Question: Hello,
I corresponded with you approximately a month ago about bilateral parotid swelling. The CT results of the neck from that were normal and showed no signs of adenopathy or masses otherwise. You reassured me of the soft tissue stranding not being of concern.

I also had a submandibular stone(s) that temporarily blocked the duct on the left side. After a few weeks, these apparently have left. I did notice one as it left the duct. The swelling in this area has subsided.
On the same side, under the jaw, there is a lump. It varies in size, no more than 1-1.5cm including the surrounding tissue and generally is up under the jaw, about midline. Occasionally it drops down and can be felt in more detail. It feels firm, can be compressed a little, and seems to vary some in size, but there is a firm part that remains. It is movable vertically, and somewhat horizontally if manipulated.
My general doctor indicated based on the review of the CT in January that waiting until our next appointment on 3/2 is fine, and if it is still swollen, to obtain more imagery at that time.
I generally have felt fine, but did develop sinusitis and some fluid in the ear -on the other side of my head. There was a mild fever, azithromycin seems to be resolving this fairly quickly. I occasionally feel malaise, but it resolves quickly. I have no changes in appetite and have maintained my weight. I am somewhat thirsty from the dry sinuses.
Is this swelling typical being related the submandibular salivary stone?
The doctor felt all other lymph nodes in my head/neck area and had no concerns.

I am anxious about waiting another 3 weeks to see if the swelling/hardness has discontinued and possible imaging at that time. Should I pursue a more urgent meeting?

Thank you for the reply.

What is a typical time for lymph node swelling to resolve, after the underlying infection goes away?

Is the hard part likely a fluid buildup?
Is a heating pad helpful for these?

Hello again,

The area around the lymph node seems to swell overnight. The actual node or bump doesn't change in size. I often get some excessive saliva during the day.

Is this node inside the submandibular gland?

When the area is swollen, I get a feeling of malaise. When it drains or whatever, I feel much better.

Also, any recommendations for improving energy levels? I have been on 3 antibiotics in the last 3 months for these infections.
Below are my lab results from recent testing.

Thyroid Stimulating Hormone (TSH)     0.77 uIU/mL
Total Protein     7.9 g/dL
Albumin     4.3 gm/dL
Total Bilirubin     0.98 mg/dL
Direct Bilirubin     0.17 mg/dL
Indirect Bilirubin     0.81 mg/dL
Aspartate Amino Transf (AST/SGOT)     10 U/L
Alanine Aminotransferase (ALT/SGPT)     38 U/L
Alkaline Phosphatase     60 U/L
Group A Streptococcus Screen/Cult     Select to view results
Group A Streptococcus Screen     NEG/CUL
     
Urine Color     Yello
Clarity     Clear
Leukocyte esterase     Negative
Nitrites     Negative
Occult Blood     Negative
Specific Gravity     1.02
Ketone     Negative
Bilirubin     Negative
Glucose, Urine     Negative
Albuminum, Urine     Negative
PH-Urine     5.5
     
WBC     7.36 K/uL
RBC     4.83 M/uL
Hemoglobin     14.5 g/dL
Hematocrit     44.30%
MCV     91.7 fl
MCH     30 pg
MCHC     32.7 g/dL
Platelet Count     289 K/uL
RDW-CV     12.80%
RWD-SD     42.8 fl
NRBC %     0
ABS NEUT      4.95 K/uL
ABS LYMP     1.67 K/uL
ABS MONO     0.55 K/uL
ABS EOS     0.12 K/uL
ABS BASO     0.04 K/uL
ABS IMMATURE GRAN     0.03 K/uL
     
Potassium     4 mmo/L
Hemoglobin A1C     5.3
Estimated Average Glucose     105 mg/dl
Glucose     144 mg/dL
Glucose     Non-Fasting
Rheumatoid Factor BLD     11 IU/ml
ANA Screen     Negative
Erythrocyte Sed Rate     13 mm/hr
Mumps     Negative
Mumps AB IGG     0.05
Mumps IGG Index Value     1.1
     
     
Creatnine     0.82 mg/dL
Estimated GFR     109
Vitamin B12     529 pg/mL
Glucose     133 mg/dL
Non-Fasting     

Thanks again for your responses. J

Hello again,
in my lower jaw, the swelling increases at night or when I eat. As I trace the duct in my lower mouth, the lump is near the back of the duct, near what I believe to be the saliva gland.
When touched, I squirt saliva with a unusual taste.
I will ask my doctor or dentist for an evaluation.
What is this indicative of?
Thank you.