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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Lymph Nodes In Systemic Lupus Patients

I m 38 years old 141 lbs and suffer from systemic lupus. I began to run a low grade fever off and on for 2 days and them became congested. I developed a cough that was harsh and flared up at night. Went to the docs and was prescribed Azithromycin dose pack which is helping my chest but now I have ear pain and lymph nodes behind my ear has pressure? Should I go back regarding my ear?
Mon, 6 Apr 2020
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General Surgeon,  's  Response
Hello,

The lymph node enlargement is obvious following bacterial or viral infection in the draining regions of the dermatome as that of cervical region in respiratory tract congestion. My guidelines in your case:
- As Azithromycin is prescribed for the control of infection, it will take care of the bacteria killing and inflammation control
- There is no need to rush to an ER, but intake of analgesic as ibuprofen with paracetamol (if no history of drug sensitivity) after meals preferably with antacid
- Gargles with salted lukewarm water added peppermint oil
- Taking care to avoid exposure to pollen or dust (if needed to go outside, use face mask wisely)
- Avoid swimming if involved
- Keep the ear plugged with sterile cotton balls
- Local application of ciprofloxacin or moxifloxacin ear drops take care of simultaneous otitis media condition as well

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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Suggest Remedy For Lymph Nodes In Systemic Lupus Patients

Hello, The lymph node enlargement is obvious following bacterial or viral infection in the draining regions of the dermatome as that of cervical region in respiratory tract congestion. My guidelines in your case: - As Azithromycin is prescribed for the control of infection, it will take care of the bacteria killing and inflammation control - There is no need to rush to an ER, but intake of analgesic as ibuprofen with paracetamol (if no history of drug sensitivity) after meals preferably with antacid - Gargles with salted lukewarm water added peppermint oil - Taking care to avoid exposure to pollen or dust (if needed to go outside, use face mask wisely) - Avoid swimming if involved - Keep the ear plugged with sterile cotton balls - Local application of ciprofloxacin or moxifloxacin ear drops take care of simultaneous otitis media condition as well Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon