Last Updated on November 25, 2025 by Saadet Demir
Discovering a lump or swelling at the back of your head can be alarming. But knowing what it means is the first step toward proper care. Swollen occipital lymph nodes are your body’s natural response to infection or inflammation in the scalp and head region.
At Liv Hospital, we focus on you with our patient-centered approach. Our internationally recognized expertise ensures you get accurate diagnosis and compassionate treatment for all lymph node concerns. It’s important to understand the causes of swollen lymph nodes for effective care.
Why are my swollen lymph nodes back of head (occipital nodes) enlarged? Learn the common viral causes and when to seek medical advice.

Our occipital lymph nodes are near the base of the skull. They help fight off infections and diseases. They are key to our body’s immune system.
The occipital lymph nodes are at the back of the head, near the occipital bone. They are small and usually in a group. This location helps them filter lymph fluid from the scalp.
These nodes are made for their job. They have lymphocytes, important white blood cells for fighting off infections.
The occipital lymph nodes are vital for our immune defense. They trap pathogens and other harmful substances from the scalp. This helps stop them from spreading.
Some key functions of the occipital lymph nodes include:
Medical experts say knowing about occipital lymph nodes is key for diagnosing and treating lymphatic system issues. “The health of our lymph nodes is a reflection of our overall immune health,” showing their importance in our body’s defense.
Swollen lymph nodes at the back of the head often mean the body is fighting an infection. These nodes can swell due to infections or inflammation. They can be caused by bacteria, viruses, or fungi, or by inflammatory conditions.
Lymph nodes can grow when the body fights an infection or inflammation. This is usually a normal and temporary thing. But, if they stay big or get really big, it might mean there’s a bigger problem.
Usually, you can’t feel your lymph nodes. But if they swell, it means your body is fighting something. It’s important to know if the swelling is normal or not.
Lymph nodes are key to our immune system. When we get sick, they get bigger to help fight off the bad stuff. The ones at the back of the head swell up when the scalp or head gets infected.
The swelling happens because the lymph node is trying to get rid of the infection. It might get sore or red too. Knowing how lymph nodes react to sickness helps us figure out why they swell.
Understanding how lymph nodes react to sickness is key. It helps us know when to see a doctor. This way, we can get the right treatment fast.
Occipital lymph node swelling is often linked to bacterial infections on the scalp. These can be from simple scalp infections like impetigo to serious diseases like tuberculosis. Knowing how these infections cause swelling is key for the right treatment.
Impetigo is a contagious bacterial infection that mainly hits the scalp and other open areas. It’s caused by Staphylococcus aureus or Streptococcus pyogenes. It creates red sores that crust over, often with swollen lymph nodes in the back of the head.
Other scalp infections can also cause swelling in the occipital lymph nodes. These include folliculitis, an inflammation of the hair follicles, and furunculosis, which are boils. These are usually caused by bacteria and can be very painful and cause lymph nodes to grow.
Tuberculosis (TB) is a serious infection caused by Mycobacterium tuberculosis. It mainly hits the lungs but can spread to other parts, like lymph nodes. When TB spreads, it can cause swelling in the occipital lymph nodes.
Dealing with systemic infections like TB needs a full treatment plan. The swelling of lymph nodes in the back of the head shows the body’s fight against the infection. Finding out what’s causing the swelling is vital for the right treatment.
Key Points:
Many viral infections can make lymph nodes in the occipital region swell. These infections trigger an immune response. This makes lymph nodes swell as they try to filter out the pathogens.
Rubella, also known as German measles, can cause swollen lymph nodes. It brings a low-grade fever, sore throat, and a rash. The rash starts on the face and spreads to other parts of the body. Rubella infection during pregnancy can have serious consequences, making it vital for pregnant women to know their immune status regarding this virus.
Other common viral infections like measles and chickenpox can also cause swollen occipital lymph nodes. These infections often come with a rash and fever. The swelling of lymph nodes is a sign of the body’s immune response to the virus.
