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Post auricular lymphadenitis

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I found a bump behind my 8 year old son's ear today. The bump is behind his left earlobe and is very red. His left ear is also red. I have attached a picture of the bump. Can you please tell me what this looks like?
Thank you

Category: ENT Specialist

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Category: ENT Specialist
Dr. Sunil Jalan is online now

Expert:  Dr. Sunil Jalan replied 4 Days.


Thank you for using Ask a Doctor Service from Doctor Spring.
Swelling behind ear with redness will be due to inflammation. Possibilities
are either post auricular abscess, post auricular lymphadenitis (inflammation
of lymph node) or mastoiditis (inflammation of bone behind the ear).
With redness and swelling usually it should be associated with pain and fever.
I advise you to get him examined by an ENT specialist as physical examination is required to make a definite diagnosis.
Antibiotic should be started including Amoxicillin 250 mg three times daily for 5 days after a meal for all of the above mentioned conditions.
Adequate anti-inflammatory and analgesic including Ibuprofen 200 mg or paracetamol 500 mg can be given two times daily after a meal for 5 days.
If it is an abscess, then incision and drainage may be required.
Hope this helps. Feel free to ask if you have any further queries.

Thank you.

Dr. Sunil Jalan
Category: ENT Specialist
DAA (Diploma in asthma and allergy) : Christian Medical College, Vellore, 2012
D.N.B (ENT), 2011
Residency - M.S. (Master post graduate degree in otorhinolaryngology),  Christian Medical College, Vellore, 2009
D.L.O. (Diploma in otorhinolaryngology) - Christian Medical College, Vellore, 2007
Medical School - M.B.B.S, S.P. Medical college, Bikaner, 2004
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