Hello,

Thanks for posting your query on Health Care Magic.

Presence of a hard lump under the jaw needs to be investigated at the earliest.
A hard lump at this site could be an enlarged lymph node, salivary gland growth, a soft tissue or bony growth.
Absence of pain rules out an inflammtory lesion.

Is there associated weight loss , weakness or decreased appetite?
If yes a neoplastic/ tumor is suspected.

Fine needle aspiration cytology (FNAC) is the first line investigation.
FNAC is an office procedure in which the cells in the swelling/ lump are aspirated using a fine bore needle.
The cells are stained and studied under a microscope.
On the basis of examination, the organ of origin and the nature of lesion- benign or malignant is determined.

Depending on the findings, further steps are taken for management.

Running nose and sore throat may be unrelated to the swelling. It may be a infectious process involving throat and nose.
A decongestant, saline gargles and antibiotic can be taken for it.

If you have more queries, I will be glad to answer.
Dr Shailja P Wahal

---

Hello,

Thanks again,

A chronic inflammation of the salivary gland or fibrotic tissue replacing normal soft tissue, an enlarged inflammed lymph node, a benign bony growth can present with painless hard lump. Malignancy is suspected if the painless hard lump is growing very fast and soon.

That being said, the true entity of the lump will be decided only by FNAC. Therefore worthwhile consulting one doctor for examination and FNAC.

Hope this answers your query. Let me know if you need clarifications.

Take care.
Dr Shailja P Wahal

---