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Hello, My 14 yr. old son has swollen lymph node

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Posted on Sun, 24 Mar 2019
Question: Hello,
My 14 yr. old son has swollen lymph node on right side near jaw, as well as some swelling under the right side of his tongue. This has been going on for over two weeks and has seen a couple of doctors of which one had given him some antibiotics and prednisone. A general blood workup was done while fasting, which came up normal. He would feel well for a little while and the swelling would come back and doesn't feel well. But now his symptoms have now progress to a high fever, which I manage to bring down with Tylenol and ice packs. What can this be?
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Answered by Dr. Michelle Gibson James (51 minutes later)
Brief Answer:
may be related to one of the salivary glands

Detailed Answer:
HI, thanks for using healthcare magic

You may want to consider an ENT specialist for him, it is possible that the symptoms may be due to an infected or blocked saliva gland.

This can cause swelling in the mouth or side of the cheek or below/under the tongue because they are different salivary gland. In most cases only one is affected at a time. For him where the swelling is under the tongue, it may be the submaxillary/submanibular salivary gland

In some cases, there is a small stone that needs to be dislodged.

In some persons the use of copious fluids, antibiotics, massage of the area and warm compresses- may be enough. Clindamycin, which he is currently using, is one of the more common antibiotics

Even if the symptoms are not in keeping with issues with the salivary gland, ENT might still be best to assess.

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16811 Questions

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Hello, My 14 yr. old son has swollen lymph node

Brief Answer: may be related to one of the salivary glands Detailed Answer: HI, thanks for using healthcare magic You may want to consider an ENT specialist for him, it is possible that the symptoms may be due to an infected or blocked saliva gland. This can cause swelling in the mouth or side of the cheek or below/under the tongue because they are different salivary gland. In most cases only one is affected at a time. For him where the swelling is under the tongue, it may be the submaxillary/submanibular salivary gland In some cases, there is a small stone that needs to be dislodged. In some persons the use of copious fluids, antibiotics, massage of the area and warm compresses- may be enough. Clindamycin, which he is currently using, is one of the more common antibiotics Even if the symptoms are not in keeping with issues with the salivary gland, ENT might still be best to assess. I hope this helps, feel free to ask any other questions