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Suggest Treatment For A Lump On Cheek

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Posted on Wed, 3 Dec 2014
Question: My son is having ganth on left side of cheek [at the mandible area] very often, could you please let me know the following:

1)What is the reason for it?
2)Why it dissolve after few days and reform after stopping antibiotics
3)Does it relate to tonsillitis as after taking Moxiclov for 5days it gets dissolve
4)Is there any tests that i need to go for to find out the root cause
5)Does it specific to weather change/allergy and common to the age of 10-15 year old children
6)Does it cause due to pain if ear
Please provide line by line answer with details.
doctor
Answered by Dr. Deepak Kishore Kaltari (20 minutes later)
Brief Answer:
Likely to be lymph node

Detailed Answer:
Hi
Welcome to Healthcaremagic
Greetings of the day
Dear Mr XXXXXXX


One of the most possible cause and commonest cause for ganth or swelling in mandibular region is Lymph node enlargement. The history of decrease and increase in size of swelling makes the possibility of swelling to be lymph node more likely.

2. As it responds to antibiotics (the size decreasing ) makes it more likely to be Inflammation /infection ad the likely cause . The source of infection could possibly be Tonsil

3. The chances are it's related to Tonsil based on location especially if it's near angle of mandible (just below the ear) . Exact cause can only be attributed by clinical examination.

4. Before resorting to any test,it requires clinical examination by either Pediatrician or Pediatric Surgeon
further management will depend on it.

5. Weather also has role to play . There is more chance of Tonsillitis especially during rainy and winter season. Exposure to allergen and pollution could possibly be the cause too

6. It does not lead to pain. Pain in ear could be due to Eustachian tube block due to respiratory infection. Assessment by ENT surgeon is required


Do get back to me if you need any further assistance, will be glad to assist you.


Take care


Best regards
Dr Deepak Kaltari
Consultant Pediatric Surgeon
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Deepak Kishore Kaltari (4 minutes later)
Thanks very much for the answers, could you please advice the line of treatment as the ganth is below the jaw and one can feel by touch and also advice how long do i need to repeat the treatment if symptoms repeated again and again.
doctor
Answered by Dr. Deepak Kishore Kaltari (9 minutes later)
Brief Answer:
Clinical examination by Pediatrician required

Detailed Answer:
Dear XXXXXXX

As previously advised it's most likely to be Lymph node. Confirmation requires physical examination. Do visit Pediatrician and kindly let me know opinion based on his examination. Will guide you further regarding treatment options based on examination finding and advise of Pediatrician.

Awaiting your response


Take care

Best regards
Dr Deepak
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Deepak Kishore Kaltari (15 minutes later)
Thanks for the details, one more point here i would like to have your opinion here is-:

If my son does not start the treatment for this ganth which is small now [and which is under his lower jaw not exactly below the ear] then this ganth will grow in size and there after pain will start even touching on it and thereafter fever/cough will start so what is the reason for it provide details around it please. He had undergone the following treatment last time for 5 days after examined by pediatrician:

mefkind p---7.5 ml 3 times daily
moxclav 228.5---3 times daily

Therefore this time i need your advice on line of treatment.
doctor
Answered by Dr. Deepak Kishore Kaltari (3 hours later)
Brief Answer:
No further intervention required

Detailed Answer:
Dear Mr XXXXXXX
Going by your description the cause of ganth/swelling is likely to be non specific enlargement associated with Viral fever/respiratory tract infection. Reduction in size with antibiotics is reassuring sign and requires no further intervention.

Take Care

Regards
Deepak
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
Answered by
Dr.
Dr. Deepak Kishore Kaltari

General Surgeon

Practicing since :2002

Answered : 3195 Questions

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Suggest Treatment For A Lump On Cheek

Brief Answer: Likely to be lymph node Detailed Answer: Hi Welcome to Healthcaremagic Greetings of the day Dear Mr XXXXXXX One of the most possible cause and commonest cause for ganth or swelling in mandibular region is Lymph node enlargement. The history of decrease and increase in size of swelling makes the possibility of swelling to be lymph node more likely. 2. As it responds to antibiotics (the size decreasing ) makes it more likely to be Inflammation /infection ad the likely cause . The source of infection could possibly be Tonsil 3. The chances are it's related to Tonsil based on location especially if it's near angle of mandible (just below the ear) . Exact cause can only be attributed by clinical examination. 4. Before resorting to any test,it requires clinical examination by either Pediatrician or Pediatric Surgeon further management will depend on it. 5. Weather also has role to play . There is more chance of Tonsillitis especially during rainy and winter season. Exposure to allergen and pollution could possibly be the cause too 6. It does not lead to pain. Pain in ear could be due to Eustachian tube block due to respiratory infection. Assessment by ENT surgeon is required Do get back to me if you need any further assistance, will be glad to assist you. Take care Best regards Dr Deepak Kaltari Consultant Pediatric Surgeon