<s>[INST] I seem to have swollen lymph nodes in my neck, armpit and my cervix area.  I am always coughing up phlegm and always short of breath.  I have taken many different antibiotics and it just keeps re-occuring.  Its been like this for almost 3 years now.  I seem to get alot better with my antiobiotic and then it takes about a month before I go through the same thing.  Occasionally when I wake up, I vomit due to so much fluid and thats all that comes out.  My stomache usually feels bad, almost turned and I am either sweating or cold, its hard for me to be comfortable.  I get weird headaches that arent usually painful they are just kind of there.  My face feels pressure to the point that my eyes start to water and my ears hurt.  I feel congested all the time. I feel sick in general all the time unless I get an antibiotic which doesnt last for long.  Im wondering what the best thing to do for someone in my situation would be.  Thank you [/INST] Hi, dairy have gone through your question. I can understand your concern.  You have multiple enlarged lymph node.  It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma.  You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. </s>