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Dr. Saha
Dr. Saha, Doctor (MD)
Category: Health
Satisfied Customers: 17799
Experience:  35 years of experience
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I have Pain under my jawbone on the left and the right side.

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I have Pain under my jawbone on the left and the right side. On the right side however, it is noticeably swollen and far more painful than on the left. I notice the pain by tough or when I move my head tdownward to the side. I had mono in Jan/Feb, but this is the first time since that I had pain near my lymph nodes. Does someone have a clue, what this might be?

Dr. Saha :

Hello,

Dr. Saha :

Welcome to Just Answer.

Dr. Saha :

When did the pain start?

Customer:

today

Dr. Saha :

Do you have cough?

Customer:

no and no sore throat

Dr. Saha :

Do you feel pain while swallowing?

Customer:

no

Dr. Saha :

Have you seen your throat in mirror?

Customer:

not yet. what should i be looking for?

Dr. Saha :

You can check whether there is any redness, yellow or white area at the back of the throat.

Customer:

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

Dr. Saha :

How large is the swelling on the right side?

Customer:

the right tonsil?

Customer:

or do you mean the lymph node?

Dr. Saha :

No, the swelling under the jaw.

Dr. Saha :

On right side which is painful.

Customer:

well both sides are painful, but the right one is definitely more excruciating

Dr. Saha :

From your history there can be a few possibilities.

Dr. Saha :

They can be enlarged and inflamed lymph nodes.

Customer:

i would say the bump is maybe 1.5 cm long

Dr. Saha :

In infection, the lymph nodes can be enlarged.

Dr. Saha :

As your tonsil is enlarged, there can be an infection.

Dr. Saha :

The other possibility can be salivary gland swelling.

Dr. Saha :

Usually it arises from blockage of duct.

Dr. Saha :

I would advise to get it examined by doctor.

Customer:

does this go away on its own?

Dr. Saha :

In bacterial infection, antibiotic can be needed.

Customer:

i am referring to the salivary gland swelling

Dr. Saha :

It can subside on its own if the block is relieved. But in infection, you may need antibiotics.

Customer:

but in the beginning of the year i had to take two antibiotics for my tonsilitis.

Dr. Saha :

You can apply warm moist compress there.

Dr. Saha :

Repeat courses are needed in case of recurrent infection.

Dr. Saha :

You can take antiinflammatory analgesics like motrin or naproxen, if there is no other contraindication.

Dr. Saha :

Those would help with pain & swelling.

Dr. Saha :

Please take after some food.

Dr. Saha :

Otherwise, it may irritate stomach.

Dr. Saha :

 


My goal is to provide you with excellent service today.
Dr. Saha :

If there’s anything else I can do, please let me know

Customer:

Ok. Well thank you.

Dr. Saha :

You are always welcome.

Customer:

Unfortunately I think to differentiate between the two diagnoses, I will have to be examined

Customer:

Or are there any other clues, to identify a salvary gland infection?

Dr. Saha :

Yes, we can discuss the symptoms only as you can understand.

Dr. Saha :

There can be increase in temperature locally.

Dr. Saha :

Redness.

Dr. Saha :

You can feel increase in pain while chewing or taking food.

Customer:

The redness would be seen on the inside of the mouth around the jawline?

Customer:

well when I chew (without having food in my mouth) i do feel a pressured pain from my jawline

Dr. Saha :

But from your description & history, it is more like inflamed lymph node.

Customer:

but this could also be the tenderness of the lymph nodes?

Dr. Saha :

Yes, the lymph nodes can be tender.

Dr. Saha :

If you have any further query, please feel free to ask.

Customer:

ok, i know this might sound dumb, but it is most definetley the lymph nodes and not something to do with the thyroid, right?

Dr. Saha :

Yes, it is not thyroid. Thyroid is much lower in position.

Customer:

Ok. Thank you. Your recommendation is to see a doctor immediately? Or should I wait and see if there other symptoms developing?

Dr. Saha :

It is not immediate but you can make an appointment to see doctor.

Dr. Saha :

Early start of treatment would be helpful to prevent complication.

Dr. Saha :

A throat swab would help.

Customer:

Ok. So you would recommend me to go to an otolaryngologist?

Dr. Saha :

No. I would advise to see your primary first.

Dr. Saha :

He can prescribe medicines for you.

Customer:

alright. thank you for your time.

Dr. Saha :

You are again welcome.

Dr. Saha :

it’s been a pleasure working with you

Customer:

Thank you. Same goes for you.

Dr. Saha :

If you are satisfied, please leave an excellent rating.

Dr. Saha and 2 other Health Specialists are ready to help you