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

### input:
I noticed a small lump on my jawbone in front of my ear while rubbing my face. It seemed hard at first but i now noticed that it is movable. Because i kept touching it, it hurts now. I have chronic sinusitis, and a low grade fever for 3 days. I am concerned about this lump.

### output:

Hello, I can understand your concern. The area in front of the ear has preauricular lymph nodes. These lymph nodes become swelled and painful when ear or TMJ (Temporomandibular Joint) area is infected. As you are already having sinusitis and fever, there are more chances that you have infection in the ear or because of the sinusitis, the lymph node is swollen. You can take Azithromycin 500 mg (AEE 500) once a day for 3 days. Acetaminophen 500 mg or Ibuprofen 400 mg can be taken for fever up to thrice a day. You can use over the counter decongestants and antihistamine such as Levocetrizine 5 mg (Exocet) once a day for 5 days to clear the congested sinus. Also refrain from rubbing the lymph node. If you do not find any relief in the lymph node swelling and fever in 3 days, then ENT specialist should be consulted for examination and investigations regarding ear infection. If he rules out any ear infection, then you should visit a dentist for examination regarding TMJ and associated muscles. I hope this information helps you. Thank you for choosing Chat Doctor. I wish you feel better soon. Best,