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What Causes Feeling Of Swollen Lymph Nodes At The Bottom Of Jawline?

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Posted on Sat, 27 Dec 2014
Question: Sorry to bother you. But I'm wondering if I have acute hiv. On the corner is my jaw it feels like there is an extra something there. I don't know I'm not sure if it's swollen lymph nodes or wisdom teeth related. If it's swollen lymphs would it be on my actual neck? This seems to be at the bottom of my jaw line and seems to be connected to my mouth bones. No other symptoms accept achey joints and muscles in my legs and arms. It hurts when I turn my head it feels like my jaw is digging into my neck. I had a risk about 2 months ago, a condom was worn as far as I know and it was brief less than 1 minute with no ejaculation. I was prescribed truvada and issentress but didn't read the bottle and only took issentress once a day for the first 6 days, after I noticed I was supposed to take twice a day I started taking how I should for the remainder. My dr said I was low risk and only prescribed me the meds for my peace of mind. Again these feel like they are part of my jaw not my lymph, I was just looking for some peace of mind.
doctor
Answered by Dr. T Chandrakant (55 minutes later)
Brief Answer:
Consult Specialist Doctors.

Detailed Answer:
Hi young man.

Thanks for your query and an elucidate history.
Please let me know few more details about the lump:
the exact position,
location,
pain on pressure,
condition of the skin- whether red or normal,
whether the swelling increases on chewing...

You say that the lump is at the bottom of the jaw line and seems to be connected to the bone- do you mean it can not be moved ?

Another symptoms of achy joints and muscles in you arms and legs can be due to infection in the lump or due to flu.

If you had condom and the interaction was just for a minute without tearing of the condom the chances of HIV are less. Was it with a sex-worker or a friend ?
You have already taken the pre-exposure prophylaxis medicine. You Doctor only can tell you how to go on about these medicines.

My intention to tell you is different.
Why not to consult a Doctor specialized in STD and take his opinion, undergo all the STD panel tests; get the reports and if all are normal just relax, all the stress will be most negative. I hope you understand what I mean by.
HIV can occur only if there is exchange / contact of body fluids and since you had condom, there would not have any unless you had deep penetration or the condom got ruptured, which was not I hope (as you have not mentioned it).

The swelling ::
Consult an ENT Surgeon, please tell him all the story and get examined to get a proper diagnosis, treatment with antibiotics and anti-inflammatory medicines to get well.

I sincerely feel that you should not worry unless the tests are positive.
So have consultation with the specialists in the field and get back to normal life if all the tests are negative, you also get face-to-face counselling and interaction.

I hope this answer helps you well.
Wishing you all negative reports and healthy stress-free life.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. T Chandrakant (5 hours later)
Thanks for all the information. I don't know if I would call it a lump, my dentist has told me I need my wisdom teeth removed a year or so ago and it feels like it's part of my actual jaw bone and not on my neck. Like when I feel my jaw line its at the bottom of it where I can feel the line. It's not visible, but when I feel it I can feel like an extension on my jaw line or something. There is no other swelling anywhere on my body that I can tell. Would it just be in one spot if it was acute hiv? No fever or anything like that, Would the meds of still worked even though I only took the issentress once a day for the 6 days instead of twice? I also have had red eyes and they have itched for a couple days now, and at times hurt. Is that a symptom of acute hiv?
doctor
Answered by Dr. T Chandrakant (7 hours later)
Brief Answer:
Blood tests / Dentist/ re-consult your Doctor who prescribed

Detailed Answer:
Thanks for your feedback.
The swelling you explained nicely looks to be due to infected wisdom causing swelling on mandible. It is unlikely to have just one spot if it was HIV. Red eyes can be due to just conjunctivitis, they can occur in acute HIV. Actually Acute HIV can have symptoms just like flu as it is also a viral infection. Common are body rash, ulcers in throat, fever, headache fatigue and are not distinguishable from a common flu.

The only way to know if you have HIV is to be tested. Some of the tests that may detect acute HIV are- HIV RNA viral load, p24 antigen blood test, CD4 count
blood differential... HIV ELISA and Western blot tests may or may not be able to detect acute HIV.

Please discuss this and get tested as per the Doctor you consulted with and who prescribed you the anti-virals. He can tell you the best about the Issentress, whether it is to be continued in proper dosage and about Truvada. These are special medicines which have to be taken under medical prescription and supervision.


Another important point is that the symptoms of acute HIV occur within 2 to 4 weeks of exposure in response to the multiplying viruses within the body and the body starts developing antibodies to fight against HIV viruses.

Get the Blood tests done.
Consult a Dentist to determine the nature of a swelling.

Relax at the moment till you get the results. Please remember that medical field is ''evidence -based’’, so being factual helps to get to the point and confirm the presence or absence of a particular problem / disease / disorder.
I hope you would agree with me, follow the advice to get stress-free.

Wishing you all the best.
Note: Get personalized answers to your HIV related queries You can choose to talk face to face with your doctor. Book a Video Call now.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19780 Questions

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What Causes Feeling Of Swollen Lymph Nodes At The Bottom Of Jawline?

Brief Answer: Consult Specialist Doctors. Detailed Answer: Hi young man. Thanks for your query and an elucidate history. Please let me know few more details about the lump: the exact position, location, pain on pressure, condition of the skin- whether red or normal, whether the swelling increases on chewing... You say that the lump is at the bottom of the jaw line and seems to be connected to the bone- do you mean it can not be moved ? Another symptoms of achy joints and muscles in you arms and legs can be due to infection in the lump or due to flu. If you had condom and the interaction was just for a minute without tearing of the condom the chances of HIV are less. Was it with a sex-worker or a friend ? You have already taken the pre-exposure prophylaxis medicine. You Doctor only can tell you how to go on about these medicines. My intention to tell you is different. Why not to consult a Doctor specialized in STD and take his opinion, undergo all the STD panel tests; get the reports and if all are normal just relax, all the stress will be most negative. I hope you understand what I mean by. HIV can occur only if there is exchange / contact of body fluids and since you had condom, there would not have any unless you had deep penetration or the condom got ruptured, which was not I hope (as you have not mentioned it). The swelling :: Consult an ENT Surgeon, please tell him all the story and get examined to get a proper diagnosis, treatment with antibiotics and anti-inflammatory medicines to get well. I sincerely feel that you should not worry unless the tests are positive. So have consultation with the specialists in the field and get back to normal life if all the tests are negative, you also get face-to-face counselling and interaction. I hope this answer helps you well. Wishing you all negative reports and healthy stress-free life.