### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have what feels like a small hard lymph node thing, in my CHEEK  just above my jaw line,  near my right wisdom ,it only came up about a week ago wen my wisdom tooth started hurting , Im scared because my wisdom teeth hurt every 3 -4 weeks an this never happened, it does not hurt, its small and shaped I bit irregular compared to a ball, I know its not a normal swallen glands under my jaw that only hurt a bit. ??? :(

### output:

Hi. I have gone through your complaint and can very well understand your concern. As per your complaint you are suffering from PERITONITIS which is inflammation of the gum flap that covers the wisdom tooth, and it gets swollen and painful either due to infection due to food deposition between the gum flap and the tooth or if the flap gets bitten by the opposite arch tooth. This can lead to severe pain, swelling on cheek and at times can cause difficulty in opening mouth and even swollen lymph nodes under the jaw. It is the most probable cause of the symptoms you explained, and you need to consult a dentist and get evaluated. In case of Peritonitis you should do warm saline gargles and a course of antibiotics like amoxicillin 500 mg thrice a day for infection, Advil twice daily for pain, Pantoprazole 40 mg one tablet empty stomach to prevent stomach upset by antibiotics for 5 days. If the condition does not resolve or there are relapses you should get the gum flap surgically removed under local anesthesia. If the wisdom tooth is impacted and will not erupt completely extraction of the same can be done for permanent relief. Hope this information helps, and thanks for writing to Chat Doctor . If you find the answer helpful please give a Five-Star Review and Click on Found The Answer Helpful as a token of appreciation. Thanks and regards. Chat Doctor. .