I've often felt tenderness around my Preauricular lymph nodes when I have a flare (around my ears) but last few weeks, I've felt pressure in my left ear so I went to see the doctor and they said I had fluid build up but no infection. Now I'm noticing swelling in that area which the doctor didn't seem to notice. She's not my favorite doctor at that clinic because she barely looks your direction as she "examines" you. I'm assuming it's my lymph node swelling from the Sjogren's but I've not had that happen before in that exact place. Only tenderness before. Also, it's usually both ears that ache and also tenderness in the armpits so I find it strange that it's only the left ear now. Has anyone else had this? could it be something else?