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What Causes Persistent Fatigue, Night Sweats, Shoulder Pain And Mass Behind The Jaw?

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Posted on Mon, 25 Apr 2016
Question: starting 3 weeks ago, symptoms are:
2x1 inch mass behind jaw below ear (seems like fluid to touch)
fatigue, night sweats, shoulder and neck muscle aches
CBC - normal
TB test - Negative
Mono tests - negative
Antibiotics 1 week (Bactrim and Keflex) ineffective
Biopsy scheduled but not yet done
doctor
Answered by Dr. T Chandrakant (47 minutes later)
Brief Answer:
Ultrasound and FNAC helps

Detailed Answer:
Hi.
Thanks for your information.
To recapitulate: Male/42 - 3 weeks - 2 x 1 inch mass behind jaw and below ear - fluidy feeling - fatigue, night sweats, muscle ache of shoulder and neck muscles - said tests normal - Bactrim and Keflex for 1 week not effective - biopsy scheduled...

Please ask the question.
This may be an abscess related tot the lymph node or parotid salivary gland.
I would advise you the following:
Ultrasonography and FNAC or CT scan if possible to given an idea about the composition of the lump.
This helps in early diagnosis and further management.
Antibiotic and anti-inflammatory like Ibuprofen should be continued.

Please let me know the reports of the said investigations if done or of the biopsy.
I hope this answer helps you, please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. T Chandrakant (26 minutes later)
Had xray imaging done today, they said about 1-2 days for radiologist to look over and send to my regular doc.

Thanks for the quick response.
doctor
Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
waiting for the further reports.

Detailed Answer:
Please give me the reports and insist for Ultrasound and FNAC too .
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19777 Questions

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What Causes Persistent Fatigue, Night Sweats, Shoulder Pain And Mass Behind The Jaw?

Brief Answer: Ultrasound and FNAC helps Detailed Answer: Hi. Thanks for your information. To recapitulate: Male/42 - 3 weeks - 2 x 1 inch mass behind jaw and below ear - fluidy feeling - fatigue, night sweats, muscle ache of shoulder and neck muscles - said tests normal - Bactrim and Keflex for 1 week not effective - biopsy scheduled... Please ask the question. This may be an abscess related tot the lymph node or parotid salivary gland. I would advise you the following: Ultrasonography and FNAC or CT scan if possible to given an idea about the composition of the lump. This helps in early diagnosis and further management. Antibiotic and anti-inflammatory like Ibuprofen should be continued. Please let me know the reports of the said investigations if done or of the biopsy. I hope this answer helps you, please feel free to ask for further relevant queries if you feel that there is a gap of communication.