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Dr Basu
Dr Basu, Experienced Specialist
Category: Health
Satisfied Customers: 28221
Experience:  MD
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I have two swollen salvitory glands on the left under my jaw

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I have two swollen salvitory glands on the left under my jaw and one on the right side. The right side of my face is numb and swollen. Should I go to the emergency room?

Dr. D.J. :

The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.

Dr. D.J. :

Hi there,


This is Dr. D.J., experienced Internal Medicine Specialist.


I am here to address your concerns and provide great service.

Dr. D.J. :

This can be a serious infection of the salivary gland involving the nerves supplying the face.

Dr. D.J. :

This sounds urgent.

Dr. D.J. :

Antibiotic needs to be started.

Dr. D.J. :

Usually augmentin or levofloxacin is used.

Dr. D.J. :

It is better to go to the ER tonight.

Dr. D.J. :

Do you have any fever?

Customer: I have been on several antibiotics since I first got sick three months ago. I've been running fevers off and on the whole time also.
Dr. D.J. :

also you have the swollen glands for this long?

Customer: Yes
Dr. D.J. :

did you see any ENT specialist for further work up?

Customer: high white count too but doctor can't figure out what's wrong. The ent just checked my throat using a scope thing down my nose
Dr. D.J. :

ok

Dr. D.J. :

At thi point, your infection has definitely gotten worse.

Dr. D.J. :

Now, there is also risk of malignancy.

Dr. D.J. :

Salivary gland malignancy can cause these symptoms as well.

Dr. D.J. :

This can only be diagnosed by the biopsy of the gland.

Customer: Should I go to the er?
Dr. D.J. :

I will also suggest a CT scan of the neck soft tissues to look for any underlying tumor.

Dr. D.J. :

I will suggest so for tonight.

Customer: No one seems to care about the swollen glands :(
Dr. D.J. :

Then you need to discuss with your doctor about CT scan and biopsy.

Dr. D.J. :

That is surprising as swollen gland for this long should be given due importance.

Customer: I think it's because of my crappy insurance
Dr. D.J. :

that is unfortunate.

Dr. D.J. :

But your life is important --so better care is necessary.

Customer: I've been sick so long I can't take it anymore and I'm getting suicidel
Dr. D.J. :

That is very furstrating.

Dr. D.J. :

I think you need to find a different specialist.

Dr. D.J. :

But first, you should go to the ER so that the process can be started tonight.

Customer: I'm trying
Dr. D.J. :

do not give up.

Dr. D.J. :

this is treatable.

Customer: I will but I hope they do something. I'm so exhausted that I have no life
Dr. D.J. :

Yes they should--your symptoms are serious.

Customer: I know so I don't know why nobody is helping me
Dr. D.J. :

I am sure you will get the right help from a good physician.

Customer: When the nurse asks why I'm there, what should I say because there's so much going on.
Dr. D.J. :

you should say your face is numb, pain and swelling has worsened.

Dr. D.J. :

These are serious signs for clinical evaluation.

Customer: Ok thank you
Dr. D.J. :

Also you have fever

Dr. D.J. :

very welcome

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