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Clamp 625 mg...
Hlo, I am very much confused if I am having problems in my throat or ear because at first the lump is there still there under the jaw from 3 weeks and I took antibiotics clamp 625 mg also but it is still present there ... Now from yesterday I am having left ear area sometimes pain and totally confused... And mucus is always there at the back of my throat...
Answers (34)
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I am Dr. Shamoon. Reading your history carefully, I do not think you have two separate problems - the lump under the jaw, the left ear pain and the mucus sticking at the back of your throat are almost certainly one problem. A persistently inflamed throat/post-nasal drip drains into the jugulodigastric lymph node under the angle of the jaw, and the same Eustachian tube that opens into the back of the nose gets blocked, which is felt as left ear ache or fullness. So the lump is most likely a reactive lymph node, not something arising in the ear. At 26, a node that appeared with a throat infection, is soft-to-firm, mobile, mildly tender and under about 1.5-2 cm is reassuring. Importantly, a course of Clamp 625 will not shrink a reactive node quickly - nodes can take 3-6 weeks to settle even after the infection is gone, so "still present after antibiotics" does not mean treatment failure and does not by itself justify a second antibiotic course. What I would want ruled out is chronic allergic rhinitis with post-nasal drip (which keeps the whole cycle going), and, less commonly at your age, tuberculous or granulomatous nodes - which is why a node that is hard, matted, painless, steadily enlarging, or accompanied by evening fever, night sweats or weight loss should be biopsied rather than watched. Persistent one-sided ear pain with normal-looking ear also always deserves one ENT look with an otoscope and a nasal endoscopy, because referred ear pain can come from the throat base.
Next Steps
1) See an ENT specialist in person this week for otoscopy of the left ear, throat examination and a nasal endoscopy - one visit will tell you whether this is post-nasal drip with a reactive node or a true middle ear infection. 2) Do not start another antibiotic on your own; you have already completed Clamp 625, and repeating it will only upset your gut without shrinking the node. 3) Ask for an ultrasound of the neck (soft tissue) - it measures the node, shows its shape and blood flow, and reliably separates a reactive node from a suspicious one. Add a CBC with ESR; a Mantoux or chest X-ray only if the ENT doctor feels the node is not behaving like a reactive one. 4) For symptom relief meanwhile: steam inhalation twice a day, warm saline gargles 3-4 times a day, saline nasal spray, sleeping with the head slightly raised, and plenty of warm fluids. Paracetamol 500 mg when the ear pain is bad is enough - avoid repeated painkillers on an empty stomach. 5) Do not keep pressing or massaging the lump; frequent handling keeps it inflamed and makes it feel bigger. 6) Measure it once a week against a fixed reference (e.g. the edge of your fingernail) rather than daily. 7) If you would like me to go through your reports, your previous prescription and this ear-throat pattern together and tell you whether anything more is needed, you can book a consult with me here on Practo, or see me at Synergy Multispeciality Hospital, Miraj.
Health Tips
Get seen urgently if the lump becomes hard and fixed or crosses about 2 cm, if you develop fever with night sweats or weight loss, discharge or bleeding from the ear, sudden hearing loss, difficulty swallowing or opening the mouth, or swelling of the face and neck. A node that is still growing after 4-6 weeks needs a needle biopsy, not another antibiotic.
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There is a tube connecting between nose and ear. Some upper respiratory system infections can travel from nose / throat to ear.
This can cause lymphnode swelling in neck as well as ear pain.
Consult a ENT doctor
Next Steps
or feel free to consult me on practo for further evaluation and management
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Kindly do connect and consult for better treatment
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ENT specialist opinion needed
Kindly consult for further advice
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Please consult a ent surgeon for further evaluation
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It could be a lymph node reacting to a throat or ear infection especially since you have mucus at the back of your throat and now some ear pain but since the lump has been there for 3 weeks even after taking Clam 625 you should get it checked by a doctor instead of taking more antibiotics it may be something simple like a reactive lymph node or postnasal drip but an examination of your throat ear teeth and neck would help clarify the cause
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Please visit an ENT dr.
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You can Consult me today .
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It looks like suppurarive otitis media, if not resloving kindly consult ENT doctor, physically
Next Steps
consult ENT doctor
Health Tips
don't take unnecessary pain killers and antibiotics
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It’s better to contact an ENT specialist regarding your issues and thankyou
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Please consult ENT surgeon physically for clinical evaluation.
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Kindly Contact to MS ENT and don't take to any medicine like antibiotics painkiller etc...
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Please consult to ENT department soon.
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Please get an ENT check up from an ENT Specialist. The extent of the disease has to be assessed.
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Get yourself examined by a healthcare expert!
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Only antibiotics not going to solve.
Add
Zerodol sp three times a day after food for five days. Montek lc one at night for five days
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Consult to ENT doctor
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Please consult a good doctor
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Your condition not responding to the antibiotics,needs to be evaluated by consulting a ENT specialist in your area
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Get it examined in person.
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Hello !
your primary primary concern should be lump you mentioned! That can very well contribute to ear problems by blocking Eustachian tube .
Take consultation and share details about that lump like size, site, colour, other features like bad breath for diagnosis and treatment accordingly!
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You need physical examination, in you previous question I also said that .consult with ent doctor asap.
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Dr. Rohan Gumber
General Physician
1 yrs exp
Sri Ganganagar
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Please consult
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Dr. Sachin Bhiwaji Sanap
General Practitioner
8 yrs exp
Hingoli
Kindly consult to ENT surgeon
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Dr. Saurav Maitra
General Physician
12 yrs exp
Kolkata
A lump under the jaw which is new could be due to a viral illness. Have been having cough, cold or flu like symptoms recently? Any rashes? Do you have any medical history?
Next Steps
Viral lumps (lymphadenopathy) usually get better on their own in 3-4 weeks. Simple measures like rest, fluids and paracetamol for pain should be enough to treat it.
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Reesha Varshney
General Physician
1 yrs exp
Bareilly
Kindly visit ENT specialist
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Ms. Mukherjee Manvi
General Physician
5 yrs exp
Vadodara
This needs to be addressed in a consultation
Next Steps
Please consult a doctor
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Do connect and consult
Will help you
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