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Swollen lymphnode under the jaw - 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 : 2009
Answered : 681 Questions
User :   Hello. I've had a swollen lymphnode under my jaw on the left side for about 2 months now. I recently just had 2 decaying wisdom teeth pulled (1 week ago) and was hoping that would have fixed the issue, but it has not. I am worried about lymphoma, but have had no fever, night sweats, or weight loss. I am a 27 yr old male. Am I over reacting?
Doctor :   hi
Doctor :   Dr xxxxx here
User :   Hello
Doctor :   at the age of 27, u need not worry about lymphoma at all
User :   really?
Doctor :   since the only node is below ur jaw, it coyld be due to some persistent infection in the oral cavity or elsewhere
User :   I just had blood tests done, and they all came back normal. It was a CDC and Comprehensive Metabolic Panel. If something like Lymphoma was there, would something have been "Off" with the blood tests?
Doctor :   as u said that u had decaying wisdom tooth, that u have just removed, i expect the nodes resolve in about a months time with a course of antibiotics
Doctor :   yes the cmp, would have showed high counts of wbc cells in the blood
User :   would that show with both Hodgkins and Non-Hodgkins?
Doctor :   yes
Doctor :   do u have lymph nodes else where in the body as well ?
User :   unfortunately, I have been drinking a lot over the past 6 months. Would that effect the node?
User :   not that I've felt
Doctor :   no drinking is not associated with ln enlargement
User :   I've examined my groin and armpits and haven't felt any lumps
Doctor :   in that case, u can relax and stop worrying about lymphoma
Doctor :   what u have could be a case of chronic noonspecific lymphadenitis
User :   i do have chronic sinusitus
Doctor :   which will mostly resolve within the next month or so
Doctor :   yes chronic sinusitis can also cause such a similar situation
Doctor :   in fact any chronic infection in the ear, nose throat area, that is not treated can cause such issues
User :   Another issue I've had, is a fullness in both ears. This has been since July. I've seen an ENT and have been on antibiotics, steroids, and have had a CT scan done. The CT scan showed nothing. I was curious if I should look into TMJ?
Doctor :   no there is no need for u to look into tmj disorder or so
Doctor :   you could ahve been having serous otitits media, which will resolve as well with proper treatment
Doctor :   do u think u have symptoms of TMJ disorder ?
User :   Just the fullness in my ears and a slight stiffness in my jaw
Doctor :   this is not tmj disorder
Doctor :   have u shown the ear to a ent doctor ?
User :   yes...I've seen him 3 times now.
Doctor :   have they seen nay fluid collection in the ear?
Doctor :   **any ?
User :   the first Doctor that I saw for this said he did. He put me on an antibiotic and the fullness never went away. No Doctors since then have seen any fluid, including the ENT.
Doctor :   then i guess the case was as i had said was serous otitis media and will resolve soon
User :   This started in July. I figured it would have resolved by now.
Doctor :   this results due to infection in the para nasal sinuses in the nose extending to the auditory tube and the resulting inflammation causes its blocking and hence secretory otitis media in the ear.
Doctor :   treat the sinusitis, and completelyy eliminate it and all ur othert issues will resolve
User :   how do I treat the sinusitus? I've tried antibiotics 3-4 times now.
Doctor :   in case the antibiotics do not work , then FESS, funcational endoscopic sinus surgery will work to clear the infection
Doctor :   this will completely remove the infected mucosa and resolve the issue completely
User :   I've tried amoxicilin and a z-pack. Is there anything else I should try?
Doctor :   you can get a prescription for levoquin from ur doc, and a course for 7 days can be tried
Doctor :   in case the antibiotics do not work , then FESS, funcational endoscopic sinus surgery will work to clear the infection
User :   ok. Is this a extensive surgery? or a simple one?
Doctor :   this is a very simple endoscopic procedure without much incisions
User :   oh ok
User :   i will ask my ENT about it when I see him on Jan. 3
Doctor :   just a small hole under anesthesia is made and the infected mucosa is cleared
Doctor :   also rule out conditions like deviated nasal seotum , which also can cause recurrent sinusitis
Doctor :   ** septum
Doctor :   Are u there ?
User :   yes sorry. I had to extend my session
Doctor :   ok
User :   is there anything you recommend to help the fullness in my ears for now?
Doctor :   take some antihistamines, like diphenhydramine, which will help to some extent
Doctor :   also valsalva maneuver, (close ur nostrils and mouth and then try to blow out air)
Doctor :   this will help to open the blocked autitory tube and also help the fullness
User :   Ok
User :   So just one last time, lymphoma shouldn't be a concern at all since the blood tests were all normal?
Doctor :   no not at all, just forget about it
Doctor :   concentrate on treatment of ur chronic sinusitis
User :   ok great. that's what I wanted to know. I figured the blood tests would have been showing something off. I will focus on the ears/sinuses
Doctor :   good
User :   thank you for you advice Dr. I hope you have a wonderful Holiday and Happy New Years.
Doctor :   you too
Doctor :   take care
Doctor :   you will get well soon
User :   bye now
Doctor :   bye
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