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Suggest Treatment For Sharp Pain In Gland Below Jaw
Question: Hi, I have been getting a sharp pain in my left gland just below the jaw when I yawn. I have no sore throat or fever. It feels like the gland is enlarged and I also feel a small lump on the left side of my throat about half way down my neck. Neither is painful to the touch. I have noticed this for about 2 weeks.
Brief Answer:
Ultrasonography- FNAC if needed and treatment as per the diagnosis
Detailed Answer:
Hi.
Thanks for your query.
Read and understood your history. You are getting sharp pain in left gland just below the jaw on yawning for about 2 weeks and also have a small lump on the left side of the throat as you have explained.
The possibilities are:
Sub-mandibular lymph node, gets pressed on yawing as the muscles over it get taught in this act and the opened jaw action pushes on it hard.
The node on the left side of the throat may also be a lymph node getting infection/inflammatory reaction from the disease in the sub-mandibular swelling.
Another option is that the swelling may be due to sub-mandibular salivary gland which got inflamed due to infection or so. In such a condition the the swelling increases in size and pain on any act of eating/ chewing or so as the salivation is instigated by such acts.
I would advise you the following in such a situation:
Get a clinical evaluation of the swellings, the primary focus of infection is to be sought after in oral cavity examination and there may be a caries tooth or a small injury/wound.
Ultrasonography of the area and FNAC (fine needle aspiration cytology) to ascertain the cause of such a swelling.
CT scan occasionally may be needed to get a confirmed diagnosis
A course of an antibiotic and anti-inflammatory medicines for 1 to 3 weeks, investigations of the blood and urine in the meantime and change over to another one as it may not be possible to replace the
If there are stones in the gland, it may need total excision and biopsy.
I hope this answer helps you to get a proper diagnosis and proper treatment. Please feel free to ask further relevant queries if you need to or if you feel that there is a gap-of- communication.
Ultrasonography- FNAC if needed and treatment as per the diagnosis
Detailed Answer:
Hi.
Thanks for your query.
Read and understood your history. You are getting sharp pain in left gland just below the jaw on yawning for about 2 weeks and also have a small lump on the left side of the throat as you have explained.
The possibilities are:
Sub-mandibular lymph node, gets pressed on yawing as the muscles over it get taught in this act and the opened jaw action pushes on it hard.
The node on the left side of the throat may also be a lymph node getting infection/inflammatory reaction from the disease in the sub-mandibular swelling.
Another option is that the swelling may be due to sub-mandibular salivary gland which got inflamed due to infection or so. In such a condition the the swelling increases in size and pain on any act of eating/ chewing or so as the salivation is instigated by such acts.
I would advise you the following in such a situation:
Get a clinical evaluation of the swellings, the primary focus of infection is to be sought after in oral cavity examination and there may be a caries tooth or a small injury/wound.
Ultrasonography of the area and FNAC (fine needle aspiration cytology) to ascertain the cause of such a swelling.
CT scan occasionally may be needed to get a confirmed diagnosis
A course of an antibiotic and anti-inflammatory medicines for 1 to 3 weeks, investigations of the blood and urine in the meantime and change over to another one as it may not be possible to replace the
If there are stones in the gland, it may need total excision and biopsy.
I hope this answer helps you to get a proper diagnosis and proper treatment. Please feel free to ask further relevant queries if you need to or if you feel that there is a gap-of- communication.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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