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Suggest Treatment When Having Swollen Left Supraclavicular Lymph Node

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Posted on Mon, 13 Jul 2015
Question: My left supaclavicular node is enlarged not huge, but defenetly swollen. I am not sick and have no other symptoms. The lump feels attached non moveable. It doesn't hurt. I also was diagnosed with C. difficile last month, but am only seeing this swollen node now...could if be from the c diff?
doctor
Answered by Dr. T Chandrakant (2 hours later)
Brief Answer:
Follow a protocol. Not due to C.diff.

Detailed Answer:
Hi.
Thanks for your query.
Read and understood that you had C. diff last month and have now an immobile lymph node in the left supraclavicular area without any other symptoms.

C.diff can not cause this after such a long time.

The protocol says:
Get a course of an antibiotic and an anti-inflammatory for say 5-7 days, see the response. If no relief or there is increase in any problem related to it, better to go for FNAC and other relevant blood tests to get a proper diagnosis and plan for further treatment.

I hope this answer helps you, please feel free to ask further relevant queries if you need to or if you feel that there is a gap of communications.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (5 hours later)
Hello, thanks for the reply. What would the antibiotics be for if I have no other symptoms? I don't feel sick at all. What are possible reasons that this node would be swollen?
doctor
Answered by Dr. T Chandrakant (15 minutes later)
Brief Answer:
The node can be either due to infection or malignancy

Detailed Answer:
Hi.
Thanks for your feedback question.
This is always a debatable question, whether to give antibiotics or not.
You have got a swelling that is not movable, the most probable reason is an infection, it is possible that the body takes care of it or may progress to the picture of infection with all the redness, tenderness and so on.
Secondly, regression with proper medicines is sort of the diagnostic value that it was due to infection.

Ultrasonography and FNAC are the only two diagnostic tools to know the reason for such an enlargement.
The commonest reasons are either infection or malignancy.

If we consider all the patients in the retrograde manner, it is better to have this protocol which we follow for the betterment of the patient, helps either for resolution or an early diagnosis.

I hope you would agree with me.

Please feel free to ask further relevant queries or if you feel that there is a gap of communication.



Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (25 minutes later)
If it is an infection is it possible to not have any other symptoms?

Also could it be that the C. difficile is still there? Could it be laying dormant (no symptoms) but actually still be there?

What areas of the body is this node related to?
doctor
Answered by Dr. T Chandrakant (38 minutes later)
Brief Answer:
post a picture with a Marker about the position of the node.

Detailed Answer:
Good question.
Enlargement itself is the first symptom, other symptoms may or may not develop depending upon many factors like immunity- body's own healing mechanism, virulence of the bacteria and so on.

C. difficile usually causes enlargement of the mesenteric (in the abdomen) lymph nodes.

Where exactly is the node situated- is it medial or lateral position as both positions have different drainage areas.
Can you please post the picture of the node with a marker so that we can discuss further.



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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19777 Questions

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Suggest Treatment When Having Swollen Left Supraclavicular Lymph Node

Brief Answer: Follow a protocol. Not due to C.diff. Detailed Answer: Hi. Thanks for your query. Read and understood that you had C. diff last month and have now an immobile lymph node in the left supraclavicular area without any other symptoms. C.diff can not cause this after such a long time. The protocol says: Get a course of an antibiotic and an anti-inflammatory for say 5-7 days, see the response. If no relief or there is increase in any problem related to it, better to go for FNAC and other relevant blood tests to get a proper diagnosis and plan for further treatment. I hope this answer helps you, please feel free to ask further relevant queries if you need to or if you feel that there is a gap of communications.