Suggest Treatment For Mild Ulcerative Colitis While On Pantoprazole

Posted on Tue, 31 Jan 2017

Question: I have a lymph node I can feel on my left side of collarbone. It is the size of a bean and when I feel it, it slides away from the bone, it feels firm but I'm not quite sure if it's classified hard or soft to tell you the truth. I have been getting sick a lot lately and also I have had a red flushing of the skin and warm feeling that comes and goes, mostly on face, chest, just above knees and stomach. I have been on antibiotics 4 times in 2016 to treat throat infections, bronchitis and excessive mucus, which I still have. The mucus is thick and I cough it up in the morning, it also sticks to the back of my nose. I do have gerd with Hiaita hernia which I take pantoprazole for and I also have mild ulcerative colitis. I am 31 year old male.

Answered by Dr. T Chandrakant (3 hours later)

Brief Answer:
as explained in details.

Detailed Answer:
Hi.
Thanks for your elucidate history.
To recapitulate: Male/31 - on antibiotics 4 time in 2016 for throat infections, bronchitis, excessive mucus - which you still have - GERD with Hiatus hernia - Pantoprazole - lymph node - left side of collar bone - bean sized - slide way from bone - getting sick lately - red flushing of skin with warm feelings face, chest, above knees and stomach - mild ulcerative colitis - no information about a visit to a Doctor, investigations or medications by names....

As per the history you have provided you have multiple problems and hence difficult to correlate with each other. You still have thick mucus, if colored can have infection still lingering on and causing the flushing and so on.
Mild Ulcerative colitis: no symptoms that you have mentioned.
For GERD and hiatus Hernia: Pantoprazole helps control the acidity and taking a Motility regulator like Domperidone can help additionally.
Lymph node/s if present can be obviously due to infection in the drainage area and if persistent for more than 3 weeks, it is better to get the ultrasound and guided FNAC or excisional biopsy to get hte exact cause of enlargement. You already had 4 courses of an antibiotic.
Tests of stool, blood and urine help sometimes to get a probable diagnosis and also helps in planning the treatment as needed.
Try plain water steam inhalation for loosening the thick mucus and nasal decongestant drops/spray.

I hope this answer helps you.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. T Chandrakant (15 hours later)

so if I am feeling a bump on the left collarbone that moves away when I touch it, is this a lymph node or could be be something else?

Answered by Dr. T Chandrakant (2 hours later)

Brief Answer:
Usually, yes.

Detailed Answer:
This is usually a lymph node. Sebaceous cyst will move with the skin.
Lipoma will have a very long history of presence.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar