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Having Lump In Throat And Diagnosed As Swollen Sub Mandibular Gland. Advise?
Question: I have had a lump in my throat for 2 years now. It is located at the v under my jaw bone. I went to see an ENT and he said he thought it was a swollen submandibular gland. My questions to you are:
1. What causes this, if it really is the issue?
2. Why would it be swollen for 2 years?
3. And would regular x-rays show what the lump is, whether it be a swollen gland or cyst?
1. What causes this, if it really is the issue?
2. Why would it be swollen for 2 years?
3. And would regular x-rays show what the lump is, whether it be a swollen gland or cyst?
Hi,
Thank you for your query.
1. There is a chronic sialadenitis due to a stone, stricture of the duct or damage to the gland itself because of chronic infection.
2. Since there is progressive blockage or damage, the gland is swollen for the last 2 years.
3. Besides history (swelling after a meal), clinical examination (palpation, external ballotment), there are many tests which may be done to check if it is the sub mandibular salivary gland or a lymph node or cyst. It depends upon whether you want to preserve the gland or not. Some patients get the gland removed. X-rays may reveal a stone in the duct. A Neck sonography USG), FNAC (Fine Needle Aspiration Cytology), MRI/CT Scan, Nuclear Scan.
4. Sialendosocpy is a new option.
Awaiting your reply,
Regards.
Thank you for your query.
1. There is a chronic sialadenitis due to a stone, stricture of the duct or damage to the gland itself because of chronic infection.
2. Since there is progressive blockage or damage, the gland is swollen for the last 2 years.
3. Besides history (swelling after a meal), clinical examination (palpation, external ballotment), there are many tests which may be done to check if it is the sub mandibular salivary gland or a lymph node or cyst. It depends upon whether you want to preserve the gland or not. Some patients get the gland removed. X-rays may reveal a stone in the duct. A Neck sonography USG), FNAC (Fine Needle Aspiration Cytology), MRI/CT Scan, Nuclear Scan.
4. Sialendosocpy is a new option.
Awaiting your reply,
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
For the past 3 weeks I have been taking Vytoin 10-20 mg once daily, Metoprolol succer 50 mg once daily and Amlodipine Besylate 5 mg twice a day, fish oil, and omega 3 fatty acid 2000 mg twice a day for blood pressure, high chlorestoral, and high triglycerides. The lump is receding quite a bit now since then. Is this a coincidence? Or is this medicine helping the submandibular gland somehow? This is really weird, since it has stayed the same for 2 years until now.
Thanks.
Thanks.
Hi,
Thank you for writing back.
1. This seems to be a coincidence. There is no direct relationship between decrease in the size of a submandibular salivary gland and your medication.
2. The only rare possibility that I think is possible is a reduction of any fatty infiltration in and around the gland, if it exists.
I hope that I have answered your queries. If you have any further questions, I will be available to answer them.
Regards.
Thank you for writing back.
1. This seems to be a coincidence. There is no direct relationship between decrease in the size of a submandibular salivary gland and your medication.
2. The only rare possibility that I think is possible is a reduction of any fatty infiltration in and around the gland, if it exists.
I hope that I have answered your queries. If you have any further questions, I will be available to answer them.
Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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