Are swollen neck glands and lethargy normal after my dog's abscess?

In my experience lymph nodes can be enlarged for days to week after a dental cleaning if the teeth were bad enough. However best thing to do is aspirate the lymph node and send out the cytology. This will tell you for sure why they are enlarged and help you not worry.

I would not expect swollen lymph nodes secondary to teething. Infections, including a bacterial infection commonly known as 'puppy strangles' can cause enlarged lymph nodes. The salivary glands are also in this same area and it is possible that he has inflamed salivary glands as well. I would recommend seeing your veterinarian for a physical examination to confirm that the lymph nodes are actually swollen. If the lymph nodes are swollen they might recommend a fine needle aspirate which is a procedure that uses a small needle to obtain cells that are sent to a pathologist for review.

A lump is that area could be an enlarged lymph node, cyst, abscess, or potentially even a foreign object. Try looking under his tongue for any foreign objects and follow up with your veterinarian tomorrow. Best case scenario is an abscess.

I would worry that Vettie could have a disease like lymphoma if his glands are not better with antibiotics. I’d recommend making a recheck appointment with your vet. The next step might be to take an aspirate if the glands using a small needle and sending the sample to a pathologist to review.

Lymph nodes can become enlarged because they are draining an infection or inflammatory part of the body, because the lymphatic flow is being disrupted, or because of cancer in the nodes. I would discuss additional diagnostics with your vet, which may vary depending on which lymph nodes are involved. Aspiration of the affected lymph nodes is easy and can often be done without sedation. The samples are sent to a pathologist for review. X-rays of the chest and or abdomen may be indicated. Ultrasound of the abdomen may be needed. Dental cleaning and removal of diseased teeth if the lymph nodes are near the head.

It sounds as though your vet initially suspected an infection causing the swelling around Lexi's neck. There can be some very minimal fluctuation in the prominence of the salivary glands and lymph nodes that are located under the neck, which can certainly occur with infections. However, other conditions can also cause swelling in these areas. Puppy strangles (also called juvenile cellulitis) is an autoimmune condition that can cause some pretty prominent swellings around the neck. Given Lexi's age, this would be my first suspicion. Other issues, including lymphoma or a salivary mucocele, are always possible, although they'd be highly unlikely in such a young puppy. At this point, I think your next step is to take Lexi back to her vet for a follow up visit. Your vet will likely want to run some diagnostic testing on this swelling or even some baseline blood work to check her blood cell counts and organ function. Depending on their findings, they may prescribe steroids to help treat puppy strangles or another medication to treat a different condition. I hope that everything goes well!

Hello, sorry to hear about Giuseppe. Because the lymph node has decreased in size with antibiotics alone and the fact that only a single lymph node is enlarged, this is less likely consistent with lymphoma. Lymphoma typically affects multiple nodes and does not respond to antibiotics. Occasionally, active lymph nodes may remain slightly enlarged for a few days, or if the infection is not being completely treated then the lymph node may remain big. The best way to confirm if this lymph node has lymphoma or not, would be to obtain cytology with a with a needle aspirate to have a pathologist examine the cells. Cytology is generally a non-invasive procedure and could be done by your veterinarian. Hope this helps and best of luck.