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Hi doctors, this is my case. I have been suffering with this which i am thinking to be lymph nodes enlargement. It all started with pain and swelling bilaterally, i took augmentin and some anti-inflammatory. The swelling subsided but a hard tender lump is now formed unilaterally and been there for a week now. The mouth opening has also reduced. What could it be?? Dont have an opg yet.

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Dr .Shalini, some times we as doctors take things lightly. To me looks secondary infective lymphadenitis with antibioma formation or an abscess . I advise to get a F.NA C done and if pus comes out send for cytology and Gene- X- pert examination. Continue cefuroxime 500mg + linezolid 300 mg B.D for 7days along with chymoral forte. If F.NAC is doubtful, get a CECT done

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Dr .Shalini, some times we as doctors take things lightly. To me looks secondary infective lymphadenitis with antibioma formation or an abscess . I advise to get a F.NA C done and if pus comes out send for cytology and Gene- X- pert examination. Continue cefuroxime 500mg + linezolid 300 mg B.D for 7days along with chymoral forte. If F.NAC is doubtful, get a CECT done

Hello doctors.. Sorry for the late update. Thank you @Dr. Partha Sarathi Sahana sir for reminding me. I am very well now. The swelling subsided on its own in a week. Didn't have to geg any fnac. Antibiotics did just fine. Thank you for your responses.

Nice hearing from your end. TC
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Haha yes sir.. Treating oneself is a difficult task. Thank you. Yes, it ain't that serious but the lump is really painful. Hopefully gets subsided in couple of days.

SUB MANDIBULAR SWELLING..... ADVISED....... FNAC.......CBC..........BLOOD CULTURE /SENSITIVITY.... TEST For ACID FAST BACILLI ..... FOR THE TIME BEING....... CONTINUE WITH CLINDAMYCIN ......METROGYL......SERRATIOPEPTIDASE. + ACECLOFENAC .......ZEVIT . HAVE A COMPLETE ORAL AND DENTAL CHECK UP .

CBC with peripheral smear. FNAC of bigger gland.. Throat swab for culture and act accordingly.

Dr Shalini wish you speedy recovery.
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It could be a submandibular swelling or tubercular or just an antibioma. please go for a FNac. stop antibiotics in the interim.

Looking at the clinical history you are giving its most likely to be Rt. Sub mandibular sialoadenitis. As JD nodes secondary to tonsillitis will be lil bit lower and posterior. Drug of choice for sialoadenitis is Clindamycin 300mg bid as it gets concentrated in the salivary glands. Take it for at least 7 days and antiinflamatry agents with enzymes and also you have to consume lot of water and liquids. Use sour candies 5-6 per day as they increase salivation and help in reducing the edema. Also you can try hot fermentation to affected area. OPG won't help as it's a soft tissue swelling. If at all you can visit an ENT Surgeon who will do bi manual transoral palpation of the swelling and confirm the diagnosis else you can go for CT Scan neck with contrast.

@Dr. Partha Sarathi Sahana

Sorry, our friend is suffering... Tonsillitis & the routine antibiotics responding well, followed by only one lymph node swelling. Sounds nothing much serious... Yet get some time for yourself, get 2 best opinions of ENT & General Surgeon by today. It's not easy to treat own self. Take care @Dr. Shalini Singh mam. I'll keep in touch.
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It's hard to tell without opg or intra oral examination..Take 7 days course of antibiotic analgesic metrogyl TDs with multivitamin and chlorhexidine mouth wash..

CT neck. Deep neck space infection suspected

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