apollo
  • male
  • 45 Years
  • 22/01/2025

I'm really worried about my husband. His neck is swollen on the left side, behind the ear, and it doesn't hurt. Our ENT specialist did a fine needle test and the microscopy report says there's no sign of cassation granuloma or malignancy. They mentioned something about a reactive lymphoid aspirate and advised excision if there's clinical suspicion for Koch's. Can you help explain what all this means? We also tried two weeks of antibiotics and the swelling seems to be getting smaller. I'm trying to understand if we should still be concerned.

Doctor 1

Answered by 1 Apollo Doctors

Visit Physician for evaluation and appropriate management

Dr. Shubham Suggests...

Consult a Ent Specialist

Answered 04/07/2025

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My daughter needs adenoid and tonsil surgery but I'm confused about the coblation machine. Is it always necessary for these procedures? Also can you suggest hospitals in Bangalore that do this surgery without coblation since our insurance doesn't cover it and the extra cost is quite high - around 9k to 18k in Koramangala hospitals

Coblation surgery for adenoids and tonsils is not always necessary. While it offers benefits like less pain and bleeding, it's not essential for all procedures. You can find hospitals in Bangalore that perform traditional adenoid and tonsil removal without coblation, especially since your insurance doesn't cover it and you're looking to minimize costs

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I've been having this on-and-off pain in my right side submandibular gland for some time now, the weird thing is the swelling just won't go away. It's been like this for 2 years! And lately, for about a month, there's this persistent pain at the base of my neck where the skull ends and also inside my head, all on the right side. I'm struggling to find a doctor who can help; two of them suggested removing the gland, but it still produces saliva. I'm really hoping there's another solution that doesn't involve surgery. Is there anything else I could try?

It sounds like you may be experiencing chronic inflammation and pain in your submandibular gland on the right side, along with swelling that has been present for 2 years. The recent development of pain in the back of your neck, at the base of your skull, and inside your head on the right side is concerning. Given the persistent swelling and pain, it is important to address this issue promptly. I recommend seeking a consultation with an Ear, Nose, and Throat (ENT) specialist for further evaluation and management. They may consider a thorough examination, imaging studies, and possibly a biopsy to determine the underlying cause of your symptoms. In the meantime, you can try taking over-the-counter pain relievers like acetaminophen to help alleviate the discomfort. Additionally, warm compresses applied to the affected area may provide some relief. As for medication, you can try a course of antibiotics such as Amoxicillin-Clavulanate to address any possible infection in the gland. However, please note that this is a general recommendation and should be confirmed by a healthcare professional after a proper evaluation. I hope you find the relief you are seeking and that your symptoms improve soon.

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