove fluid from the inflamed lymph node.

Treatment with traditional methods

Treatment using traditional methods is only possible if lymphadenitis is caused by bacteria or is a consequence of influenza or a cold.

You need to purchase an alcohol tincture of Echinacea. We dilute 40 drops of the product with half a glass of warm water. The mixture should be drunk three times a day.
The celandine plant has magical properties. It is necessary to make juice from its leaves. This is done simply - the celandine greens are crushed and then the juice is squeezed out. We need one tablespoon. Now take half a glass of vodka or alcohol and dilute the juice. The tincture needs to be kept for several days. You can use it to make a compress. Wet the gauze with hot water and squeeze it out. Then we soak it in celandine infusion and apply it to the sore spot. It is best to then wrap it in a warm wool scarf.

Prevention of lymphadenitis

Prevention includes the main rule - to prevent the development of a source of infection in the body. This means that diseases such as tonsillitis, tonsillitis, rhinitis, furunculosis and others need to be properly treated. In addition, it is necessary to have regular dental check-ups. Caries is another common cause of inflammation.

It is important to eat properly and balanced. The diet should consist of fruits, lean meats and fatty fish. Be sure to drink enough water. In addition, it is important to slowly begin to harden the body. You can start with harmless air baths or cool rubdowns. After this, rub yourself with a towel until red and put on light cotton clothes.

In summer you need to be extremely careful when swimming in reservoirs. In the summer heat, you can easily overcool your body. In order not to provoke inflammation of the lymph nodes, it is necessary to interrupt bathing to bask a little in the sun, and also use a dry towel.