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What Does Multiple Enlarged Lymph Nodes In Bilateral Sub Mandibular, Right Concha Bullosa With Fluid Collection Mean?
sir,i am suspecting some kind of parasite (tape worm) spreading in my mouth & feeling like some muscular thread like spreaded all over inside my jaws ,coming out from my stomach. i had ct-scan on14-12-13 shows multiple enlarged lymph nodes In bilateral sub mandibular and upper internal jugular groups largest measuring approx.15x12 mm and right concha bullosa with fluid collection . e.n.t.& endoscopic surgeon given me tab methycobal(one month) & tab. histafree.(10days).but still I am upset & helpless. please guide . I am 40 yrs old and feel sleepless at night and keep on sleeping in sitting position in day time&at night also.
Tue, 8 Apr 2014
Hello and welcome to HCM,
Enlargement of lymph nodes at any site can be due to infections, inflammations, and neoplastic growths.
The first line investigation is fineneedle aspiration cytology (FNAC).
FNAC is an office procedure in which cells are sampled from the lesion with a needle.
The aspirated cells are spread on glass slide, stained and then viewed under microscope.
After the results are obtained appropriate treatment can be instituted.
This investigation tells about the character of lesion and its origin.
Presence of concha bullosa and fluid collection in ear cavity can be due infection or allergy.
Prescription of histafree suggests presence of allergy in the ear and thus the drug is prescribed to control the fluid collection due to allergy.
The history that you have given does not suggest parasitic infection.
Thanks and take care
Dr Shailja P Wahal
Enlargement of lymph nodes at any site can be due to infections, inflammations, and neoplastic growths.
The first line investigation is fineneedle aspiration cytology (FNAC).
FNAC is an office procedure in which cells are sampled from the lesion with a needle.
The aspirated cells are spread on glass slide, stained and then viewed under microscope.
After the results are obtained appropriate treatment can be instituted.
This investigation tells about the character of lesion and its origin.
Presence of concha bullosa and fluid collection in ear cavity can be due infection or allergy.
Prescription of histafree suggests presence of allergy in the ear and thus the drug is prescribed to control the fluid collection due to allergy.
The history that you have given does not suggest parasitic infection.
Thanks and take care
Dr Shailja P Wahal
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