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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Swollen Lymph Nodes In Neck, Front An Back

Hi, Doctor

For the past sixteen days I've had swollen lymph nodes in my neck, front and back, and I spotted one today underneath my arpit. When I first discovered them, I was fatigued and I had other extremely mild cold symtoms. After about a week, I went to the doctor and they told me it was a virus. I went back today, another week later, and more swollen lymph nodes had developed and the pain in the nodes had stopped, but the swelling hasn't. I test negative for mono. They told me to consult and ear, nose, and throat specialist and also an infectious disease specialist. What seems to concern them the most is that I don't have any other symptoms besides the swollen lymph nodes. I'm going to make appointments on Monday, but right now I'm extremely nervous. Any suggestions or thoughts?

Fri, 26 Aug 2016
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General & Family Physician 's  Response
Neck lymph nodes are usually enlarged due to local infection. These nodal swellings usually take time to resolve completely even after clearance of infection.
Advice
1.     Hot fomentation with slight warm water every 6 hours
2.     Cefixime 100 mg every 12 hours per oral daily for 7 days
3.     Ibuprofen 600 mg per oral after meal if pain occurs
4.     Investigation – CBC, Hb%, ESR
If after 7 days course of cefixime, your neck swelling does not resolve then get done Fine Needle Aspiration Cytology (FNAC) of lymph node.
Thanks
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Suggest Treatment For Swollen Lymph Nodes In Neck, Front An Back

Neck lymph nodes are usually enlarged due to local infection. These nodal swellings usually take time to resolve completely even after clearance of infection. Advice 1. Hot fomentation with slight warm water every 6 hours 2. Cefixime 100 mg every 12 hours per oral daily for 7 days 3. Ibuprofen 600 mg per oral after meal if pain occurs 4. Investigation – CBC, Hb%, ESR If after 7 days course of cefixime, your neck swelling does not resolve then get done Fine Needle Aspiration Cytology (FNAC) of lymph node. Thanks