instruction: hello doctor I am a year old male I do no substance abuse alcohol and smoking I have a painful post auricular lymph node swelling for four days yesterday evening one more post auricular lymph node was noticed which is swollen sudden in onset and painless I am taking antibiotics augmenting duo amoxicillin and clavulanic acid and painkillers for three days I am worried because one more lymph node started swelling and I even worried about cancer please help blood test was done lymphocytes and neutrophils 30 rest all values are normal
output: hi your complaint is suggestive of some ear or scalp infection as it is painful please send a picture of the lesion as it is possible that what you think is the painful lymph node is actually folliculitis and the painless thing is actually the real lymph node in that case the antibiotics that you are currently taking are appropriate the dose should be augmenting duo 625 amoxicillin 500mg and clavulanic acid 125 my twice a day for five days do not stop before five days take tablet combiflam ibrufen 400mg and paracetamol 325mg twice a day for two to three days regarding the risk of cancer size of the painless lymph node is a very important parameter in deciding further investigation if the size is more than 5 am then fac fine needle aspiration cytology of the lymph node is usually recommended this test needs to be done if after taking the above mentioned treatment for five days the swellings continue to persist gram stain and culture of any discharge acute lymphadenitis lymphoma folliculitis continue antibiotics to complete total of five days painkillers as required hot and cold fomentation maintain scalp hygiene followup is must if the swelling persists more than a week follow up with pictures both before medicines and after a week