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Cause of swelling and the pain under the neck - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Suddenly, last night,the right side of my neck, under my jawline, started hurting, swelling, and it felt like there was something swollen inside. This morning it is even worse, and I can see the swelling when I look in the mirror
Doctor :   Hi
Doctor :   I am Dr. xxxx
Doctor :   Let me read the query
User :   Hi -- I am a 55 yr old woman, and I do have PBC (if relevent)
User :   ty
Doctor :   can you tell me what is PBC?
User :   Primary Billiary Cirroshis .. It is an auto immune disease of liver/bile ducts
Doctor :   Ok, let us discuss about the swelling and the pain under the neck
User :   ty
Doctor :   What is the size of the swelling?
User :   1.5 inches X 1 inch
Doctor :   Is it moving with your finger?
User :   no
Doctor :   Is it fixed to its base?
User :   yes
Doctor :   Does it move on swallowing?
User :   no -- or haven't noticed
Doctor :   Does it move on sticking out the tongue?
User :   no - but does seem to flatten out with that stretch
Doctor :   Do you have pain swallowing or chewing food?
User :   yes
Doctor :   Do you have cough / cold/ sorethroat ?
User :   on the right side
User :   little sore throat on the right side when I swallow
Doctor :   Is it undersurface of jaw or the front surface of neck?
User :   seems more under surface of jaw. It does sart right under jaw
Doctor :   Is it single swelling?
User :   ???
Doctor :   Do you have single lump or many?
User :   I don't know what single swelling means
Doctor :   in that region
User :   single
Doctor :   ok
Doctor :   Does the pain increase on chewing or swallowing?
Doctor :   or it is the same when you do not do them?
User :   let me see
User :   pain is mostly when I touch it... secondary, when I swallow
User :   or when I stretch the neck
Doctor :   Ok, I understood the information you provided
Doctor :   I could think of two possibilities now
Doctor :   1) Salivary gland swelling called sialadenitis
Doctor :   2) Lymph node enlargement
Doctor :   Do you have fever?
User :   don't think so, but don't have thermometer
Doctor :   Did it happen in the past?
Doctor :   Do you have any other medical problem?
User :   no it did not
User :   the PBC, and I have been exhausted for the last 1-2 months
User :   (but who isn't exhausted??)
Doctor :   any loss of appetite and weight?
User :   no
Doctor :   Ok, sudden appearance of such swelling and difficulty swallowing at this age warrants an physical examination to check out for infection, stone of the glans
Doctor :   gland
Doctor :   Till then you can take Tab MOTRIN 200mg, twice a day after meal
User :   ok
User :   what is stone of the glands?
Doctor :   Do not use motrin too often as it can cause gastritis
User :   can I use ibuprophin?
Doctor :   The salivary glands and the ducts can sometimes lodge stones
User :   oh
Doctor :   Yes
Doctor :   You can use Ibuprofen
Doctor :   MOTRIN has the same composition of Ibuprofen
User :   I think I should go to the doctor. I travel all the time for word, and since this was suddedn, I want to be sure it's ok to fly out tomorrow
User :   for work
Doctor :   Yes you should go to the doctor
User :   I don't want to get stuck sick in an unfamiliar place
Doctor :   Yes
User :   thank you..
Doctor :   Thanks
Doctor :   and it is pleasure for me too
User :   good bye
Doctor :   Bye
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