Conversation: The conversation between human and AI assistant.
[|Human|] I have swollen glands under my jaw. I have had them for over a year. Sometimes they hurt more than others. Urgent care doctor did mono culture and showed negative. Wanted me to go to primary for blood work. I had an ENT check last year and said thought the little node on the right side infer jaw was because of stones and told me to drink more water. What do u think? Could the nicotine from my vap cause this.
[|AI|]  Welcome to Chat Doctor .1. Sub mandibular swelling, occasional pain - suggestive of sailoadenitis (salivary gland obstructions due to stones / stricture.2. In this case if you are my patient - I would have examined first, and ask for an ultrasound neck and submandibular region - helps to find out the nature of the lesion, origin and extensions. 3. Other possible causes can be lymph nodal engagement.4. Take an appointment and get the needful test (ultrasound) done.5. Nicotine do cause intro oral causes of obstruction - strictures and so on. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you.