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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swelling Under Tongue And Behind Ear?

I have a soft swelling under my tongue on the right side(sublingual gland) which I noticed 3 days ago which was about 4 by 3cm then reduced to 2cm but increased again slightly. It is soft and fluctuant. and a swelling behind my ear for about 2 months .... which is hard? Firm? About 2 by 2cm.... might be a lymph node. Nil fever. Moved from a tropical country to the uk 6 months ago. I tested HIV negative and hep B and C negative 6 months ago.... what s my differential diagnosis?
Fri, 26 Jun 2015
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Dentist,  's  Response
Hi..
Can understand your concern..

As per your complain a swelling under the tongue which is soft and fluctuant means that the swelling is a fluid filled and it can be a RANULA which is a type of mucocele and it is caused due to local trauma or injury to the salivary gland ducts leading to spillage of mucous into the soft tissues leading to formation of a fluctuant swelling..

It can be due to a major salivary gland or a minor salivary gland..

In case of small swelling Marsupilization can be done while in case of large swelling surgical removal of sublingual gland can be done..

The other part of the question is a swelling behind the ear can be a swollen lymph node and it can be due to neck injury , or infections in the face and neck reason and at times infection in some other part of body can be also cause infection in distant lymph nodes..
At times a tumour of lymph nodes known as Lymphoma which is a malignant condition can be a cause..

For lymphadenopathy you should consult a physician..

Hope this information helps..

If you find the answer helpful kindly write a positive review and click on found this answer helpful as a token of appreciation..

Thanks and regards..
Dr.Honey Nandwani Arora.


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What Causes Swelling Under Tongue And Behind Ear?

Hi.. Can understand your concern.. As per your complain a swelling under the tongue which is soft and fluctuant means that the swelling is a fluid filled and it can be a RANULA which is a type of mucocele and it is caused due to local trauma or injury to the salivary gland ducts leading to spillage of mucous into the soft tissues leading to formation of a fluctuant swelling.. It can be due to a major salivary gland or a minor salivary gland.. In case of small swelling Marsupilization can be done while in case of large swelling surgical removal of sublingual gland can be done.. The other part of the question is a swelling behind the ear can be a swollen lymph node and it can be due to neck injury , or infections in the face and neck reason and at times infection in some other part of body can be also cause infection in distant lymph nodes.. At times a tumour of lymph nodes known as Lymphoma which is a malignant condition can be a cause.. For lymphadenopathy you should consult a physician.. Hope this information helps.. If you find the answer helpful kindly write a positive review and click on found this answer helpful as a token of appreciation.. Thanks and regards.. Dr.Honey Nandwani Arora.