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Hello I Am A 25-year-old Male In Good Health. Foreight

Posted on Sat, 28 Mar 2020

Question: Hello I am a 25-year-old male in good health. Foreight days I have had a swollen sub mandibular gland on the right side of my jaw. My primary care physician gave me antibiotics but that has not helped the swelling. I have had a strep test and passed it, My doctor cannot find any infections in me or obvious explanations to the swollen gland. I got an ultrasound on my jaw/neck and they found no tumors and said everything looked normal. I am going to see an ENT in 10 days. I am starting to become really worried that this may be cancer. I want to ask my ENT to do a biopsy on the swollen gland. I also have TMJ that has recently flared up and is giving me Jaw tightness I%E2%80%99m not sure if the two can be related. my dentist this week said I may have arthritis in my jaw as well. Can anyone shed some light on what I may be dealing with here?

Answered by Dr. Sumit Bhatti (8 hours later)

Brief Answer:
MRI Sialography

Detailed Answer:
Hi,

Thank you for your query.

1. The usual protocol is that USG (Ultrasound) helps differentiate between a submandibular salivary gland swelling, lymph nodes or other lumps. Clinically, swellings of the submandibular salivary glands are ballotable, while lymph node swellings are not. The antibiotic of choice for salivary glands is clindamycin.

2. If there is still a doubt, MRI Sialography is the gold standard imaging.

3. This is followed, if required, by an FNAC, (Fine Needle Aspiration Cytology) and then, rarely, a biopsy.

4. From your description, the possibilty of sialadentitis has to be ruled out.

5. Cancers of the salivady glands are rare and unlikely.

6. Share your previois reports as this will help guide you further.

I hope that I have answered your query. If you have any further questions, I will be available to answer them.

Regards.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Sumit Bhatti (4 hours later)

thank you for getting back to me. i had an ultrasound the other day and my doctor said everything looked normal and there was no tumor in there. im still worried that this may be cancer, i realize i may be over reacting here but i have bever dealt with this before. it first started with a very intense tingling sensation in my salivatory gland when i went to take a bite to eat. does this make any sense to anybody?

Answered by Dr. Sumit Bhatti (28 hours later)

Brief Answer:
Details as discussed below:

Detailed Answer:
Hi,

Thank you for following up.

1. As the repeat ultrasound is normal, there is no possibility of any cancer.

2. The tingling sensation is common during healing and recovery.

3. If any symptoms persist follow the protocol mentioned in my previous answer. An OPG (OrthoPantomoGram) X-ray will help evaluate the TM Joint.

I hope that I have answered your question. If you have any further questions, I will be available to answer them.

Regards.

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Prasad