I have swollen lymph nodes and sore throat even after a month of wisdom tooth removal. Why?

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I have seen the image. (attachment removed to protect patient identity). It is showing right follicular tonsilitis with keratitis of the right buccal mucosa and attrition of the teeth with discoloration of the teeth present.

For tonsillitis, you have to use antibiotics like Amoxicillin and Clavulanic acid 625 mg twice a day for five days, and tablet Azithromycin 500 mg first day followed by 250 mg once a day for five days. Avoid cool drinks and alcohol. Avoid smoking and tobacco chewing. Use water vapor inhalation and salt water gargling thrice a day.

For keratitis, avoid smoking and use capsule vitamin A once a day for one week. Eat green leafy vegetables and fruits. Please consult with your oral pathologist, he will examine and if possible will take a biopsy and treat you accordingly.

I would like to some details. How old are you? Since when you are smoking? Is lymph node feeling hard or soft? It is possible that lymph node enlargement in case of any infection in the oral cavity, nose, or ears. If the lymph node is soft, painful, and easily moving means it is inflammatory pathology. But if it is hard, matted, and non-movable means a malignant pathology.

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Please avoid smoking.

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Tonsilitis leads to repeated throat infections which may lead to complications like uncontrolled pharyngitis, lymphadenopathy, ear pain of that side (middle ear infection), eustachian tube block, sleep apnea, dysphagia (difficulty in swallowing), Peri tonsilar abscess, etc.

Usually, we may treat tonsillitis with medication. If it is not improved and causing repeated pharyngitis more than six times a year along with the above complications, you may need surgery. For tonsilitis, treatment is already mentioned above.

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We will suspect malignancy in old patients with risk factors or young age patients with smoking and tobacco chewing history.

In your case, smoking history is there with mild keratosis, that is why we have to confirm the pathology. I told you to go to an oral pathologist and he will take a biopsy and confirm the diagnosis. But 95% of keratosis reverted became normal after the elimination of risk factors.

Hello Dear some times the tooth extraction site may be carrying a infection may cause this problem. To know this may need x ray of that site or need to examined by dentist. Some times need surgical extraction of the infectious focus. so please consult a dentist he will examine and treat you accordingly. Take care.