I have what i am guessing two swollen occipital lymph nodes that are very painful. i have not had a recent infection, sore throat, etc.?

ADENITIS: If you don 't have any nearby infection draining to the occipital nodes, then it is just adenitis. Your md will give antibiotics and Motrin for pain.

Reactive lLymph node: Your occipital lymph nodes can respond by swelling to things as diverse as a systemic virus or vaccination & or a localized event like irritation from a skin rash or bug bites. Those around the neck & skull are more noticeable since they often overlay bony structures or are near the surface.Most reach peak size in a few days & shrink within 2 wks. Have them checked if they bother you.