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What Causes Swollen Glands Under Jaws After Placing A Coronary Stent?

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Posted on Mon, 29 Jun 2015
Question: I have swollen glands under my jaws since I had a coronary stent & started plavix & metropolol, now cardevilol. It was followed up with a nuclear scan which showed that my stent was working fine. So, no one knows the cause of it nor do they think it is cardiac related. What do you think? Could it be a reaction to the beta locker or to the stent. The stent was placed on 4/29. The symptoms started on 4/30 & have contined since.
doctor
Answered by Dr. Panagiotis Zografakis (28 minutes later)
Brief Answer:
it needs investigation

Detailed Answer:
Hello,

I don't believe there is any link between your drugs, the stent and the lymph nodes. Neither plavix nor carvedilol are supposed to cause lymph node enlargement. The most common causes of neck node enlargment include upper respiratory tract infection and local inflammation.

If the nodes are larger than 1.5-2.0 cm then investigation would be recommended, unless an obvious cause can be detected by your doctor. Ultrasound evaluation and clinical examination are very useful in assessment. Blood tests may reveal clues to the diagnosis like white blood cell count alterations or inflammatory markers elevation. If there is suspicion for infectious causes then specific antibody tests can be ordered (Toxoplasma for example). The thyroid and the salivary glands should be checked clinically or with ultrasound scans.

Depending on the size of the nodes and the rest of the clinical details, other tests might be helpful as well, like a chest X-ray (and perhaps a computed tomography also) and a computed tomography of the abdomen (CT scan), looking for enlarged nodes in the chest and abdomen.

I hope I've helped!
Contact me again, if you'd like any clarification or further information.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (27 minutes later)
Some days are worse than others. It sometimes feels like a tightness in my neck or a squeezing sensation. It sounds like I might need to followup with my internist. My voice is also hoarse. I have a lot sneezing periodically & can't breathe well out of my nostrils. I appreciate your response!
doctor
Answered by Dr. Panagiotis Zografakis (5 minutes later)
Brief Answer:
that's a good decision

Detailed Answer:
Visiting your internist is the best thing you can do! Hoarseness and upper respiratory symptoms, also need assessment (particularly the hoarseness and particularly if it is protracted).

Best wishes for a speedy recovery!
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3809 Questions

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What Causes Swollen Glands Under Jaws After Placing A Coronary Stent?

Brief Answer: it needs investigation Detailed Answer: Hello, I don't believe there is any link between your drugs, the stent and the lymph nodes. Neither plavix nor carvedilol are supposed to cause lymph node enlargement. The most common causes of neck node enlargment include upper respiratory tract infection and local inflammation. If the nodes are larger than 1.5-2.0 cm then investigation would be recommended, unless an obvious cause can be detected by your doctor. Ultrasound evaluation and clinical examination are very useful in assessment. Blood tests may reveal clues to the diagnosis like white blood cell count alterations or inflammatory markers elevation. If there is suspicion for infectious causes then specific antibody tests can be ordered (Toxoplasma for example). The thyroid and the salivary glands should be checked clinically or with ultrasound scans. Depending on the size of the nodes and the rest of the clinical details, other tests might be helpful as well, like a chest X-ray (and perhaps a computed tomography also) and a computed tomography of the abdomen (CT scan), looking for enlarged nodes in the chest and abdomen. I hope I've helped! Contact me again, if you'd like any clarification or further information. Kind Regards!