Mononucleosis, caused by the Epstein-Barr virus (EBV), can also lead to swollen lymph nodes. It is marked by fever, sore throat, and fatigue, with lymph node swelling being a common symptom. Mononucleosis is often spread through saliva, earning it the nickname “kissing disease.”
Other viral conditions that can cause swollen occipital lymph nodes include adenovirus infections and herpes simplex virus infections. Each of these conditions has its unique set of symptoms and requires specific diagnostic approaches.
Understanding the viral causes of swollen occipital lymph nodes is key for proper diagnosis and treatment. We will continue to explore other causes and diagnostic approaches in subsequent sections.

The back of the head can get infections like fungal and parasitic ones. These can make the lymph nodes swell. Ringworm and head lice are examples that can cause discomfort and swollen lymph nodes. We’ll look into these conditions, their symptoms, how to diagnose them, and how to treat them.
Ringworm of the scalp, or Tinea Capitis, is a fungal infection. It affects the hair follicles on the scalp. It’s highly contagious and spreads through contact with an infected person or objects. Symptoms include hair loss, redness, and scaling, which can make the lymph nodes in the back of the head swell.
To diagnose, doctors use a physical exam, skin scrapings, and culture tests. Treatment often includes antifungal medications, which can be applied topically or taken orally, depending on the case.
Head lice infestation is a common problem on the scalp. It causes intense itching, leading to scratching and possible infection. This can make the lymph nodes in the back of the head swell. Head lice spread mainly through direct head-to-head contact.
To diagnose, doctors look for lice or nits on the hair shafts. Treatment involves medications that kill the lice and nits. It’s important to treat everyone in the household to avoid re-infestation.
Fungal and parasitic infections are big reasons for swollen lymph nodes in the back of the head. Knowing about these causes, symptoms, and treatments is important for managing them well.
“Accurate diagnosis and appropriate treatment are key to resolving infections that cause swollen lymph nodes.”
Swollen lymph nodes at the back of the head can be linked to scalp issues like psoriasis and dermatitis. These problems cause inflammation and irritation. This can make the lymph nodes swell.
Psoriasis is a chronic condition that makes skin cells grow too fast. This leads to scaling, inflammation, and sometimes swollen lymph nodes. Dermatitis is a term for skin inflammation, caused by allergies, irritants, or disease.
Both psoriasis and dermatitis can make the scalp itchy, red, and flaky. When the scalp is affected, the lymph nodes at the back of the head may swell. They do this as they try to fight off the perceived threat.
Dandruff and seborrheic dermatitis are scalp issues that can also cause swollen lymph nodes. Dandruff is marked by flakes of dead skin on the scalp, often with itchiness and irritation. Seborrheic dermatitis is a more severe version, causing scaly patches, red skin, and stubborn dandruff.
These conditions can be very uncomfortable. In some cases, they can cause swollen lymph nodes as the body reacts to the inflammation.
| Condition | Symptoms | Association with Swollen Lymph Nodes |
| Psoriasis | Scaling, inflammation, redness, itchiness | Yes, due to inflammation and immune response |
| Dermatitis | Inflammation, redness, itchiness, skin irritation | Yes, as a result of skin inflammation |
| Dandruff | Flakes of dead skin, itchiness | Possible, specially if severe or with other conditions |
| Seborrheic Dermatitis | Scaly patches, red skin, stubborn dandruff | Yes, due to the inflammatory nature of the condition |
An itchy scalp can be more than just annoying. It might mean there’s something wrong with your health. When your scalp itches, it often means there’s irritation or inflammation. This can make the lymph nodes at the back of your head swell.
Scalp irritation can cause the occipital lymph nodes to get bigger. This happens because the lymph nodes are fighting off threats. They filter out bad stuff, making them swell, feel tender, or even hurt.
The body’s immune response is to keep us safe. Swollen lymph nodes show this fight. When your scalp itches, it tells the lymph nodes to work harder. This makes them swell as they try to fix the problem.
