instruction: hello doctor my sister a 15 year old female patient complains of intermittent pain on sublingual area and neck submandibular area graded 10 at rest and aggravated when eating to 10 past medical history she developed fever recently and was diagnosed with ti and was given cough remedy persistence of cough prompted us to another my consult and was diagnosed with pneumonia of the lower lobe she was on antibiotics for 10 days she started complaining of the pain on march 25 my thought of tonsillitis and was asked to gargle warm water with salt up until now there is still pain on the area grade tenderness on the submandublar triangle area no fever mild cough still feeling of lump on the sublingual area pain when tongue presses on the area patient complies with my recommendation of drinking a lot of water and gargling
output: hi it is 23 days now since the infection started that is quite a long time her chief complaint is pain in the submandibular and sublingual region which can happen due to tonsillitis as well as infection of the salivary gland which is located in that region typically these are both treated by antibiotics the best way to differentiate is take a look inside her mouth with a torch and see if there is redness in the tonsils however the treatment you need is a proper course of antibiotics and pain killers with antiseptic gargles and chewable vitamin acute tonsillitis acute sialadenitis tablet amoxicillin and clavulinic acid 625 my twice daily after food for days