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Ask Dr. Natasha Your Own Question

Dr. Natasha
Dr. Natasha, Doctor
Category: Medical
Satisfied Customers: 11675
Experience:  American Board Certified in Emergency Medicine and Ivy League trained. Medical Review Officer trained in Drug Testing
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This evening just started feeling some pain in my neck mostly

Resolved Question:

This evening just started feeling some pain in my neck mostly right sided form bottom center up about 1-2 inches on right side feels tender/pain/maybe swollen. Pushing on left side makes the right side feel just as bad sometimes even worse.

No visible swelling just feeling under skin.

No Fever

Pressure hurts but also feels good at same time

Moving head in certain positions causes some discomfort

Now discomfort has spread to jawline but again pressing helps it
Submitted: 9 months ago.
Category: Medical
Expert:  Dr. Natasha replied 9 months ago.

Dr. Natasha :

hello

Dr. Natasha :

thanks for requesting me again :-)

Customer:

anytime

Customer:

This evening just started feeling some pain in my neck mostly right sided form bottom center up about 1-2 inches on right side feels tender/pain/maybe swollen. Pushing on left side makes the right side feel just as bad sometimes even worse.


No visible swelling just feeling under skin.


No Fever


Pressure hurts but also feels good at same time


Moving head in certain positions causes some discomfort


Now discomfort has spread to jawline but again pressing helps it


Ear strange feeling almost feels like it is full of something although my ears have been strange lately getting warm and such.
feels like you put a drop in your ear but its not coming out


Doesn't feel like Mono or anything like that noticing some ear discomfort on that side as well..


No visible exterior swelling but feels like it under the skin. From pictures it seems to be a lymph node but I'm not sure.


About 1 1/2 weeks ago dentist injected the local into left jaw area and has been painful and was prescribed Medrol Dose Pack Just finished day 4 tomorrow 5 and last day Sunday. Something about the injection causing muscles to tighten up. Have been using ice packs, the Medrol and 800 mg Ibuprofen QID or so.


Headaches but they are caused because glasses are slightly to small and press against me.


Insulin dependent Diabetic
High Blood Pressure
Anxiety
Panic Attacks
Arthritis
Agoraphobia
Depression
Frozen Shoulder
Curvature of spine crooked
Morbid Obesity
Fungal Infections on Skin and Nails
High Cholesterol
Neuropathy
Amblyopia Left Eye
No Diabetic Retinopathy DFE last week
GERD
Acid Reflux
Asthma
COPD


 


Allergic to Avapro, Vybriid and CT Scan Dye



Current Meds


Atenolol
Zocor
Lisinopril HCTZ
Metformin
Prilosec
Benicar
Xanax
Effexor XR
Clonidine
Wellbutrin
Medrol Dose Pack
Ibuprofen
Amlodipine Besylate
Neurontin
Baby ASA


 


 

Customer:

Thats the entire thing not enough space to get it all in earlier

Dr. Natasha :

do you feel any swelling>

Dr. Natasha :

like tender lymph nodes?

Customer:

not visible but yes like the lymph nodes under skin'

Dr. Natasha :

and you say your ear is sore too, correct?

Dr. Natasha :

or it feels full

Customer:

yes not like really painful but like a drop is in there and wont come out

Dr. Natasha :

it sounds like you might be developing a viral infection and the neck is tender because the lymph nodes are swollen

Dr. Natasha :

the eustachian tube between the ear and mouth can get blocked

Dr. Natasha :

you should take some decongestant

Dr. Natasha :

like sudafed or phenylephrine

Dr. Natasha :

so that the fluid can drain out- otherwise you will get a middle ear infection

Dr. Natasha :

and make sure you are checking your glucose levels too

Customer:

gah show drivers license to make sure Im not making crank.....

Customer:

yes my glucose were high

Customer:

but have settled down now

Customer:

all steroid induced i believe

Dr. Natasha :

try phenylephrine

Dr. Natasha :

can't make meth from that

Customer:

A1C 7.4

Dr. Natasha :

I like sudafed better though

Customer:

i will do sudafed

Customer:

just silly carding for 1 box i think

Dr. Natasha :

ok

Dr. Natasha :

I know

Dr. Natasha :

you need like 40 boxes to make meth

Dr. Natasha :

or be like XXXXX XXXXX from breaking bad :-)

Customer:

A1C when Dx 14.6 now 7.4 I m happy....LOL Breaking Bad

Dr. Natasha :

I will be around all weekend, so keep me up on your progress

Customer:

So married divorced?

Dr. Natasha :

That is great!

