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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swollen Lymph Node In Neck,painful Swallowing And Chills?

Hi, I went to the dentist about two weeks ago for two fillings on lower right side. My right lymph node under my jaw started swelling 4 days ago and is really large and hard. It has been a little painful but tonight it is much worse and I can barely swallow. I keep getting the chills and then get really hot. Do I have an infection?
Mon, 4 May 2015
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General Surgeon 's  Response
Hi.
Thanks for your query.
Noted the history of dental filling followed by a large lymph node under the jaw, now unable to swallow, got chills and fever.
All these symptoms are suggestive of infection in the lymph node .
I would advise you the following in such a situation:
Consult a Doctor / Dentist.
- Get investigated to know the WBC for level of infection, sugar to rule out diabetes.
-Get started on broad spectrum antibiotics.
- Anti-inflammatory medicines like Ibuprofen 8 hourly after food with PPI.
- Review regularly, incision if required.

I hope this answer helps you.
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What Causes Swollen Lymph Node In Neck,painful Swallowing And Chills?

Hi. Thanks for your query. Noted the history of dental filling followed by a large lymph node under the jaw, now unable to swallow, got chills and fever. All these symptoms are suggestive of infection in the lymph node . I would advise you the following in such a situation: Consult a Doctor / Dentist. - Get investigated to know the WBC for level of infection, sugar to rule out diabetes. -Get started on broad spectrum antibiotics. - Anti-inflammatory medicines like Ibuprofen 8 hourly after food with PPI. - Review regularly, incision if required. I hope this answer helps you.