Hello doctor, My sister, a 15-year-old female patient complains of intermittent pain on R sublingual area and neck (submandibular area) graded 6/10 at rest and aggravated when eating to 8/10. Past medical history: She developed fever recently and was diagnosed with UTI and was given cough remedy. Persistence of cough prompted us to another MD 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. MD thought of tonsilitis and was asked to gargle warm water with salt. Up until now, there is still pain on the area. Grade 1 tenderness on the R submandublar triangle area, no fever, mild cough still, feeling of lump on the R sublingual area, pain when tongue presses on the area. Patient complies with MD recommnedation of drinking a lot of water and gargling.
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 reddness in the tonsils. However, the treatment you need is a proper course of antibiotics and pain killers with antiseptic gargles and chewable Vitamin C. Acute tonsillitis, acute sialadenitis. Tablet Amoxicillin and Clavulinic acid 625 mg twice daily after food for 7 days.  Tablet Pantoprazole 40 mg in the morning half an hour before meals for 7 days  Lactobacillus or curds everyday  Chewble Vitamin C 500 mg twice daily for 7 days to suck on  Povidone Iodine gargles 5-6 times a day 1 ml diluted in 1 ml of water  Tablet Paracetamol 650 mg twice daily after food Avoid cold foods, cold environments, oily foods and spicy foods.