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Sore throat due to Parotid gland swelling - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   it started 4 months ago with a bad tooth ace and then a soar throat on the right side and i had flu like symtoms after that then slowly my gland begain to swell 3 months i have a large swelling on the right paratiod gland and some small swellig on left the right side is rubbery in feeling but no pain the left has some discomfort i have dry mouth,its hard to chew and swallow i have a hoars voice i whent to the dentist and he put me on 300mg clindamyacin 1 week and penicillcin it seem to go down a little but he said he did not think it was an infection he said it colud be a tumour. or cist but he ruled out salavary stones then he put me on 150 mg of clindamyacin and it seemed to get larger and when it drains it seems like i have heartburn i am 50 year old male whats going on could he hav been wrong about the infection and did not give it time for the antibiotics to work sinceit was swelled for so long or is somethig else going on?
Doctor :   Hi,
User :   hi doc
User :   or could it be viral
Doctor :   Let me read your query for few minutes to be able to have a good discussion here.
User :   ok
User :   tuesday i go to my doctor will he do a mri or take a biopsy?
User :   i type very slow
Doctor :   i got your query
Doctor :   i do not think of it being cancer unless ruled out
Doctor :   as you had tooth ache which is the commonest trigger for a bacterial parotitis
Doctor :   which do present as you describe
Doctor :   may be a right choice of antibiotic is what is needed
User :   how about acute infection yes and then a soare throat
User :   how will my doctor know whats right
Doctor :   yes , the sore throat too gives me hint about an bacterial infection
Doctor :   detailed examination of the duct of the parotid gland would have sufficed
User :   does infection make it hard to talk and swallow as well
Doctor :   yes, for sure
Doctor :   but if you are planning for MRI i would not stop you
Doctor :   get it done and rule out the cancer for safety
User :   why do you think the dentist miss it
Doctor :   but still cancer remains the last consideration to me
Doctor :   may be , the swelling of the gland has masked the duct opening , and that very common
User :   how about when it drain and i have a burning feeling in stomack
User :   like heart burn
Doctor :   i m sorry , i dont understand ? drain where and how ?
User :   and since i only taking 150mg would this cause it to get bigger some times it seems to drain some when i use a hot compress it swells up and seems to go down sometimes
User :   and sometimes the skin on out side is redish
Doctor :   yes, may due to inappropriate antibiotics the infection is not subsided, either swelling leading to retention of secretions or may be pus built up
Doctor :   the redish skin is the sign of inflammation which occurs in infections
User :   but thier feels like a mass thier the dentist said
Doctor :   and yes, i agree with the stomach burning with the drain it does happen
User :   i thoght it was just the gland under the skin
Doctor :   mass could be a swelling or even a tumor unless prooved by the scan
User :   the mass imean
Doctor :   ya, id you have weight loss or appetite loss in last 4 months ?
Doctor :   did*
User :   no just hard to eat and swallow
Doctor :   ok, cancer will surely result in severe weight loss may upto 10% in 4 to 5 months
User :   maybe 1 or 2 pounds
Doctor :   1 or 2 lbs is not a problem
User :   how complcated is the sugery for a benine tumor?
User :   or cist
Doctor :   depends on the type of the cancer
Doctor :   cyst .. excision is the cure
Doctor :   simple cyst excision
User :   it is verl large could that still be infection
Doctor :   yes

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