Brief Answer:
No correlation between lymph node enlargement and burp

Detailed Answer:
hi.
thank you for posting query at HCM.

noticed your history and current presentation.
firstly, if lymph node are painful, red, or increasing in size , then visit treating physician asap.
if none of the above features related to lymph node, then observation is required for two to four weeks.it maybe localized mild infection. however, your advised to visit a ENT specialist to rule out ear and throat pathologies.

secondly, burp is usually experienced when increase amount of gas is present in the stomach. advice;
- avoid beverages
- avoid protein rich food for couple of days
- drink warm water
- avoid swallowing air while eating; keep your lips zipped whilst chewing food
- simethicone tablets OTC maybe used
- eat fresh fruits

wish you good and sound health.
hope to answer your concern.
any further questions are welcomed

regards,
dr Tayyab Malik

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Brief Answer:
if enlargement is NOT progressive, observation is sufficient

Detailed Answer:
hi.
thanks for getting back to me.

lymphadenopathy (enlarged lymph nodes) are usually observed in clinical practice as a sign of infection (localized or systemic).
in your case, most likely, it maybe secondary to the tooth infection but nodes should have returned to normal size by now ( 3 months later).
therefore, in my previous answer, i advised you to visit ENT specialist to rule out any ear and/or throat infection.

swollen lymph nodes usually return to normal size after the underlying cause has resolved; ranging from few weeks to couple of months.

furthermore, i advice you to visit treating physician if:
swelling is progressively increasing or size of node is increasing
OR
node swelling is accompanied with night sweats and/or fever
OR
nodes are hard and immovable

Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .

Hope this answers your concern.
Any further questions are welcomed.
if no further questions, kindly close the dialogue box and rate the answer.

Wish you good and sound health.
Thank you.
Regards,
Dr Tayyab Malik

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Brief Answer:
most of the digestive enzyme are produced by "pancreas"

Detailed Answer:
hi.
pleased to answer your queries subjected to my capacity.

pancreatic enzymes - as medication/supplements -are usually prescribed for patients with chronic pancreatitis and/or non-functioning pancreas.

Do not take this medicine unless your treating doctor feels it's requirement.

yes, in some published studies, anti-inflammatory drugs have proved to reduce inflammation in stomach. however, its not always the case.

advice for symptoms --- "gas and bloating":

1. decrease SALT intake, to as minimum as you can and eat less spicy food.
2. eat more fruits especially those rich in vitamin C (citrus fruits)
3. do NOT eat stomach full(mouth full) in any meal and you may eat have 3 to 5 meals a day
4. try to avoid drinking water at the end of a meal.
5. NO beverages (cold drinks, commercial juices)
6. you may use OTC simethicone tablets and probiotics
7. do NOT eat mouth-full (stomach full)
8. chew food well whilst lips zipped so air does NOT enter while chewing food

Hope this answers your concern.
Any further questions are welcomed.

if no further questions, kindly close the dialogue box and rate the answer.

Wish you good and sound health.
Thank you.
Regards,
Dr Tayyab Malik

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Brief Answer:
chronic pancreatitis presentation - see below

Detailed Answer:
Hi.
Thanks for getting back to me.

The most common presentation of chronic pancreatitis is "mal-absorption diarrhea" and weight loss (as usually most of the food is NOT absorbed)".

Mal-absorption diarrhea is secondary to lack of enzymes that help in digestion.

As the food is not broken down in the intestine especially protein and fats; there is in NO absorption rather diarrhea with a lot of fat content in the stool. Fat in stool OR greasy loose stool is known as steatorrhea.

Pancreatic enzymes help in better digestion and absorption. Therefore, your bloating symptom subsides.

Hope this answers your concern.
Any further questions are most welcome.

If no further questions, kindly close the dialogue box and rate the answer.

Wish you good and sound health.
Thank you.
Regards,
Dr Tayyab Malik

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