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I Have A Question About Grandular Fever , Can You

Posted on Mon, 6 Jul 2020

Question: I have a question about grandular fever , can you drain out the swollen gland which is quite painful in grandular fever.

Follow up: Dr. Indranil Ghosh (0 minute later)

I have a question about grandular fever , can you drain out the swollen gland which is quite painful in grandular fever.

Answered by Dr. Indranil Ghosh (1 hour later)

Brief Answer:
Usually not

Detailed Answer:
Hi
Thanks for your query.

Glandular fever is a viral infection. So the glands are inflamed but not containing any pus/liquid which can be drained out.

Hence draining out the painful glands is usually not an option unless ultrasound exam shows liquid filled gland.

Hope this helps.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Indranil Ghosh (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indranil Ghosh (24 minutes later)

Thank you for your prompt reply,
How long this painful glands will stay ? Please advise.
I am in pain for the last 9-10 weeks now .

Follow up: Dr. Indranil Ghosh (0 minute later)

Thank you for your prompt reply,
How long this painful glands will stay ? Please advise.
I am in pain for the last 9-10 weeks now .

Answered by Dr. Indranil Ghosh (45 minutes later)

Brief Answer:
may last fro another few weeks

Detailed Answer:
Symptoms subside within a month for majority of patients. However, in 10% it can last upto 4 months.

So maybe it will stay for another 3-4 weeks .

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Indranil Ghosh (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indranil Ghosh (6 minutes later)

Thanks Dr. XXXXXXX so I can say I can see gradual change in the coming weeks , do you reckon it will go down week by week from here on.

Follow up: Dr. Indranil Ghosh (0 minute later)

Thanks Dr. XXXXXXX so I can say I can see gradual change in the coming weeks , do you reckon it will go down week by week from here on.

Follow up: Dr. Indranil Ghosh (6 minutes later)

Sorry Doc forgot to ask, is there any strong pain killer I can take or any other thing you suggest as pain in just out of control and neck is like stretched so much.

Follow up: Dr. Indranil Ghosh (0 minute later)

Sorry Doc forgot to ask, is there any strong pain killer I can take or any other thing you suggest as pain in just out of control and neck is like stretched so much.

Answered by Dr. Indranil Ghosh (1 hour later)

Brief Answer:
yes gradual improvement is expected

Detailed Answer:
For pain you can take paracetamol 650 mg 3 times daily. If this doesn't work, some other pain killers may be required. For those you need to contact your physician.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Indranil Ghosh (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indranil Ghosh (16 hours later)

Hi
I have attached my swollen gland photo, is it normal in grandular fever or abnormal , please advise.
Can I use any hot compress or cold compress for some relief or shouldn’t touch the glands as they are sensitive. I notice the swelling has gone up in the last week or so.

Follow up: Dr. Indranil Ghosh (0 minute later)

Answered by Dr. Indranil Ghosh (6 hours later)

Brief Answer:
photo not attached

Detailed Answer:
Please try attaching again or write to YYYY@YYYY with the photos.

Throughout this conversation I have assumed that the diagnosis of glandular fever is beyond doubt. However, if there is suspicion then we need to FNAC test on the gland to rule out other causes.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Indranil Ghosh (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indranil Ghosh (32 minutes later)

I am reattaching the photo.

Follow up: Dr. Indranil Ghosh (0 minute later)

I am reattaching the photo.

Answered by Dr. Indranil Ghosh (17 minutes later)

Brief Answer:
Need to investigate properly

Detailed Answer:
These are large glands and only on one side of neck. You need to get it checked urgently and proceed for a biopsy to rule out lymphoma.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Indranil Ghosh (0 minute later)

Brief Answer:
Need to investigate properly

Detailed Answer:
These are large glands and only on one side of neck. You need to get it checked urgently and proceed for a biopsy to rule out lymphoma.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indranil Ghosh (4 minutes later)

Ok so in case of grandular fever both glands to be swollen and not that big , is that correct.
So I need to be worried about one side gland of that big size.

Follow up: Dr. Indranil Ghosh (0 minute later)

Ok so in case of grandular fever both glands to be swollen and not that big , is that correct.
So I need to be worried about one side gland of that big size.

Answered by Dr. Indranil Ghosh (47 minutes later)

Brief Answer:
yes you understood it correctly

Detailed Answer:
And the swelling going up too, that's also of concern

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Indranil Ghosh (0 minute later)

Brief Answer:
yes you understood it correctly

Detailed Answer:
And the swelling going up too, that's also of concern

Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar