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What Causes Growing Bump Under Jawline?
Question: I have a smooth rounded growth just below my jawline which has doubled in size in one night. What could be the problem ?
Brief Answer:
Salivary gland or a lymph node.
Detailed Answer:
Hi.
Good Morning!
I would like to know a few more points for me to help you.
Since when was the swelling existing ( before increasing to double in one night) ?
Any pain, redness, Pain on pressure?
Does it increase in size while chewing- you can put pinch of salt or sugar on tongue and see if it increases ?
The most probable causes are.
-If the swelling is near the angle of mandible (Jaw-bone), which increases on stimulation of salivation , this is most probably a Sub-mandibular salivary gland with stones or infection causing enlargement overnight.
-This can be a lymph node, increased due to secondary infection.
I would advise the following in such a patient:
Ultrasonography, FNAC (Fine Neddle Aspiration Cytology) if required, CT scan to confirm if required.
Blood tests- CBC sugar and other relevant tests as may be needed.
Opinion of an ENT Surgeon for bi-manual palpation, to see the floor of the mouth, and whole ENT examination.
This will give the perfect diagnosis and a plan for further management.
I hope this answer helps you well for proper diagnosis and perfect management.
Rate this answer if you liked; please feel free to ask for more if you need to.
Salivary gland or a lymph node.
Detailed Answer:
Hi.
Good Morning!
I would like to know a few more points for me to help you.
Since when was the swelling existing ( before increasing to double in one night) ?
Any pain, redness, Pain on pressure?
Does it increase in size while chewing- you can put pinch of salt or sugar on tongue and see if it increases ?
The most probable causes are.
-If the swelling is near the angle of mandible (Jaw-bone), which increases on stimulation of salivation , this is most probably a Sub-mandibular salivary gland with stones or infection causing enlargement overnight.
-This can be a lymph node, increased due to secondary infection.
I would advise the following in such a patient:
Ultrasonography, FNAC (Fine Neddle Aspiration Cytology) if required, CT scan to confirm if required.
Blood tests- CBC sugar and other relevant tests as may be needed.
Opinion of an ENT Surgeon for bi-manual palpation, to see the floor of the mouth, and whole ENT examination.
This will give the perfect diagnosis and a plan for further management.
I hope this answer helps you well for proper diagnosis and perfect management.
Rate this answer if you liked; please feel free to ask for more if you need to.
Above answer was peer-reviewed by :
Dr. Shanthi.E
Following information required by you:
Noticed first time while brushing on 20th Nov (two days ago)
Yesterday (21st Nov) it was the size of a cereal (pulse) grain
Today morning it was the size of a pea
YES ! it is red in colour
There is mild discomfort and pains if pressed by tongue or finger.
CBC & Other results (Routine test done on 15/08/2014) are as below:
TEST NAME METHOD VALUE UNITS
DIABETES SCREEN (BLOOD) BLOOD ELEMENT ANALYSIS
PROFILE,HBA,HEMOGRAM
HbA1c H.P.L.C 5.5 %
Reference Range :
Below 6.0% - Normal Value
6.0% - 7.0% - Good Control
7.0% - 8.0% - Fair Control
8.0% - 10% - Unsatisfactory Control
Above 10% - Poor Control
Technology : Fully Automated H.P.L.C using TOSOH G8.
AVERAGE BLOOD GLUCOSE (ABG) CALCULATED 111 mg/dl
Reference Range :
90 - 120 mg/dl : Excellent Control
121 - 150 mg/dl : Good Control
151 - 180 mg/dl : Average Control
181 - 210 mg/dl : Action Suggested
> 211 mg/dl : Panic Value
(Note: Average Blood Glucose value is calculated from HBA1c value and it indicates Average Blood Sugar level
over past three months.)
Technology : Derived from HBA1c values
TOTAL LEUCOCYTES COUNT 5.51 X 10³ / µL 4 - 10
NEUTROPHILS 56.1 % 40-80
LYMPHOCYTE PERCENTAGE 38.5 % M:20-40; F:20-40
MONOCYTES 2 % 0-10
EOSINOPHILS 2.9 % 0-6
BASOPHILS 0.2 % < 1-2
IMMATURE GRANULOCYTE PERCENTAGE(IG%) 0.3 % Male : 0-0.5 Female: 0-0.4
NEUTROPHILS - ABSOLUTE COUNT 3.09 X 10³ / µL 2.0 - 7.0
LYMPHOCYTES - ABSOLUTE COUNT 2.12 X 10³ / µL 1.00 - 3.00
MONOCYTES - ABSOLUTE COUNT 0.11 X 10³ / µL 0.20 - 1.00
BASOPHILS - ABSOLUTE COUNT 0.01 X 10³ / µL 0.02 - 0.10
EOSINOPHILS - ABSOLUTE COUNT 0.16 X 10³ / µL 0.02 - 0.50
IMMATURE GRANULOCYTES(IG) 0.02 X 10³ / µL 0.03
TOTAL RBC 4.88 X 10^6/µL Male : 4.5-5.5 Female : 3.9-4.8
NUCLEATED RED BLOOD CELLS Nil X 10³ / µL Nil in adults
NUCLEATED RED BLOOD CELLS % Nil % Nil in adults
HEMOGLOBIN 15.4 g/dL Male : 13-17 Female : 12-15
HEMATOCRIT(PCV) 43.12 % Male : 40-50 Female : 36-46
MEAN CORPUSCULAR VOLUME(MCV) 106.6 fL 83-101
MEAN CORPUSCULAR HEMOGLOBIN(MCH) 31.6 pq 27-32
MEAN CORP.HEMO.CONC(MCHC) 29.6 g/dL 31.5-34.5
RED CELL DISTRIBUTION WIDTH - SD(RDW-SD) 59.8 fL 39 - 46
RED CELL DISTRIBUTION WIDTH (RDW-CV) 15.2 % 11.6-14
PLATELET DISTRIBUTION WIDTH(PDW) 13.05 fL 9.6-15.2
MEAN PLATELET VOLUME(MPV) 9 fL 6.5-12.0
PLATELET COUNT 189 X 10³ / µL 150-400
PLATELET TO LARGE CELL RATIO(PLCR) 33.8 % 19.7 - 42.4
PLATELETCRIT(PCT) 0.21 % 0.19 - 0.39
Please advise if Ultrasonography and FNAC (Fine Neddle Aspiration Cytology) tests are required.
Thanking you and looking forward to hearing from you soon,
Sincerely.
XXXXXXX XXXXXXX
Noticed first time while brushing on 20th Nov (two days ago)
Yesterday (21st Nov) it was the size of a cereal (pulse) grain
Today morning it was the size of a pea
YES ! it is red in colour
There is mild discomfort and pains if pressed by tongue or finger.
CBC & Other results (Routine test done on 15/08/2014) are as below:
TEST NAME METHOD VALUE UNITS
DIABETES SCREEN (BLOOD) BLOOD ELEMENT ANALYSIS
PROFILE,HBA,HEMOGRAM
HbA1c H.P.L.C 5.5 %
Reference Range :
Below 6.0% - Normal Value
6.0% - 7.0% - Good Control
7.0% - 8.0% - Fair Control
8.0% - 10% - Unsatisfactory Control
Above 10% - Poor Control
Technology : Fully Automated H.P.L.C using TOSOH G8.
AVERAGE BLOOD GLUCOSE (ABG) CALCULATED 111 mg/dl
Reference Range :
90 - 120 mg/dl : Excellent Control
121 - 150 mg/dl : Good Control
151 - 180 mg/dl : Average Control
181 - 210 mg/dl : Action Suggested
> 211 mg/dl : Panic Value
(Note: Average Blood Glucose value is calculated from HBA1c value and it indicates Average Blood Sugar level
over past three months.)
Technology : Derived from HBA1c values
TOTAL LEUCOCYTES COUNT 5.51 X 10³ / µL 4 - 10
NEUTROPHILS 56.1 % 40-80
LYMPHOCYTE PERCENTAGE 38.5 % M:20-40; F:20-40
MONOCYTES 2 % 0-10
EOSINOPHILS 2.9 % 0-6
BASOPHILS 0.2 % < 1-2
IMMATURE GRANULOCYTE PERCENTAGE(IG%) 0.3 % Male : 0-0.5 Female: 0-0.4
NEUTROPHILS - ABSOLUTE COUNT 3.09 X 10³ / µL 2.0 - 7.0
LYMPHOCYTES - ABSOLUTE COUNT 2.12 X 10³ / µL 1.00 - 3.00
MONOCYTES - ABSOLUTE COUNT 0.11 X 10³ / µL 0.20 - 1.00
BASOPHILS - ABSOLUTE COUNT 0.01 X 10³ / µL 0.02 - 0.10
EOSINOPHILS - ABSOLUTE COUNT 0.16 X 10³ / µL 0.02 - 0.50
IMMATURE GRANULOCYTES(IG) 0.02 X 10³ / µL 0.03
TOTAL RBC 4.88 X 10^6/µL Male : 4.5-5.5 Female : 3.9-4.8
NUCLEATED RED BLOOD CELLS Nil X 10³ / µL Nil in adults
NUCLEATED RED BLOOD CELLS % Nil % Nil in adults
HEMOGLOBIN 15.4 g/dL Male : 13-17 Female : 12-15
HEMATOCRIT(PCV) 43.12 % Male : 40-50 Female : 36-46
MEAN CORPUSCULAR VOLUME(MCV) 106.6 fL 83-101
MEAN CORPUSCULAR HEMOGLOBIN(MCH) 31.6 pq 27-32
MEAN CORP.HEMO.CONC(MCHC) 29.6 g/dL 31.5-34.5
RED CELL DISTRIBUTION WIDTH - SD(RDW-SD) 59.8 fL 39 - 46
RED CELL DISTRIBUTION WIDTH (RDW-CV) 15.2 % 11.6-14
PLATELET DISTRIBUTION WIDTH(PDW) 13.05 fL 9.6-15.2
MEAN PLATELET VOLUME(MPV) 9 fL 6.5-12.0
PLATELET COUNT 189 X 10³ / µL 150-400
PLATELET TO LARGE CELL RATIO(PLCR) 33.8 % 19.7 - 42.4
PLATELETCRIT(PCT) 0.21 % 0.19 - 0.39
Please advise if Ultrasonography and FNAC (Fine Neddle Aspiration Cytology) tests are required.
Thanking you and looking forward to hearing from you soon,
Sincerely.
XXXXXXX XXXXXXX
Brief Answer:
Exact location and a clear picture if you can please.
Detailed Answer:
Hi.
Thanks for your feedback.
The reports are pretty old dated 15-8-14. seen..
Can you please post a clear photograph ?
Is the swelling inside the mouth or outside under the skin ?
Where is the exact location?
Exact location and a clear picture if you can please.
Detailed Answer:
Hi.
Thanks for your feedback.
The reports are pretty old dated 15-8-14. seen..
Can you please post a clear photograph ?
Is the swelling inside the mouth or outside under the skin ?
Where is the exact location?
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Answered by
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