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What Causes Swollen Lymph Nodes On Neck With Normal CT Scan?

Posted on Tue, 9 Dec 2014

Question: I have a swollen lymph node on neck just under the ear. I have done ct scan and fnac both ate normal. Swelling in its 5 th day. Antibiotics started 4 days ago.

Answered by Dr. Ajish TP (51 minutes later)

Brief Answer:
Complete the course of antibiotics

Detailed Answer:
Hi XXXXXX,
Welcome to HCM. I've gone through your question and understand your concerns.

Please upload the CT and FNAC reports.
Do you have an infection anywhere in head of a dental infection? Are you having difficulty in swallowing?

Most probably the node in your neck is due to an infection.This usually will subside in a weeks time. In our practice if all other investigations are normal, we will start our patients on antibiotics for 1-2 weeks. If it is not subsiding you should revisit you doctor for detailed evaluation.

Hope I have answered your question. If you have any further queries I will be happy to help you.

Regards
Dr Ajish TP
Consultant Endocrinologist

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Ajish TP (5 minutes later)

Yes thank you .

Answered by Dr. Ajish TP (4 minutes later)

Brief Answer:
Please let me know the follow up

Detailed Answer:
Hi XXXXXX,

Great to know that my comments were useful to you. Please let me know the follow up

regards
Dr Ajish TP
Consultant Endocrinologist

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Ajish TP (8 minutes later)

Does it take normally 2 weeks to settle as my gp said ? My esr level is 33 .

Answered by Dr. Ajish TP (4 minutes later)

Brief Answer:
Maximum of 2 weeks

Detailed Answer:
Hi XXXXXX,

Usually it takes 5-7 days for the infection to settle down. The maximum we can wait is 2 weeks. If it is not subsiding we have to re evaluate for other causes. You doctor may do a repeat Ultrasound neck or FNAC if needed.

Your ESR is slightly elevated. This is in favour of an infection. So don't worry, thing will subside in a few days time.

Regards
Dr Ajish TP
Consultant Endocrinologist

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Ajish TP (5 minutes later)

Thank u .

Answered by Dr. Ajish TP (5 minutes later)

Brief Answer:
Good health

Detailed Answer:
Hi XXXXXX,
You are welcome

Good health

Dr Ajish TP
Consultant Endocrinologist

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Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju