Tightness of the throat and a little bit of lymph in the neck generally refers to the enlargement of the lymph nodes in the neck, and this symptom may be caused by acute pharyngitis, acute suppurative tonsillitis, acute epiglottitis and other diseases. 1. Acute pharyngitis: If the throat area is infected with pathogens such as parainfluenza virus, acute pharyngitis may be induced, leading to sore throat, dryness, throat tightness and other symptoms. When the inflammation spreads to the lymph nodes in the neck, it may lead to lymph node enlargement. 2. Acute suppurative tonsillitis: Infection by pathogens such as non-hemolytic streptococcus and staphylococcus is a common cause of acute suppurative tonsillitis. Patients may experience sore throat, tight throat, fever, chills and other symptoms as a result. If the degree of infection is more serious, it can lead to swelling of lymph nodes in the neck. 3. Acute epiglottitis: acute non-specific inflammation of the laryngeal mucosa in the supraglottic area mainly in the epiglottis. There are symptoms such as throat tightness, sore throat, dysphagia, dyspnea, chills, fever, and enlarged lymph nodes in the neck. Tightness of the throat, neck lymph nodes a little big, it is also possible that the two are independent performance, there is no correlation, it is recommended to go to the hospital to carry out relevant examinations, a clear diagnosis and then treatment.