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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do Swollen Lymph Nodes Suggest?

Hi, my question concerns swallon glands. A year ago my glands would swell up every now and then and eventually after massaging it forward as advised by a docter a blockage the size of a peanut popped into my mouth. It hasn't bothered me since. But 3 or 4 days ago it swelled up again and then went away and then it came back again this morning and remained swelled the entire day. I don't know of any infections that I could have, no tooth or ear pain, though I did have a bad headache last night. Is there something else that could be causing this swelling and could it be headache related?
Thu, 30 Nov 2017
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Dentist 's  Response
Hi.
Thanks for the query..

From your explanation it looks like an obstructed duct of salivary gland..

Obstruction in the duct of the salivary gland occurs due to formation of crystalline stones known as Sialoliths from the minerals present in saliva causing the duct to get blocked..

It does not look like lymph node swelling as it will not subside and recur so quickly..

When saliva flow increases suddenly when we start eating and it cannot flow into the mouth there is backflow of saliva into the gland and it swells..
As the salivation gradually reduced and also some saliva seeps through narrow spaces left in the ducts there is reduced swelling..

You should consult an Oral Physician and get evaluated and he can do a thorough clinical evaluation and an x ray.

If it is suspected to be due to stone formation you can be advised to suck tart candies as at times the stones can flush out with heavy saliva flow..
Superficial stones can however be pushed manually towards the duct orifice and can be removed..

Deeper stones needs surgical removal under sialoscopic guidence.

Hope this helps..

Regards.
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What Do Swollen Lymph Nodes Suggest?

Hi. Thanks for the query.. From your explanation it looks like an obstructed duct of salivary gland.. Obstruction in the duct of the salivary gland occurs due to formation of crystalline stones known as Sialoliths from the minerals present in saliva causing the duct to get blocked.. It does not look like lymph node swelling as it will not subside and recur so quickly.. When saliva flow increases suddenly when we start eating and it cannot flow into the mouth there is backflow of saliva into the gland and it swells.. As the salivation gradually reduced and also some saliva seeps through narrow spaces left in the ducts there is reduced swelling.. You should consult an Oral Physician and get evaluated and he can do a thorough clinical evaluation and an x ray. If it is suspected to be due to stone formation you can be advised to suck tart candies as at times the stones can flush out with heavy saliva flow.. Superficial stones can however be pushed manually towards the duct orifice and can be removed.. Deeper stones needs surgical removal under sialoscopic guidence. Hope this helps.. Regards.