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I am a 24 year old male. I have had swollen lymph node in ...


Sent to Health Experts October 06, 2006 4:33 p.m.

I am a 24 year old male. I have had swollen lymph node in the right side of my neck for about a year and a half and an ear ache that comes and goes now for 7 months. I have asthma and allergies since I was about 5 years old. I have been tested for HIV and STDs many times in the past year (4 to be exact) I was just checked for HIV and Lympyoma this week and everything was normal and my White Blood Count was normal as well. I am on AMOX now (2 days) and doesnt really show any results. My head hurts, my right eye area hurts, my right lymph gland hurts and right earaches. Any idea what this could be?

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Age: 24

Already Tried:
AMOX Predisone HIV test WBC Test Clartin Sudafed Cold Compresion on gland
Customer (name blocked for privacy)
Status: Closed   Value: $15   
Info Request
October 06, 2006 4:37 p.m. (3 minutes and 37 seconds later)
REPLIED to Info Request Check Mark

I'm sorry you're not feeling well. At least you have tested negative for HIV, STDs and lymphoma, that is great news.

Do you have any sinus drainage? Why did they prescribe the amoxicillin (did they suggest that you might have an ear infection, sinus infection, etc.)? Any trouble hearing out of that ear? Have you had a head CT (sometimes they'll do this for people with sinus problems)? Any other results or symptoms that might be informative?

Let me know, and I'll get right back to you.

Dr. Fay

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Reply to Jonathan Fay, M.D.
Sent October 06, 2006 4:45 p.m. (7 minutes and 35 seconds later)

No problems hearing out of the ear, the doctor tested that as well. No CT scan. Sinus drainage as in what exactly? Dr. put me on AMOX to see if it was an infection He looked into my ears and didnt see anything but looked up my nose and saw a little congestion. Is it normal to have swollen glands in the same area for over a year?

Edited by Customer (name blocked for privacy) on October 6 2006 at 5:09pm
Customer (name blocked for privacy)
Answer
October 06, 2006 5:42 p.m. (57 minutes and 50 seconds later)
ACCEPTED Check Mark

No, it is definitely not normal to have swollen glands in the same area for over a year.

It sounds like you have had this ear/head/face pain, on and off, for the past year. In someone without allergies, this would appear to be a pretty obvious case of recurrent sinusitis or recurrent ear infections. With allergies, the picture is a little less clear.

Allergies can lead to many of the symptoms you describe - head/face/jaw/ear pain, and everything else associated with the sinus inflammation that commonly accompanies allergies. Some people find relief from their allergy symptoms with medications (claritin, etc.), but some have a harder time finding relief.

But sinusitis (inflammation and infection of the sinuses) can also lead to these symptoms, and sinusitis, if it persists for a long enough time requires treatment. Often, sinusitis can be started by a simple viral infection that will clear on its own. But over time, a bacterial infection can also occur, and this requires antibiotics. Symptoms are similar as above, but there can also be drainage from the nose (clear, or colored, "snot", for lack of a better word).

Since the sinuses are connected to the ears, as well, both allergies and sinusitis can lead to ear pressure and pain, and even ear infection as well. So this could also be a factor.

A swollen gland like this could be related to either allergies or infection, but I think it suggests infection in the sinuses/ears a little more than simple allergy symptoms.

So it's hard to say what you've been experiencing, but for it to have persisted for so long, I think that it requires a workup at this point.

A CT scan is used in patients with persistent sinusitis (this could be you) to look for anything unusual - a plugged sinus, abscess, etc. This could be useful.

Amoxicillin works very well for many of the bugs that can cause sinusitis and ear infections, so it may do the trick here. If it's not working, however, augmentin and other antibiotics might be worth a shot, as well. And you may need to take them for a few weeks, if the infection is hard to eradicate.

In any event, since we don't know what is going on here, further workup is necessary. If the amoxicillin doesn't help, then additional antibiotics should be added. Perhaps a CT of your sinuses should occur as well, to look and see if there is anything unusual there. Some of these may be allergy-related, but there may also be persistent infection.

So I hope this helps. Speak with your physician and tell them you are sick and tired of dealing with these symptoms for over a year. You want additional workup, and medication trials until you find something that helps. The swollen lymph nodes should resolve once your other sinus symptoms are dealt with, since they're most likely all related.

I hope you feel better. Please let me know if you have any further questions - I'm more than happy to help.

Take care - Dr. Fay

__________________
If I have helped, then please click the ACCEPT button and leave positive feedback - Thank you, and take care
PictureJonathan Fay, M.D.  -- Doctor (MD) -- 100% Positive Feedback on 533 Health Accepts
Physician health consultant

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