Hello,
Thank you for your consult at DoctorSpring.com. I can understand your problem, and will try to help you the best possible.
Let me explain the disease first ->
You have (cervical lymphadenitis)a painful enlarged lymph node (around 1 to 1.5cm) on right side of neck, just behind right ear lobule. Painful nodes are always caused by infection. So painful and tender nodes are safe. So you should get relief with prescribed antibiotic in one week time.
You can add analgesic and anti-inflammatory medication with it including Tab. Paracetamol 1gm three times daily after food.(or any other analgesic you are using regularly) for 5 days.
So you need not to worry about this lymphnode. We need detailed evaluation only if lymph node is painless, or if it is increasing in size.
Summary of treatment:
• To Continue same treatment.
• Add analgesic medication
Need not to worry about it. Hope this helps. Feel free to ask if you have any further queries.
Thank you.
Regards
Dr. Sunil Jalan
MBBS, DLO,MS(ENT),DNB,DAA
Patient replied :
Hi Dr. Jalan,
Thank you for responding to me regarding the matter, I went to visit an ENT to for a physical examination and he told me not to worry either he prescribed me Augmentin (Amoxicillin Clavulanate)for 10 days and I am on the 7th day and my lymph node behind my ear has shrinked in size the lymph node is still there not completely flat like the other side of my ear but it has become smaller. . so since it has become smaller and the pain has gone away is this a good sign?
Before last week when I contacted you the lymph node was larger and there was pain when I moved my head and painful to touch, now there is no pain and it is smaller. . should I be ok?
Before:
http://tinypic.com/view.php?pic=29h1g0&s=5#.Up5YOeLWd7k
After Augmentin 7 days:
http://tinypic.com/view.php?pic=2q3bt43&s=5#.Up5YfeLWd7k
I also have a picture if needed here is the link if you can access it.
Thank you doctor and best regards,
Sajid
Hello,
Your lymph node has decreased in size significantly (can be appreciated by pictures), so you need not to worry about this.no further treatment needed. now it may remain same for some time (up to few months)
You need review only if lymph node is increasing in size (which is very unlikely)
Hope this helps. Feel free to ask if you have any further queries.
Thank you.
Regards
Dr. Sunil Jalan