Conversation: The conversation between human and AI assistant.
[|Human|] hi. Ten days back i suddenly noticed a swelling in the area below my left ear. It was very sudden- over about an hour- it was not painful and caused no problems- no fever. Went to the doc the same evening and got a prescription for antibiotics ( milixim) and chymoral plus- for lymphadenitis. The doctor repeatedly asked me if i was febrile any time around this attack- no!. The ESR showed 58mm/hr and so I also assumed it is some sort of an inflammation. Did a hot formentation for comfort. After about 4 days I noticed this swelling to be hardened but no other symptoms and so the doc referred me to the surgeon and he asked for an FNAC which showed non specific reactive lymphadenitis of the left jugular lymph node. He had parotid adenoma and tuberculosis also in his mind. The swelling has not reduced but remained hard and firm but is painful now. A second opinio  was taken and again an FNAC was done ( result awaitd) and u/s suggesting paortitis. It is almost 10days now and the pain is severe and is causing discomfort in the left side around the ear and neck but have to wait till the results. Doctors are thinking of lymphoma, tumor etc etc. I always thought tumors were painless.? Will tumors just pop up suddenly over an hour? should i take some anti inflammatory drugs over the counter for the pain? Will a hot compress help in reducing the inflammation? Pls advice
[|AI|]  In cases of sudden swellings and rapid increase in size ruling out malignancy (cancer) is very important. Your doctors approach is right. If you are having fever it can be a viral / bacterial parotitis. Tuberculosis also has to be ruled out. If your FNAC is inconclusive even the second time, meet a surgical oncologist. Antiinflammatory and hot compress will help but only temporarily. The cause has to be treated.