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When did the pain start?
Do you have cough?
no and no sore throat
Do you feel pain while swallowing?
Have you seen your throat in mirror?
not yet. what should i be looking for?
You can check whether there is any redness, yellow or white area at the back of the throat.
well, i don't see any white/yellow spots, like I did when I had mono in the beginning of this year, but my tonsils are unnaturally big
How large is the swelling on the right side?
the right tonsil?
or do you mean the lymph node?
No, the swelling under the jaw.
On right side which is painful.
well both sides are painful, but the right one is definitely more excruciating
From your history there can be a few possibilities.
They can be enlarged and inflamed lymph nodes.
i would say the bump is maybe 1.5 cm long
In infection, the lymph nodes can be enlarged.
As your tonsil is enlarged, there can be an infection.
The other possibility can be salivary gland swelling.
Usually it arises from blockage of duct.
I would advise to get it examined by doctor.
does this go away on its own?
In bacterial infection, antibiotic can be needed.
i am referring to the salivary gland swelling
It can subside on its own if the block is relieved. But in infection, you may need antibiotics.
but in the beginning of the year i had to take two antibiotics for my tonsilitis.
You can apply warm moist compress there.
Repeat courses are needed in case of recurrent infection.
You can take antiinflammatory analgesics like motrin or naproxen, if there is no other contraindication.
Those would help with pain & swelling.
Please take after some food.
Otherwise, it may irritate stomach.
If there’s anything else I can do, please let me know
Ok. Well thank you.
You are always welcome.
Unfortunately I think to differentiate between the two diagnoses, I will have to be examined
Or are there any other clues, to identify a salvary gland infection?
Yes, we can discuss the symptoms only as you can understand.
There can be increase in temperature locally.
You can feel increase in pain while chewing or taking food.
The redness would be seen on the inside of the mouth around the jawline?
well when I chew (without having food in my mouth) i do feel a pressured pain from my jawline
But from your description & history, it is more like inflamed lymph node.
but this could also be the tenderness of the lymph nodes?
Yes, the lymph nodes can be tender.
If you have any further query, please feel free to ask.
ok, i know this might sound dumb, but it is most definetley the lymph nodes and not something to do with the thyroid, right?
Yes, it is not thyroid. Thyroid is much lower in position.
Ok. Thank you. Your recommendation is to see a doctor immediately? Or should I wait and see if there other symptoms developing?
It is not immediate but you can make an appointment to see doctor.
Early start of treatment would be helpful to prevent complication.
A throat swab would help.
Ok. So you would recommend me to go to an otolaryngologist?
No. I would advise to see your primary first.
He can prescribe medicines for you.
alright. thank you for your time.
You are again welcome.
it’s been a pleasure working with you
Thank you. Same goes for you.
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