How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Anthony Bray, MD Your Own Question
Anthony Bray, MD
Anthony Bray, MD, Doctor
Category: Neurology
Satisfied Customers: 10341
Experience:  14 years experience in the field of Family Practice
Type Your Neurology Question Here...
Anthony Bray, MD is online now
A new question is answered every 9 seconds

I have had severe head congestion for about 4 weeks that has

Customer Question

Hi I have had severe head congestion for about 4 weeks that has been accompanied by headaches. Recently the lower left part of my skull has been throbing, very sore to the touch, and causing bad pain. It amidst geeks as though it's swollen. What could it be?
JA: Is the headache episodic or daily? And what about nausea?
Customer: No has seemed swollen for a few weeks, but isn't always painful
JA: Anything else in your medical history you think the doctor should know?
Customer: My lymph nodes in my neck were swollen for some time along with the glands. I was put on augmenting for 7 days but the congestion is still there. Lymph nodes not as swollen anymore
Submitted: 11 months ago.
Category: Neurology
Expert:  Anthony Bray, MD replied 11 months ago.


It sounds that you may have a sinus infection --- sense of head congestion would fit ---headaches may fit --- I'm not clear on what area is sore to touch?? Cheek areas feel swollen?? Reactive lymph nodes would be likely consistent ..

Folow up with your doctor or ENT I recommend at this point ..more complete evaluation would be next logical step ..

I hope that this is helpful for you

Let me know If you have further details / information / questions

I will be happy to get back with you

If my answer has been helpful and to your satisfaction then please remember to leave positive feedback

Thank you and Best Regards,

Anthony Bray MD

Customer: replied 11 months ago.
It's the lower left base of my skull that is very painful to the touch and feels round and possibly swollen. I can't rest my head on a pillow. Why wouldn't the augmenting have cleared out the infection?
Expert:  Anthony Bray, MD replied 11 months ago.

This swelling is behind the ear ? That may be mastoiditis ...if that it is a very serious infection. Augmentin would usually be helpful BUT there are treatment failures or resistant bacteria as possible . I think that you need to get this checked right away without delay ! Go to ER !

Let me know what is found -- I would appreciate to hear back from you on this .. Your history so far worries me as possible case of mastoiditis and this may need treatment with IV antibiotics.

I hope that this is helpful for you

Let me know If I may be of further help

Best regards,

Anthony Bray MD

Expert:  Anthony Bray, MD replied 11 months ago.

PS if you can provide a picture of affected area that also would be helpful. Mastoiditis would hurt behing ear at base of skull and the ear may protrude forward

Customer: replied 11 months ago.
It's a few inches from my left ear at the base of my skull
Expert:  Anthony Bray, MD replied 11 months ago.

Hello again,

Ok that sounds perhaps a bit far behind the ear exam needed in your case to help diagnosis...

Does it hurt to look up? Swelling in this area? Is it red there ??