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Treatment for lymphadenitis - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3428 Questions
User :   hello?
Doctor :   Hi
Doctor :  
How can I help you?
User :   hi, i have a lump below my right below my earlobe where the curvature of the jaw meets the neck, so I was just curious as to what it might be?
Doctor :   Ok

Doctor :  
There are a group of lymph nodes as well there
Doctor :  
Before proceeding with it
Doctor :  
May I ask you few questions to know about you?
User :   sure
Doctor :   Please give your Age, Gender, Location, Occupation, Marital status, Height and Weight
User :   21 male, kansas city, single, 5' 9', 160
Doctor :  
Ok
Doctor :   When did you notice the lump?
User :   last thrusday
Doctor :  
Ok
Doctor :  
Did you have fever?
User :   no
Doctor :   Ok

Doctor :  
What is the size of the lump?
Doctor :   are you there?

User :   there are two actually, one right where the earlobe meets the neck, and that size is about 1/2 size of a pea but getting smaller and im not sure if it is symetrical, and the other at the location i described earlier is about 1/2 the size of a marble but a fairly wide area and same for the other location
Doctor :   Ok

Doctor :   This is more likely to be a lymph node swelling

Doctor :  
and is commonly seen after infection
User :   the lump next to my jaw is only hard if i turn my head completely to the side, when i am looking straight ahead it is fairly soft
User :   alright, not a tumor or anything right?
Doctor :   No

Doctor :  
You need not worry about that
Doctor :  
But just for confirmation sake, I would suggest you to get it examined once
Doctor :   If necessary a biopsy would be done

Doctor :  
Are you getting it?
User :   how come the lump is hard when i turn my head to the side? does the skin being streached make it hard?
Doctor :   Yes

Doctor :   Not just the skin
Doctor :  
The muscle when is put into contraction
Doctor :  
the swelling over it becomes prominent
User :   i do notice that when i leave it alone for a while the size of the lump does go down?
User :   prominent?
Doctor :  
Prominent meaning hard
Doctor :  
and looks more evident
Doctor :  
Anyway I would recommend a physical examination
User :   which means it would make the area hard and unable to move right?
Doctor :   Yes
Doctor :  
The muscle put into contraction
Doctor :  
pushes it outwards
Doctor :  
and hence becomes hard
User :   ok, so you said infection, if i have an infection shouldnt i have a fever?
Doctor :   Need not be now

Doctor :  
Could be an earlier like say a month ago
Doctor :  
and you would have noticed it recently
Doctor :  
If you press it does it pain?
User :   before i saw the lump behind the jaw bone I thought i had the lump behind the earlobe for quite some time may 2-5 months, and yes when i touched before i would have a little pain, but only then. and it was more irratation than anything else
User :   now there is now pain, even if i pull on it
Doctor :   Ok

Doctor :  
Pain on touching it indicates inflammation of the lymph node
Doctor :  
It is called as lymphadenitis
User :   i see
Doctor :   Do you have cough?
User :   but i didnt notice the lump behind my jaw until last thrusday, and that was the same day i started getting concerned about lump behind my ear. i pull on it moved it and irratated it. it got very swollen and then thats when i noticed the 2nd lump
Doctor :   Ok

User :   so maybe irratating one lymph node got the other lymph node irratated, cause i do remember a little irratation in that area before i even felt that i had another lump there
Doctor :   No
Doctor :   Not irritation
Doctor :  
It is infection
Doctor :  
Lymph node inflammation rather
Doctor :  
mostly due to infection
User :   o i see, then why did i not notice the 2nd lump until after i started messing with the first lump?
Doctor :   It could have spread

Doctor :  
or it would have be identified later
Doctor :  
Cannot say precisely
User :   ic
Doctor :   But those are the possibilites

User :   but i guess the concern was that it could be cancer, is there any chance of that?
Doctor :   No

Doctor :  
Since there is pain you need not worry
Doctor :  
Because most of the cancerous lumps do not cause pain initially
Doctor :  
That is very unlikely
Doctor :  
This can be reconfirmed with FNAC
User :   well it wasnt really pain, is was more of an irratation when i would rub my fingers across the small lump?
User :   what is an fnac?
Doctor :   Fine Needle Aspiration Cytology

User :   there is not pain now though?
User :   is that bad?
Doctor :  
It is a technique where in a small part of the tissue which is aspirated
Doctor :  
and then examined microscopically
User :   ic
Doctor :   I advise you to get it done

User :   is it bad that there is no pain now?
Doctor :   No

Doctor :  
Once it has started resolving
Doctor :  
pain will reduce
Doctor :  
In cancers it is the revers
Doctor :  
There wont be pain initially
User :   ic
Doctor :  
and later keeps increasing in terminal cases
Doctor :  
Yours is the reverse
User :   what kind of a dr should i see?
Doctor :   General Surgeon

User :   and just out of curiousity, can lymph nodes really swell up to around the size of a marble?
User :   general surgen, wont that be very expensive?
Doctor :   Not so much

Doctor :  
But little bit smaller than nut
User :   what kind of a nut?
Doctor :   Expense will depend on the hospital set up

Doctor :   sorry, I wanted to say that
Doctor :  
instead typed nut
User :   i do have insurance so it shouldnt be a problem
Doctor :   Ok
User :   typed nut?
Doctor :  
That is fine
Doctor :  
Yes instead of that
Doctor :  
Did you get it?
User :   no im sorry
Doctor :   I meant

Doctor :  
I typed wrong as nut
Doctor :  
instead of "that"
User :   lol, so what size can lymph nodes normally swell up to?
Doctor :   Upto the size of 1/2 an inch across

User :   does that include the swelling around them?
Doctor :   The lymph node swelling as a whole

User :   cause when i turn my head to the side its probly closer to 1 inch from top to bottom?
Doctor :   Ok

Doctor :  
But usually it will be 1/2 an inch in case of lymph nodes
User :   so is what i have normal when they swell?
Doctor :   It is much more than a normal infection

Doctor :  
Confirmatory diagnosis can be made only after FNAC or a biopsy
User :   alright, do you think it would be ok if i went to a regular dr first ?
Doctor :  
Sure
Doctor :  
The diagnosis should be made first
Doctor :  
and then the rest
User :   ok
Doctor :   So go ahead with the examination and test done

User :   will do, how sure are you that this is not cancer or anything like that?
Doctor :  
With the symptoms and the cases I have come across
Doctor :  
I am 80% sure
User :   alright thanks, that makes me fell better!
Doctor :   Is there any thing else I can help you with?



User :   what do you think about me waiting for a while to see if the lumps go down on there own?
Doctor :   Not ideal
User :   maybe say 10 days?
Doctor :   I wont advice that

User :   ok, i just thought since they are decreasing in size and swelling
Doctor :   But should not be ignored

Doctor :  
Thats why sooner the better
User :   alright, i will get in looked at asap!
Doctor :   Good
Doctor :   Please fill the feedback form say done when done.

User :   do you have any other ideas on what this might be?
Doctor :   No
Doctor :  
Mainly lymph nodes
Doctor :  
as it is distributive
User :   it is getting harder and harder to see and feel
Doctor :  
Ok
Doctor :  
Direct examination would be the best option then
Doctor :  
Go ahead
Doctor :  
and get back to me with the results
User :   which hopefully is a good sign, like i said, the more i dont touch it, the more it gets smaller
Doctor :   Ok

User :   will do, thanks alot for your time!
Doctor :  
Decreasing size is ofcourse good
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.

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