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Hard painful lump in the ear, preauricular lymph nodes, probable Rubella - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   good day to you docotr
Doctor :   Good day
User :   i am very concern
Doctor :   Let me try and help you.
User :   i just noticed just like 15 minutes ago that i have a small hard painfull round like bump inside the front area of the ear
Doctor :   I see.
Doctor :   Can you be a bit ore descriptive of this lump?
Doctor :   Is it inside the opening of your ear canal?
User :   last march 31 while I rode a plane this right ear became like deaf
Doctor :   I see
User :   i mean it feels like there is pressure but when you would swallow your saliva it would go away
Doctor :   Sure
User :   but mine did not up to this moment
Doctor :   I understand. This is from a bit of fluid that sometimes accumulates behind the eardrum
Doctor :   I see. So if I understand correctly, you have a painful bump and also your hearing is somewhat limited right now?
User :   yesterday i accidentally touch the back of that ear
User :   the hearing came first
Doctor :   OK. I think there are two separate things going on
User :   yesterday when i touched the back area of the ear i touches something like a lymp node that was painfull
User :   but after that dissapered
User :   but 15 mins ago when i touched the front because it isx becoming painfull
Doctor :   Let me help you understand and give you good reassurance
User :   there is a round hard and painfull thing
Doctor :   Painful bumps are almost always benign and related to inflammation or small infection
User :   ok
Doctor :   Small bumps may occur similar to a pimple on the face
User :   but mine is inside
Doctor :   a small hair follicle becomes plugged, inflammed and develops mild infection
Doctor :   Again, by inside are you referring to inside the ear canal?
User :   no
User :   nothing is inside the ear canal
Doctor :   I see, so by inside you are referring to?
User :   but inside the skin right infront of the ear
Doctor :   Ahhh, ok I understand.
Doctor :   Yes there are lymph nodes in that region. These can become inflammed if a patient has a mild infection or allergy
User :   ill get a anatomy book to tell you specifically the location
Doctor :   Again, painful swelling is almost uniformly benign
Doctor :   I think you are referring to what we call "preauricular" lymph nodes
User :   ok what kind of infection can it be i dont even have a cold
Doctor :   It doesnt have to be infection, can also be allergy or inflammation.
Doctor :   Generally this kind of swelling will gradually resolve over 5 to 7 days.
Doctor :   Do u have sore throat at all, runny nose?
User :   and the whole day today i have headache
Doctor :   Headache could reflect a mild sinus infection
Doctor :   even if you have no runny nose
Doctor :   the head has many sinuses - in the cheeks and in forehead as well.
User :   no but the right area of the throat feels like numb
User :   that feeling was the same time when my ear got like deaf
Doctor :   And this is the right ear we are talking about too correct?
User :   yes
Doctor :   Excellent. Again this is more reassuring.
Doctor :   Something is irritating the right side of your throat.
Doctor :   This irritation has triggered an immune response
User :   oh and my right eye also feels like there a little bit of pressure
Doctor :   And a degree of inflammation. May be a virus, or could be some allergen in the air.
Doctor :   All this is adding up to inflammation and maybe a viral sinusitis
User :   no nothing is feeling irritating but if i swallow i cannot feel it in the right side of the throat
User :   can german measles cause this?
Doctor :   You have no rash
Doctor :   German measles is not a consideration
Doctor :   I am fairly certain this is a viral or allergic phenomenon
User :   ok
Doctor :   I would advise the following
User :   ok
Doctor :   1) Maintain good hydration
Doctor :   2) Use over the counter preparations such as ibuprofen 600 mg three times daily to help inflammation
Doctor :   3) Warm compresses on front of ear where bump is may help sooth symptoms
Doctor :   4) Monitor for next 72 hours
User :   can celecoxib ok for inflammation?
Doctor :   5) If in 72 hours you do not experience a leveling off of sympotoms or improvement, discuss this with your doctor.
Doctor :   Yes you may use celcoxib if you have access to that instead of ibuprofen
User :   ok i already have it here at home
Doctor :   OK. Ibuprofen may be a better choice but celcoxib is fine to use initially.
User :   how may days should i take it?
Doctor :   3 to 5 days
User :   now when i touch it its already very tender and painfull even w/out touching it
Doctor :   Yes, this is not surprising.
Doctor :   I would avoid touching it at all
Doctor :   It is a lymph node which is the sanctuary for your immune cells.
User :   oh ok what can happen doctor if this get worst?
Doctor :   Your immune system is in the process of mounting an immune response.
User :   can i possibly have fever if ever
Doctor :   If it gets worse, your doctor would consider giving you an antibiotic
Doctor :   I doubt it would get worse though
Doctor :   You could possibly develop fever yes
Doctor :   ibuprofen is fine to treat if u have fever.
Doctor :   or acetaminophen/tylenol.
User :   cause 2 weeks ago my oldest got german measles and today my 2nd son and youngest have it
Doctor :   I see.
Doctor :   Have you been immunized?
User :   so im thinking at 1st if i also was infected
User :   no
Doctor :   OK well this bit of extra history is improtant to know.
Doctor :   I am sorry I did not ask you about your exposure recently.
Doctor :   Certainly your symptoms could reflect early Rubella
User :   yes im sorry i forgot to tell you sooner
Doctor :   I would contact your physician to report these symptoms as well as your recent family history of indiciduals with german measles.
Doctor :   No apology necessary ! I am glad we got to the point where we learned about your children having Rubella.
User :   ok
Doctor :   He may just tell you to take Tylenol.
Doctor :   Are you pregnant by any chance?
User :   so it is possible that if ever i am infected it is in its early stage?
User :   no
Doctor :   ok good. Yes, sounds like it could be early stage.
Doctor :   Let me provide you a link to the US national institute of health information site regarding rubella.
User :   but can this worsen? do i need to take antibiotics already?
Doctor :   Are your children taking medications?
User :   the rashes just started today but its sunday so ill be taking them to a pedia tom.
Doctor :   I would start taking pre-emptive anti-inflammatories to help mitigate symptoms before they worsen.
Doctor :   That way you can maybe get ahead of the symptoms. Do you know what I mean?
User :   so i can still start with hot compress?
Doctor :   yes
User :   yes
Doctor :   and I would obtain some ibuprofen or acetaminophen
Doctor :   these I think would be better to help your symptoms.
User :   this is for fever?
Doctor :   No - for swelling and inflammation
Doctor :   and pain
User :   ok copy that
Doctor :   ibuprofen is probably best choice for fever, swelling or inflammation
User :   can i take a bath even with this? and my sons too
Doctor :   Yes you may
User :   ok
Doctor :   Have I adequately answered your concern?
User :   is it ok that my headache is extremely elevating?
Doctor :   it is a common symptoms
Doctor :   perhaps the ibuprofen will help relieve it
User :   ok so, thank you very much doctor
Doctor :   You are very welsome. It was a pleasure chatting with you.
Doctor :   Remember we are always available to help you with your medical concerns.
Doctor :   Have a good day and good health to you.
Doctor :   Are you still there?
Doctor :   I have to close the window as you are not responding. Please chat with our doctors 24/7 for medical queries.
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