instruction: hello doctor recently the last week at the most my lymph nodes in my neck have been very swollen when looking at the back of my throat I can see small tonsil stones small but many there is swelling which I am hoping is associated with the stones and there is a lot of swelling at the top of my right tonsil the right side of my tonsil definitely is sore but fluctuates throughout the day I have used tobacco products fairly consistently for the last two years smoking at most a cigarette per day and vaping there are also flesh colored bumps on the back of my mouth on the left side they are not painful though there is one on the top and one down by the tongue I have not noticed these previously my depression sometimes affects my hygiene so I am hoping that this could be the cause of the stones I have been brushing twice a day flossing gargling with salt water and mouth wash since doing this I have noticed much less swelling in my lymph nodes and a little less in my tonsils my diet also has not been the healthiest lately eating about one meal a day and my sleep schedule has been a wreck I am just really hoping it is not cancer but I have yet to go see a doctor
output: hi I can understand your concern according to your statement you have been suffering from swelling of lymph nodes on the neck with swelling of tonsil and sore throat you lead an erratic life you are a smoker you do not maintain your oral hygiene regularly you also do not take your meal regularly your presenting clinical features can result from strep throat peritonsillar abscess tonsilloliths tonsil stone tonsillitis non hodgkin lymphoma or carcinoma etc according to your picture that is provided here you may suffer from tonsil stone or peritonsillar abscess in both cases treatment are almost the same you should take a broad spectrum antibiotic for 10 days with gargle with salt mixed warm water mouth wash apple cider vinegar and brush regularly usually tonsil stones dislodge themselves over time if the clinical features such as difficulty in deglutition difficulty in breathing difficulty during sleeping pain radiating to ear etc occur consider as a medical emergency and consult with an ent specialist for tonsillectomy you should observe your lymph nodes carefully any sudden change in size or shape of lymph node high fever weight loss night sweating persistent fatigue respiratory distress etc should be considered as alarming signs for carcinoma so do not be worried take balanced food and maintain oral hygiene strictly