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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Painful And Swollen Lymph Glands In Neck?

I have swollen lymph gland on side of neck...blood test proved all alright but still it is painfulllam on an antibiotic now.....called....Amoxicillin 875mg twice per day...but doesnt feel any better after 3 days....the thing is I am on holiday in USA and only going back home in months time so cant use medical aid here...Dr.said to call him in 10 days time...just worried why not getting better...
Wed, 7 Sep 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
If after 7 days course of cefixime, your neck swelling does not resolve then
a.     get done Fine Needle Aspiration Cytology (FNAC) of lymph node
b.     CBC
c.     Hb%
d.     ESR
e.     Chest X – ray PA view
Thanks
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What Causes Painful And Swollen Lymph Glands In Neck?

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 If after 7 days course of cefixime, your neck swelling does not resolve then a. get done Fine Needle Aspiration Cytology (FNAC) of lymph node b. CBC c. Hb% d. ESR e. Chest X – ray PA view Thanks