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Will BOTOX injection cause swollen LYMPH NODES?

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Hi. Saturday morning lymph node on left side of neck was quite enlarged. Went to see the certified plastic surgeon that put the filler Voluma on left side of my chin to even it out with right side (due to injury as a child the left side it's slightly off, and he also did a little bit of Botox between my eyebrows, I had done both procedures with same DR 6 months ago). I thought it might've been related since the procedure was 2 days prior on Thursday. He said I just had swollen lymph node that could be do to possible infection or injury, and not to worry. Today I woke up with right side of my face by my ear puffy lymph node on that side slightly enlarged. I called him, he doesn't think I have an infection as I don't feel sick and no fever. It just kinda feels uncomfortable and like hot by my ears, not painful, my throat feels lumpy. I think will go to Urgent Care, since I'm away on vacation. I'm very concerned. I had a full physical done 2 months ago including thyroid and all came back good. Please advise. Maybe I should mention I have a cold sore since last night. 

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
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Hello. Thank you for posting your query at Doctorspring.com
I understand your concern.
Is it possible for you to upload an image of what you're trying to describe?
If your throat is feeling lumpy then there has to be some kind of ongoing infection. Do you have a sore throat? There can be lots of reasons for enlargement of the neck lymph nodes, most commonly any injury/inflammation/infection. You may develop fever later on if you're having an infection currently. But since you had a procedure done 2 days back, it is possible that it has occured due to some injury. In that case it will resolve on its own.
Did you take any antibiotic prophylaxis during the surgery? Is the lymph node tender to touch?
Kindly get back to me with additional details and i will help you further,
Regards


Patient replied :

Thank you for your help. The procedure I had wasn't surgery. It's a filler injected with a syringe. I have a bruise where the needle went in. The nodule on my neck which is the largest and first one on left side is not really tender to touch, but the puffy side of my cheek, by the ear, and nodule on right side that started today is a little tender, and my ear is starting to bug me a little, like sensation of when it's clogged. My throat is starting to bother me a little also, not really sore but like lumpy. Sending some images from my phone.
PS
Are these consultations displayed on your website/Internet? I do not want my consultation to be posted anywhere.
Thank you


Hello. Thank you for writing to us again.
Do not worry about the privacy of this consult, only the i have an access to what you're sending. We take great care in upholding the doctor-patient confidentiality. It is not posted anywhere else, and nobody apart from me has any access to your consult.
You can go ahead and send your picture. That will help me understanding what level of lymph nodes are involved. Since you mentioned that even your ears seem clogged, it is starting to seem like an infection. And also since you're away on a vacation, it is better you start on an antibiotic prophylaxis. The lymph nodes can even indicate a reaction to the filler, however it is very difficult to make an diagnosis in such cases, as to what exactly is causing these symptoms.
I will adivse you take the following :
1) Tab. Augmentin 650 mg ( Amoxycillin + Clavulanic acid ), it is equally potent in both throat and ear infections. Two tablets need to be taken for 5 days after food. 1-0-1
2) Tab. Cobadex CZS ( multi vitamin ) one tablet at bed time for 5 days.
3) Tab. Claritin 10 mg, one tablet at bed time for 3 days.
In case there is an active infection, it will resolve after taking the medicines over the next 2 days.


Patient replied :

I tried sending the photos, I guess they did not go through. Right now I'm in a very small town in California so I'm going to go to the Hospital ER, so if I do indeed need antibiotics they can prescribe it and start taking right away. I'm sending photos again.
Should I abstain from exercising/running?
again thank you so much.


Hello. Thank you for writing to us again.
Yeah i saw your pictures and it does seem like a lymph node swelling. As i said before, you may be coming down with an infection or the other possibility is, it is just a reaction to the filler. If you're going to ER, it's fine, they can examine you and prescribe the right antibiotic. If you can't go, you can just wait for may be another day, just to see if you're developing any sore throat/ fever. In case you do, you can take the antibiotics i prescribed right away. In case you don't develop any signs of fever, it is definitely due to an allergic reaction, so you can take Tab. Claritin and the swelling will resolve automatically over a period of time.
Regards


Patient replied :

But can I get the Augmentin and cobadex without a prescription? Because in that case I rather wait until tomorrow. Thanks again


Hello.
Thank you for writing to us again.
Augmentin is a prescription antibiotic. So you can wait until tomorrow.Do start the Claritin.
Cobadex is a multivitamin and you can take any such OTC brand.
I hope that answers your question.
Thank you.


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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