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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Ear Infection And Lymph Node Pain

I have had an infected ear for almost 2 weeks. Now I have developed a pain in the right side of my neck approximately in the lymph node area that radiates down into the chest area. If I constantly massage the chest muscle it eventually calms the pain. Sometimes it actually goes into upper ear area and into right temple. I am running no fever and it only seems to occur at night. I do not have a sore throat but it often feels like I have a walnut pressing into my throat area. I took a week of Amoxicillin 500 BID but it did not seem to alleviate the symptoms
Tue, 10 Mar 2020
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General Surgeon 's  Response
Hello,

The persistent of lymph node pain indicates residual ear infection as otitis externa or media most likely from gram positive bugs or pseudomonas, many times resistant to commonly used molecules. In my clinic, I do recommend:
- Culture swab report of ear discharge if any
- Change of antibiotic to broad spectrum coverage as cefpodoxime, clindamycin or others
- Anti-inflammatory medicines as diclofenac, nimesulide with proteolytic enzymes as serratiopeptidase or else

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

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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Suggest Treatment For Ear Infection And Lymph Node Pain

Hello, The persistent of lymph node pain indicates residual ear infection as otitis externa or media most likely from gram positive bugs or pseudomonas, many times resistant to commonly used molecules. In my clinic, I do recommend: - Culture swab report of ear discharge if any - Change of antibiotic to broad spectrum coverage as cefpodoxime, clindamycin or others - Anti-inflammatory medicines as diclofenac, nimesulide with proteolytic enzymes as serratiopeptidase or else Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon