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What Causes Painful Bulge In Neck And Swelling Near Ear While Eating?
Question: A few times in as many weeks, I have experienced a pain and bulge in my neck, up by my ear while eating. and the bulge in visible. typically lasts a few hours at a time. Should I be concerned?
Brief Answer:
Most probably a Parotid salivary Gland swelling.
Detailed Answer:
Hi,
Thank you for your query.
1. This transient, recurring swelling seems to be related to the parotid salivary gland.
2. Get a neck ultrasound (USG) done when the swelling is present.
3. If it is confirmeed as a salivary gland, get a sialogram or scanning done.
4. The parotid salivary gland usually develops fine sand like stone debris which does not usually show up on an X-ray (unlike larger submandibular salivary gland stones). Chroniuc sialadenitis or strictures of the Stensen's Duct may also be the cause.
5. Salivary gland endoscopy is now possible to alleviate some of the symptoms if medical management fails. Medical management including a course of Clindamycin (which achieves high levels in saliva), anti-inflammatory medications, local massage and fomentation should be done. Blood tests to rule out Sjogren's Syndrome should be done.
If you have any more questions I will be available to answer them.
Regards.
Most probably a Parotid salivary Gland swelling.
Detailed Answer:
Hi,
Thank you for your query.
1. This transient, recurring swelling seems to be related to the parotid salivary gland.
2. Get a neck ultrasound (USG) done when the swelling is present.
3. If it is confirmeed as a salivary gland, get a sialogram or scanning done.
4. The parotid salivary gland usually develops fine sand like stone debris which does not usually show up on an X-ray (unlike larger submandibular salivary gland stones). Chroniuc sialadenitis or strictures of the Stensen's Duct may also be the cause.
5. Salivary gland endoscopy is now possible to alleviate some of the symptoms if medical management fails. Medical management including a course of Clindamycin (which achieves high levels in saliva), anti-inflammatory medications, local massage and fomentation should be done. Blood tests to rule out Sjogren's Syndrome should be done.
If you have any more 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
Answered by
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