
Noticed Swelling On Neck,face, Have Chest Pain And Mild Pain In Ear. Any Suggestion?

Thanks for the query
The clinical description given by you seems to be the features of acute sinusitis with associated complications.
Swollen eyelids, cheeks and earache are all the features of acute sinusitis. You will require a CT scan of the nose and the paranasal sinuses to rule out sinusitis and osteomeatal complex blockage.
Secondly, the lymph nodes in the neck and over the angle of the jaw are the nodes popped up due to some insignificant infection in the throat and the neck. Most of the times, these nodes might not regress even after taking the antibiotics.
Finally, the chest discomfort is because of the reflux of the acid from the stomach into the esophagus.
My suggestions to you are:
1. Drink plenty of warm water – this helps in improving the blood circulation, keeping the mucosa moist and relief from pain.
2. Continue taking augmentin and finish the course.
3. Try taking anti-inflammatory medicines such as diclofenac or ibuprofen for the relief of pain.
4. Use saline nasal spray followed by steam inhalation 3-4 times a day - this helps in removing the thick secretions from the sinuses and thus reduces the nasal block and earache.
5. A mucolytic such as bromhexine or ambroxol will help in clearing the blocked secretions in the sinuses.
6. Also, avoid smoking/chilled food & beverages/alcohol/coffee if any.
7. Try taking medicines such as proton pump inhibitor (Esomeprazole, Pantoperazole) and a prokinetic (Domperidone), this helps in reducing the acid reflux and heart burn.
8. Get a CT scan of the paranasal sinuses to assess the extent of sinusitis.
Hope I have answered your queries; I will be available for the follow-up queries.
Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon


Thank you for your prompt reply.
Welcome back
Red rash over the cheek could be the inflammation of the subcutaneous tissue following acute sinus infection. Yes, it is definitely a matter of concern. Kindly get a CTscan of the Paranasal sinuses done at the earliest to rule out the same.
If the present regimen of antibiotic is not effective, you will have to take a combination of antibiotics after discussing with your doctor.
I wish you good health
Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Answered by

Dr. Dr. Naveen Kumar Nanjasetty
Otolaryngologist / ENT Specialist
Practicing since :2001
Answered : 2545 Questions
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