Brief Answer:
Swelling below right ear / Under Evaluation

Detailed Answer:
Brief Ans- Swelling below right ear/ Under Evaluation
Mostly from- Parotid duct stone, obstructing the parotid salivary duct and causing parotitis.
Other causes need to be ruled out.

Hi,Dear!! Thanks for the query to HCM.
Read and reviewed the query facts.Though the facts are limited, I would comment on the possibilities on given data.

My Impression-

In the given scenario, My opinion is as follows-
You seem to suffer from Severe painful swelling below right ear, the cause of which could mostly be-from undetected Sialelithiasis with Sialeadentitis of right Parotid gland.
This is because the swelling with severe pain has occurred since yesterday and has got worst with pains.

Other causes for your age needs to be ruled out, after Consults with Surgeon.
Chances of hidden adenocarcinoma of parotid gland /or Pleomorphic Parotid Adenoma(benign tumour) needs to be ruled out and treated accordingly.

Remedy-

Consults with Surgeon to assess the causes as discussed above.He may rule out other causes after physical examination and would treat your case accordingly on lines suggested above.
Added X-ray Right Parotid Gland / CT parotid gland,would fix diagnosis of stone in parotid duct with Parotitis caused by Stone in Parotid Salivary duct.

Antibiotics/ Metronidazole/ NSAIDs like Advil-ibuprofen would control infection and swelling of right parotid gland.

Planned Surgical excision of the Parotid duct stone, obstructing the parotid salivary duct and causing parotitis, is suggested in view of recurring chances from obstructing parotid stone.

Next appointment-
Any time 24x 7 in emergency calls/ or after 2 weeks, by which time your evaluation and treatment would have given results, so as to plan further care in your case , to avoid recurrence.

Hope this reply would resolve your health issues and would help you to plan further proper care,with help of doctors there.

Dear, If you want more explanations for few more queries, You are welcome.
Await updates from You as asked above, so as to give specific reply to your extended query.

Welcome for any further query in this regard.

Hope this would help you to plan further of this complex illness of yours.

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Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS

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