Dr. Natasha :

divorced

Customer:

sorry

Customer:

well unless he was an ass

Dr. Natasha :

Actually for the best- really

Dr. Natasha :

but back to you

Dr. Natasha :

:-)

Customer:

then congrats

Dr. Natasha :

I answered the qusetion about your wife and her thyroid

Dr. Natasha :

If you need more detail let me know

Customer:

yes

Dr. Natasha :

I will be back in a few minutes

Customer:

she goes

Dr. Natasha :

But take a look at the other answer

Dr. Natasha :

BRB ok

Customer:

for another ultrsound this week

Customer:

ok

Customer:

thanks

Dr. Natasha :

I am back if you want

Dr. Natasha, Doctor
Category: Medical
Satisfied Customers: 11675
Experience: American Board Certified in Emergency Medicine and Ivy League trained. Medical Review Officer trained in Drug Testing
Dr. Natasha and 4 other Medical Specialists are ready to help you
Expert:  Dr. Natasha replied 9 months ago.
Hey John
thanks for the accept
I am back if you want any thing else :-)
Customer: replied 9 months ago.

the right side is still extremely painful umm when I cough or even a sharp intake abreast the right above the ear area gets extremely painful um I am taking the sudafed 12 in the morning only and I am taking the augmentin they gave me for an ear infection twice a day um I see the PCP tomorrow morning at 9 40 anything else you would suggest until that time

Expert:  Dr. Natasha replied 9 months ago.
Will get back to you tonight
Customer: replied 9 months ago.

Heading off to see PA-C @ PCP's office in about 20 minutes.

Expert:  Dr. Natasha replied 9 months ago.
Hey
sorry I had a family crisis.
Yes, please go see your PCP today. You may have an effusion which is not being treated by the antibiotics. Sometimes the treatment fails.
You can apply a warm compress on the area for pain and try motrin.

please keep me posted.
Customer: replied 9 months ago.

No problem I have enough family crisis's to understand.


 


I am using heating pad and motrin still doing Sudafed in am and Augmentin BID

Expert:  Dr. Natasha replied 9 months ago.
is the augmentin 875 or 500?
Customer: replied 9 months ago.

875 took this am already


Sunday x 2


Monday x 2


then today 1

Expert:  Dr. Natasha replied 9 months ago.
thanks
you need that ear checked out. you may need a different antibiotic like cefdinir.
I would ask about that.
it is a fancy cephalosporin
You also could use a better pain med like vicodin or norco

let me know what the pcp says
Customer: replied 9 months ago.

Ok will reply when I return home.


 


Thanks


 


John

Expert:  Dr. Natasha replied 9 months ago.
Please do
Customer: replied 9 months ago.

Ok they think it is a fungal infection in my mouth similar to thrush with all the red dots. My throat looked raw also.


 


So I am to continue the Augmentin 875 BID


Start Diflucan 100mb BID for 2 days then QD for 6 more days


Start Norco and stop Oxycodone as Contraindicated with the fungal drug. Also stop my Zocor for the 8 days I am taking the anti-fungal.


 


Still really painful called back just to make sure. Moving head, laying down, just causes a lot of pain over the right temple area


 


Still no fever.


 


The antibiotic you mentioned she declined as it is not covered by my insurance company.

Expert:  Dr. Natasha replied 9 months ago.
Thanks for the update
If you don't feel better after about 1 week of abx and antifungals, I would ask to see a head and neck surgeon- they are the specialist...

Keep me posted
Customer: replied 9 months ago.

OK because the pain is still crazy like in my neck and head when laying down or moving in different directions.


 


Mostly from around my mastoid area through the ear and to the neck.

Expert:  Dr. Natasha replied 9 months ago.
Did they discuss scanning your neck for abscess?
Customer: replied 9 months ago.

not yet waiting for a callback now

Expert:  Dr. Natasha replied 9 months ago.
If your pain is not controlled by your meds, you need to go to ther ER
Customer: replied 9 months ago.

Ok I think I will be making a trip there as nothing really seems to be helping.


 


Pick up my little man then ER I will go.

Customer: replied 9 months ago.

In ER toradol via IV


Had them do CAT scan without contrast to alleviate fears regarding possible anyurism


Pain does seem to be relieved some

Expert:  Dr. Natasha replied 9 months ago.
Great you are with my people now :-)
keep me posted.
Customer: replied 9 months ago.

CAT Scan negative


They think combination of ear infection plus steroids caused fungal infection in mouth and then having a really bad case of Sinusitis.


Pain relieved somewhat but noticeable improvement

Expert:  Dr. Natasha replied 9 months ago.
Okay that is super reassuring. Did you get some good pain meds?
Customer: replied 9 months ago.

just norco because I can't take my normal due to interaction with anti-fungal


 


 

Expert:  Dr. Natasha replied 9 months ago.
well, if that is not working for you , you can always ask for percocet.
Dr. Natasha, Doctor
Category: Medical
Satisfied Customers: 11675
Experience: American Board Certified in Emergency Medicine and Ivy League trained. Medical Review Officer trained in Drug Testing
Dr. Natasha and 4 other Medical Specialists are ready to help you

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