Based on the ultrasound report and your brother's symptoms, the main concern appears to be left submandibular sialadenitis (inflammation/infection of the salivary gland) rather than the
thyroid nodule.
The report shows:
? Colloid nodule in the left thyroid (TI-RADS 0): This is usually a benign thyroid nodule and is unlikely to be the cause of severe pain or inability to eat.
Increased blood flow in the left submandibular gland: This supports active inflammation (sialadenitis).
Reactive cervical lymph nodes: These commonly enlarge due to nearby infection or inflammation. Although the report mentions loss of hilar echogenicity, this needs to be interpreted together with the clinical examination. Reactive lymph nodes are still the most likely explanation in the setting of an acute infection.
CRP 11.7: This indicates ongoing inflammation, although it is only mildly elevated.
The fact that he cannot eat, has persistent pain despite antibiotics and painkillers, and is not improving means he needs re-evaluation rather than simply changing medications. Sometimes salivary gland infections are caused by a salivary stone blocking the duct, an abscess, or resistant bacteria, which require further assessment.
Next Steps
Please arrange an urgent consultation with us. A detailed examination is needed to check for: A blocked salivary duct or salivary stone. Formation of an abscess. The need for drainage or a change in antibiotic based on examination. From an Ayurvedic perspective, treatment can be supportive and may help during recovery, but if there is an active bacterial infection or abscess, it should not replace appropriate medical or surgical management. Classical Ayurvedic management is considered only after proper evaluation and once any emergency has been ruled out. For a personalized Ayurvedic treatment plan after the acute condition has been assessed, you may consult us at 9 3 1 5 6 6 1 5 6 5.
Health Tips
Encourage him to: Stay well hydrated. Apply warm compresses over the affected area. Gently massage the gland towards the mouth if advised by the doctor. Maintain good oral hygiene. If swallowing is possible, sucking
sugar-free lemon drops may stimulate saliva and help if there is no complete duct blockage. Seek immediate medical attention if he develops high fever, rapidly increasing swelling, pus inside the mouth, difficulty swallowing saliva, difficulty breathing, or inability to open the mouth, as these symptoms may indicate a deep neck infection or abscess requiring urgent treatment. While Ayurveda can be a valuable adjunct in recovery. Thank you