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My Daighter Is On Day 4 First 2 Days Just
Question: my daighter is on day 4
first 2 days just cheeck
day 3-4 lips envolved. we went to the er: he stated she looked fine, obviously incorrect.
went to her primary- they saw immediatly and didnt know exactly what it is, prescribed cephalexin 250mg
ststed possibly bacterial infection or a infected salvatory glad.
she does have enlarged lymph on her neck- mainly the side of her face thats swelling.
went to the dentist and sais possiblg sinus related
she is not sick , nor has any sinus issues
attaching photod
im getting concerned since no one seems to know what is causing this and i want to make sure she is okay! any insight? should i keep waiting to see if antibiotic shoild kick in?
they switched her to amoxicilian per dentist request
no fever or illenss. she is not in pain. the upper cheeck/mouth gum area is tender when touching. she stated some numbness
first 2 days just cheeck
day 3-4 lips envolved. we went to the er: he stated she looked fine, obviously incorrect.
went to her primary- they saw immediatly and didnt know exactly what it is, prescribed cephalexin 250mg
ststed possibly bacterial infection or a infected salvatory glad.
she does have enlarged lymph on her neck- mainly the side of her face thats swelling.
went to the dentist and sais possiblg sinus related
she is not sick , nor has any sinus issues
attaching photod
im getting concerned since no one seems to know what is causing this and i want to make sure she is okay! any insight? should i keep waiting to see if antibiotic shoild kick in?
they switched her to amoxicilian per dentist request
no fever or illenss. she is not in pain. the upper cheeck/mouth gum area is tender when touching. she stated some numbness
Brief Answer:
Details as discussed below:
Detailed Answer:
Thank you for your query.
1. From the images, there is definitely some swelling on the right lip and cheek, especially in the third image. Parotid swellings are around and just in front of the ear. A direct front, side examination, and palpation are required. In addition, parotid swellings will not spread to the lip.
2. I would treat this as cellulitis, allergy, or sinusitis. All these conditions can cause tenderness and numbness in the cheek, mouth, and gums. The list of rare causes is large, however, you should add an anti-allergy medication, start amoxicillin-clavulanate, anti-inflammation medication, and medicated oral rinses for 2-3 days.
3. If no resolution, I would admit and start IV medication. A USG Neck and a plain CT of the Paranasal Sinuses should be done. The attached OPG is not really helpful for sinus issues. It looks like a slight sinusitis/ polyp with inferior nasal turbinate hypertrophy on the right side.
I hope that I have answered your query.
If you have any further questions, I will be available to answer them.
Regards.
Details as discussed below:
Detailed Answer:
Thank you for your query.
1. From the images, there is definitely some swelling on the right lip and cheek, especially in the third image. Parotid swellings are around and just in front of the ear. A direct front, side examination, and palpation are required. In addition, parotid swellings will not spread to the lip.
2. I would treat this as cellulitis, allergy, or sinusitis. All these conditions can cause tenderness and numbness in the cheek, mouth, and gums. The list of rare causes is large, however, you should add an anti-allergy medication, start amoxicillin-clavulanate, anti-inflammation medication, and medicated oral rinses for 2-3 days.
3. If no resolution, I would admit and start IV medication. A USG Neck and a plain CT of the Paranasal Sinuses should be done. The attached OPG is not really helpful for sinus issues. It looks like a slight sinusitis/ polyp with inferior nasal turbinate hypertrophy on the right side.
I hope that I have answered your query.
If you have any further questions, I will be available to answer them.
Regards.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Hello, thank you for your response. This doesn’t look like a mass or anything malicious ? Should I go see the doctor again ? I saw them yesterday ? She’s on amoxicilian starting today and I’ll start an allergy medication too
Brief Answer:
There is no cause for worry.
Detailed Answer:
Thank you for following up.
1. No, it does not look like a mass or malicious. It seems diffuse and should settle down.
2. Start these medications and follow up with a local specialist after 48-72 hours if required.
3. If any new symptoms occur or the swelling increases, please inform. Some swellings may appear worse in the morning and reduce during the day.
I hope that I have answered your query.
If you have any further questions, I will be available to answer them.
Regards
There is no cause for worry.
Detailed Answer:
Thank you for following up.
1. No, it does not look like a mass or malicious. It seems diffuse and should settle down.
2. Start these medications and follow up with a local specialist after 48-72 hours if required.
3. If any new symptoms occur or the swelling increases, please inform. Some swellings may appear worse in the morning and reduce during the day.
I hope that I have answered your query.
If you have any further questions, I will be available to answer them.
Regards
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Hello.
We are on day 4 of antibiotics with no improvement. In my opinion, it seems to be getting worst especially in her Cheeck area. Any additions input ?
We are on day 4 of antibiotics with no improvement. In my opinion, it seems to be getting worst especially in her Cheeck area. Any additions input ?
Brief Answer:
Details as discussed below:
Detailed Answer:
Hi,
Thank you for following up.
1. I suggest you follow the plan of action outlined in my first answer.
2. At least an urgent USG.
I hope that I have answered your query. If you have any further questions, I will be available to answer them.
Regards.
Details as discussed below:
Detailed Answer:
Hi,
Thank you for following up.
1. I suggest you follow the plan of action outlined in my first answer.
2. At least an urgent USG.
I hope that I have answered your query. If you have any further questions, I will be available to answer them.
Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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