Dear Sir Hello I am Dr Ravinder Sharma ENT surgeon On the basis of information provided it appears that you have frequent infections(bronchitis, lymphadenopathy and ear infection) I wouls advise you for Fine needle aspiration biopsy (a needle is passed in the swelling and the aspirate is examined under microscope to know about the disease) from the lymph nodes and a ENT consultation for the problem related to ear. Smoking increase the risk of airway infection, tuberculosis and malignancy. ENT consultation, report of fine needle aspiration biopsy and endoscopy of airway ( at back of nose- nasopharyngoscopy, voice box-laryngoscopy and chest- bronchoscopy) may be required to make a diagnosis It is quite probabale that your disease needs further treatment I hope this answers your concerns. Feel free to contact me if your need more information on this With warm regards Ravinder Sharma