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What Causes Swollen Lymph Node Near Neck And Swollen Painful Ear?

Posted on Mon, 3 Nov 2014

Question: started having swollen knot in lymp node left neck then spread to clavical on top shoulder now shoulder to is swollen-left out ear pain on off throbing had ct scan no contrast -bilateral sub pathologic jugulodiagastric,submandibular left supraclavicular lymph nodes likely reactive diminutive valleculae bilaterally does this mean cancer of some sort had sensativety crp test was 19.8 -ser was high also--these are 2 big knots lumps can notice on left side below ear ,on shoulder clavical area
going to free clinic he says im ok but im scared somethings wrong any ideas
what blood tests or tests should i get done rule out cancer free clinic says come back in 2 months

Answered by Dr. Abubakar Siddiqh (1 hour later)

Brief Answer:
ENT consultation with interventions

Detailed Answer:
Hi,

I had gone through your question and understand your concerns.

With such presentations in my clinic, I would first rule out serious conditions with
1. Complete blood picture - Infectious Mononeuclosis, Tuberculosis, HIV.
2. Thyroid profile, Ultrasound neck for thyroid carcinoma.
3. Fine needle aspiration cytology- cell type of carcinoma, lymphoma, leukemia.
4. Laryngoscopy - epiglottis, hypopharynx carcinoma.
5. Nasopharyngoscpy- carcinoma of nasopharynx.

Usually bilateral lymph nodes seen in midline structures could be due to carcinomas or infections.

Once I am sure this is not life threatening I would think of infections. I will treat according to investigation reports.

Wishing you good health.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Abubakar Siddiqh (6 hours later)

THANK YOU HAD ULTRA SOUND CAROTID ARTERIES AT OAKS PLAZA MELBOURNE FL FREE CLINIC PAID FOR SAME PLACE AS CT SCANS SAID MILD STENOSES OF THE CAROTID BULBS BILATERALLY SO HE SAID HE WASNT WORRIED ABOUT THAT I GOT A ULTRA SOUND DONE ON STOMACH AND NECK THURS HE SAID WAS NORMAL BUT I CANT GET A COPY TILL NEXT WEEK TO READ-HAD BLOOD WORK DONE AT WUESTHOFF REFERENCE LABORATORY I HAD TO PAY FOR HCT WAS 46.1-MCHC 31.2--CRPHIGHSENS WAS 19.880-SER WAS HIGH BUT DONT HAVE COPY OF THAT-GFR 105.39-TSH 2.906 --SO SHOULD I GET MORE THYROID TESTING DONE CBC WAS ALL OK OTHER THAN STATED STUFF-THIS FEELS LIKE ITS MOVING INTO MY LEFT FRONT ARM AND NOW RIGHT CLAVICAL AREA SWOLLEN I WILL CALL FREE CLINIC TO SEE IF THEY CAN GET ME ENT AND I NEED GET NECK ULTRASOUND COPY NEXT WEEK THANK YOU

Answered by Dr. Abubakar Siddiqh (23 minutes later)

Brief Answer:
Ent consultation with Interventions.

Detailed Answer:
Hi,

Thanks for your follow up,

Go ahead for the investigations.

Upload the reports of the investigations and examination findings by your doctor for me to suggest you further.

Wishing you good health.

Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj