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Stone in the submandibular gland - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   Hi
User :   I have a swollen submanibular gland
Doctor :   ok
User :   I am have it remvoed Tusday
Doctor :   ok
User :   I have a few questions to ease my mind
Doctor :   yes please proceed with your query
User :   This started six weeks ago with a small lump under my chin
Doctor :   ok
User :   it then got very big in a could of weeks - almost four inches long by two inches wide
Doctor :   ok
User :   the docotr is giving me only subtle clues
User :   First, he says the cancer in this region is very rare
User :   I'm 48 btw
Doctor :   ok
User :   please let me know if you agree with what he says as I make the that ok?
Doctor :   yes
User :   do you agree with what he said about rare?
Doctor :   yes the cancer in the submandibular region is quite rare i agree
User :   he also said that is anusual for tumors to grow this rapidly in this specific gland
Doctor :   ok
User :   do you agree with that?
Doctor :   yes
User :   also, he did an ultra sound...wouldn't commit to a stone in the gland, but said he saw "stranding" which is a charactreristic of a stone?
Doctor :   calculi in sub mandibular gland accounts for 80% of salivary gland calculi
User :   Is stranding a charectierstic of a stone when in the gland?
Doctor :   yes
User :   Great
User :   I have a few things I'd like your expertiese
Doctor :   ok
User :   I have no symptoms excpet one (i'll get to that in a minute) - no fever, weak face, pain in face, weight loss or appetit
User :   I assume that is a good sign also...after six weeks, would you expect me to shw some other symtoms - I feel fine
User :   a little stressed however
Doctor :   what symptoms ?
User :   The docter gave me two medications - prendisone and clarithromycin
Doctor :   ok
User :   I had no night sweats at all, until I took them...I found that prendisone can cause night sweats...also, I am taking 4 10mg pills
User :   the frst time I took it, I took them throughout the day
Doctor :   ok
User :   and just before I went to bed
User :   that night I had night sweats
Doctor :   ok
User :   Is it likely it was caused by the medications?
User :   my pharmacist said it was a side effect
Doctor :   yes it can cause night sweats
User :   even the first day you take them?
User :   I had a little pool last night - night two
User :   nothing like the first night - bed was drenched
User :   The medications, have had a big impact on the swelling...its gone down a lot
Doctor :   it may occur on any day may be from the first day or it may occur at latter stage also
Doctor :   thats good
User :   Is that a good sign that it is not a tumor?
User :   its still as long, not as hard and a lot less swelling
Doctor :   yes it is a good sign and if it were to be a tumor it would have not responded to medicines
User :   That is good
User :   Okay, last night I had a very sharp, cutting like pain inside the was also senstive to the touch in a few areas?
User :   good that be the stone moving?
Doctor :   yes it could be the stone moving
User :   anything else? It was real weird
User :   I know that the swelling comes and goes in many with a stone in the gland (my is not in the duct)
Doctor :   the stone which is usually in the duct might get embeded in the gland tissue
Doctor :   ok
User :   I think he was looking in my gland when he did the ultrasound
User :   I gues it could have started down the duct
Doctor :   usually the stone will be in the duct of the gland and it might cut through the duct and can get into the gland at times
User :   I did have sporadic pain, it a little pain full to chew ...but I didn't see the lump change in size much around mealtime
Doctor :   ok
User :   Does it seem odd to you that I had very little pain and a hard lump?
User :   I feel good about almost everything else
Doctor :   no
Doctor :   symptoms do varry from person to person
User :   I have heard that a tumor is usually large, painless...That is like mine
Doctor :   so do have large swelling with minimal or no pain
User :   I did until the medication
User :   It also went dow a little when I was on ZPAC
Doctor :   and some do have severe pain with little swelling
User :   I can't say I have ever had "sever pain...perhaps to 4 on a scale to ten
Doctor :   tumos keep growing in size
User :   That's sound promising
User :   Why do you think the lump won't go away completey?
Doctor :   for the lump to go away you need to remove the calculi or it should pass out by it self
User :   Why doesn't it fluxuate in size on its own?
User :   I should mention I think this was caused by too much sode
User :   soda
User :   I drank about 60-80 oz of diet soda per day
User :   I don't anymore
Doctor :   it is not the stone which is flucuating, the stone causes obstruction to the flow of the saliva and it causes the swelling
Doctor :   so only the size flucuates
User :   Plus, I have had a history of kidney stones...I have a large one that has yet to pass and I will likely have to have it ther a connection between the two?
User :   Let me also thank you if I get cut've been very helpful
Doctor :   there is a general tendency of stone formation in you and it has formed in the kidney as well as in the submandibular salivary gland
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