The common causes of multiple bulging lymph nodes in the neck include lymphadenitis, lymph node tuberculosis, malignant diseases, etc., and appropriate treatment measures should be taken according to the causes. 1. Lymphadenitis: If the swelling of the lymph nodes in the back of the neck is caused by bacterial infection, you can use antibacterial drugs as prescribed by the doctor, such as cefadroxil, roxithromycin, etc. If the swelling is caused by viral infection, you can use antibacterial drugs as prescribed by the doctor. If the swelling of the posterior cervical lymph nodes is caused by viral infection, it can be treated with antiviral drugs, such as ganciclovir. If the lymph node inflammation forms abscess, it needs to be treated by surgery. 2. Lymph node tuberculosis: it can be treated with anti-tuberculosis drugs, such as isoniazid and rifampicin. 3. Malignant diseases: such as lymphoma, lymphoblastic leukemia, lymphatic metastasis of malignant tumors and other diseases, may invade the cervical lymph nodes, resulting in enlargement. Clinical need to consult the doctor in time, after puncture biopsy and other tests, after a clear diagnosis, follow the doctor’s instructions to be surgery, chemotherapy (such as doxorubicin, bleomycin, dacarbazine, etc.), radiotherapy, hematopoietic stem cell transplantation therapy and other treatments. If you have symptoms of multiple bulging lymph nodes in the neck, you should consult a doctor in time to avoid delaying your condition.