Patient's Query
Hello doctor,
I am a 22-year-old male. I do no substance abuse, alcohol, and smoking. I have a painful post auricular lymph node swelling for four days. Yesterday evening one more post auricular lymph node was noticed which is swollen, sudden in onset and painless. I am taking antibiotics Augmentin duo (Amoxicillin and Clavulanic acid) and painkillers for three days. I am worried because one more lymph node started swelling and I even worried about cancer. Please help.
Blood test was done lymphocytes - 55% and neutrophils - 30%, rest all values are normal.
Hi,
Welcome to icliniq.com.
Your complaint is suggestive of some ear or scalp infection, as it is painful. Please send a picture of the lesion, as it is possible that what you think is the painful lymph node is actually folliculitis, and the painless thing is actually the real lymph node. The differential diagnosis includes acute lymphadenitis or lymphoma.
In that case, the antibiotics that you are currently taking are appropriate. The dose should be Augmentin Duo 625 (Amoxicillin 500mg and Clavulanic acid 125 mg) twice a day for five days. Do not stop for five days. Take tablet Combiflam (Ibrufen 400mg and Paracetamol 325mg) twice a day for two to three days. Also, you should maintain your scalp hygiene and use hot and cold fomentation.
Regarding the risk of cancer, the size of the painless lymph node is a very important parameter in deciding further investigation. If the size is more than 1.5 cm, then FNAC (fine needle aspiration cytology) of the lymph node is usually recommended. This test needs to be done if, after taking the above-mentioned treatment for five days, the swellings continue to persist.
Regarding follow-up, please take pictures both before administering the medicine and after a week.
Follow-up is a must if the swelling persists for more than a week.
I hope this helps you.
Take care.
Was this conversation helpful?
Answered byDr. Arvind Guru
Medically reviewed byDr. Vinodhini J.
Same symptoms don't mean you have the same problem. Consult a doctor now!
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.