Knowing why your scalp itches is key to understanding swollen lymph nodes. Common reasons include psoriasis, dermatitis, and fungal infections. Each one needs its own treatment.
By figuring out why your scalp itches, doctors can give better treatments. This can help with both the itch and the swollen lymph nodes.
Lymph nodes at the back of the head swelling on one side can mean different things. We’ll look into what this could mean for your health.
When lymph nodes swell on one side at the back of the head, it’s a sign. This can happen due to a localized infection or inflammation.
Localized infections often cause this swelling. For example, an infection on one side of the scalp can make the lymph nodes swell. They’re trying to fight off the infection.
Swelling on one side can give clues about what’s causing it. Even though our lymphatic system is symmetrical, swelling on one side can point to an infection or other issues.
| Characteristics | Right Side Swelling | Left Side Swelling |
| Possible Causes | Infection or inflammation on the right side of the scalp | Infection or inflammation on the left side of the scalp |
| Common Symptoms | Tenderness, swelling, and sometimes redness on the right side | Tenderness, swelling, and sometimes redness on the left side |
| Associated Conditions | Scalp conditions like psoriasis or dermatitis on the right side | Scalp conditions like psoriasis or dermatitis on the left side |
In some cases, swelling on one side can be a sign of something serious. If you have persistent or severe swelling, you should see a doctor.
Knowing why lymph nodes swell on one side is key to treating it. We’ll keep exploring this topic in the next sections.
Swollen occipital lymph nodes are often linked to minor infections. But, they can also signal serious health issues. Knowing these conditions is key to getting the right medical help.
Lymphoma starts in the lymph system’s cells and can make lymph nodes swell. There are two main types: Hodgkin and non-Hodgkin lymphoma. Symptoms include swollen lymph nodes, fever, weight loss, and feeling very tired.
To diagnose, doctors often take a biopsy of the affected lymph node. Treatment varies and can include chemotherapy, radiation, or targeted therapy.
Key symptoms of lymphoma:
Melanoma, a skin cancer, can spread to lymph nodes at the back of the head. This is called metastatic cancer. Symptoms include swollen lymph nodes, skin lesions, and neurological issues if the cancer reaches the brain.
Diagnosis involves imaging tests and biopsy. Treatment depends on the cancer’s stage and location. It may include surgery, immunotherapy, or targeted therapy.
| Cancer Type | Common Symptoms | Diagnostic Methods | Treatment Options |
| Lymphoma | Swollen lymph nodes, fever, weight loss, fatigue | Biopsy, imaging tests | Chemotherapy, radiation therapy, targeted therapy |
| Melanoma/Metastatic Cancer | Swollen lymph nodes, skin lesions, neurological symptoms | Imaging tests, biopsy | Surgery, immunotherapy, targeted therapy |
Autoimmune disorders happen when the immune system attacks the body’s own tissues. Conditions like lupus or rheumatoid arthritis can cause swollen lymph nodes. Symptoms vary but can include swollen lymph nodes, joint pain, skin rashes, and feeling tired.
Diagnosis involves clinical evaluation, lab tests, and sometimes biopsy. Treatment aims to manage symptoms and may include medications to suppress the immune system.
In conclusion, swollen occipital lymph nodes can be a sign of serious conditions like lymphoma, melanoma, metastatic cancer, or autoimmune disorders. It’s important to seek medical help if symptoms persist or worsen.

Figuring out why lymph nodes at the back of the head swell up takes a detailed approach. This includes looking at your medical history, doing a physical check, and running tests. We’ll go over how doctors find out what’s causing swollen lymph nodes at the back of the head.
First, doctors will check the swollen lymph nodes. They’ll see how big they are, if they hurt, and what they feel like. They’ll also look at the scalp and nearby areas for signs of infection or other problems.
Doctors might press on the lymph nodes to see if they’re tender. They’ll also check the scalp for any signs of infection or other issues.
