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Treatment for submandibular swelling - 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 : 2005
Answered : 2408 Questions
User :   hello?
Doctor :   Hi
User :   I have a swollen gland
Doctor :   ok
Doctor :   where is the swollen gland ?
User :   I've had it for five weeks
Doctor :   ok
User :   Submandibular
User :   I 've seen three dr's and a dds
Doctor :   ok
User :   I went to an ent today and he says i need to have it removed
Doctor :   ok
User :   he did an ultra sound
Doctor :   ok
User :   he thinks it is a large stone embedded in the gland
Doctor :   ok
User :   I had an xray from and oral surgeon and he siad he could see a stone
Doctor :   what di the ultrasound show up ?
User :   the ent said he could not see it on the xray.
User :   he did an ultra sound
User :   he tried to manual find the stone, but could not
Doctor :   ok
User :   I'm getting a little worried
User :   its been five weeks
Doctor :   what was the findings of ultrasound ?
User :   the lump under my chin is about four inches long by two inches wide
User :   It started small, but grew large in a couple of weeks
Doctor :   ok
User :   I don't have any symptoms other thant the lump - fever, night sweats, loss of weiht etc
Doctor :   ok
User :   I felt ok until I went to the ent who laid out all the possibilities
Doctor :   ok
User :   i'd like to get your thoughts
User :   I will have the gland removed next week
User :   I really don't have no pain, even when I eat. My mouth is a little sore when I chew
Doctor :   the most common cause of swelling in the submandibular region is due to lymph node swelling followed by the swelling of the submandibular salivary gland
User :   I can open my mouth pretty wide
User :   I think the ent isolated it to the gland
Doctor :   painless progressive slowly progressive swelling usually indicates salivary gland in origin
Doctor :   i believe you are worried it could be a cancer ?
User :   yes
User :   I know its rare, but ...
Doctor :   it is benign tumor the most common there
Doctor :   it is not the malignant with the history your giving
User :   I thought it was usually malignant in the submanibular gland?
Doctor :   malignant is quite rare in the region to present with only swelling
Doctor :   it is usually the benign group
User :   what other symptoms would I expect?
Doctor :   you will not have any symptom other than the swelling growing in size
User :   It is hard wwith no real pain
User :   forgive me for all the questions
Doctor :   treatment is removal of the swelling and to get it biopsied
Doctor :   no problem
Doctor :   you just relax
Doctor :   it seems to be a benign swelling
User :   of the gland?
Doctor :   and with the removal of the swelling the treatment also ends
User :   you meant the gland?
Doctor :   yes of the gland
User :   Why wouldn't the ent make me feel more at ease?
User :   I'm not suggesting he said or thought it was more serious
Doctor :   from what you are telling it doesent seems to me a malignant one
Doctor :   but you should not neglet because the benign one if left untreated for long time can turn into a malignant one
User :   Over the past two days it my kneck is unlittle tender under my ear...
Doctor :   so as there is no symptom people tend to neglect and latter land up in malingant part
Doctor :   ok
User :   does that give you pause?
User :   Also, the swelling doesn't go down much, but it does go up and down some. Would a tumor do that?
User :   swelling of the lump
Doctor :   yes defenitely the tumor do that
User :   tumors get bigger then smaller?
User :   then bigger again?
User :   If I where to have other symptoms, fever, night sweats, etc, when you expect that I would have expereienced them?
User :   them
Doctor :   fever night sweats and swelling will all do indicate tubercular type of the swelling
Doctor :   and there will be multiple sweling not the single one
Doctor :   initially the fever and sweats will start folowed by swelling
User :   Are those the symptoms that would concern you?
Doctor :   the treatment is the same removal of the swelling and biopsy of the removed specimen
User :   Do you think the tenderness in my neck is assocated with the swelling that is near?
User :   It just started a few days ago?
Doctor :   it might be due to the swelling near by
User :   Ok, I think I've taken enough of your time...thanks
Doctor :   get it removed at the earliest and have a biposy study of the swelling
Doctor :   this is the treatment of choice at present
User :   I will ... next Tuesday
Doctor :   thanks for consulting healthcare magic
Doctor :   bye for now
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