Tests and blood work are key to figuring out why lymph nodes swell. Blood tests can spot infections, inflammation, or diseases that might be causing the swelling.
Some common tests include:
Imaging tests might be needed to get a better look at why lymph nodes are swollen. These tests can show things that aren’t seen by just looking or doing tests.
Some common tests are:
| Imaging Study | Purpose |
| Ultrasound | To assess lymph node size and characteristics |
| Computed Tomography (CT) scan | To evaluate the extent of lymph node enlargement and identify any underlying masses or lesions |
| Magnetic Resonance Imaging (MRI) | To provide detailed images of the lymph nodes and surrounding tissues |
In some cases, a biopsy is needed to find out why lymph nodes swell. A biopsy takes a tissue sample from the lymph node for a closer look under a microscope.
Biopsies can help diagnose things like lymphoma or cancer that has spread. The type of biopsy depends on the lymph node’s size, location, and what doctors think might be causing the swelling.
Treating swollen lymph nodes at the back of the head starts with finding the cause. We’ll look at different ways to manage this issue. This ensures we tackle the problem at its source.
The first step is to find and fix the root cause. This could be infections or autoimmune disorders. Knowing the cause helps pick the right treatment.
Medications vary based on the cause. For bacterial infections, antibiotics are common. Viral infections might need antiviral drugs. Autoimmune disorders might require immunosuppressive drugs.
| Cause | Medication |
| Bacterial Infection | Antibiotics |
| Viral Infection | Antiviral |
| Autoimmune Disorder | Immunosuppressive Drugs |
Medical treatment can be paired with home remedies and self-care. A warm compress can ease pain. Good hygiene and rest are also key.
Combining medical care with self-care can help manage swollen lymph nodes. Always follow your doctor’s advice for the best results.
Swollen lymph nodes at the back of the head can be worrying. We’ve looked at why they happen, like infections or serious health issues. This includes scalp problems and more serious conditions.
Swollen lymph nodes show our body is fighting off something. It could be a virus, bacteria, or fungus. Or it might be something like psoriasis or dermatitis. Sometimes, it can even hint at serious diseases like lymphoma or cancer.
To figure out why your lymph nodes are swollen, doctors use several methods. They might do a physical check, run tests, or use imaging or biopsies. The treatment depends on what’s causing the swelling. It could be medicine, home remedies, or taking care of yourself.
If your lymph nodes stay swollen or get worse, see a doctor. Knowing about swollen lymph nodes can help you take care of your health. It ensures you get the right treatment when you need it.
The occipital lymph nodes are found at the back of the head, near the skull base. They help fight off infections by filtering out harmful substances.
Swollen lymph nodes at the back of the head can be due to infections, inflammation, or scalp conditions. This includes bacterial, viral, and fungal infections, as well as parasites.
Yes, an itchy scalp can make lymph nodes swell. Scalp irritation can be from dandruff, seborrheic dermatitis, or psoriasis.
Swelling on one side of the occipital lymph nodes might mean a localized infection or inflammation. It’s important to find out why to treat it right.
Yes, swollen lymph nodes can signal serious issues like lymphoma, melanoma, or cancer. If swelling doesn’t go away or comes with other symptoms, see a doctor.
Doctors use physical exams, lab tests, imaging, and biopsies to diagnose swollen lymph nodes. A detailed diagnosis is key to effective treatment.
Treatment for swollen lymph nodes depends on the cause. It can include addressing the cause, medication, and home remedies to reduce swelling and symptoms.
Yes, there are lymph nodes on the head, including the occipital lymph nodes at the back.
Occipital lymph nodes are vital in the immune system. They filter out pathogens and substances, protecting the body from infections and diseases.
Yes, head lice can make occipital lymph nodes swell. The lymph nodes get enlarged in response to the infestation.
Scalp conditions like psoriasis, dermatitis, and seborrheic conditions can cause swollen lymph nodes. This is due to the inflammation and irritation they cause.
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