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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Painful Knot Under The Chin

I have a knot under my mouth/chin. Im not sure if it is an abscess. It is painful and hurt when i open my mouth widely. And when i swallow my spit. I just left the hospital but wasnt seen because there were too many patients not being seen and i felt as of I'd be there forever, so i left , and will go back in the morning. How bad is this ??
Thu, 17 Mar 2016
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Dentist,  's  Response
Hi..
Can understand your concern..

As per your complain painful knot under the chin can be due to infection in the sublingual salivary gland present below the chin..

Sublingual salivary gland is one of the major salivary gland present below the chin and infection in the gland can lead to inflammation and formation of pus inside the gland and leading to swelling..

It leads to pain,swelling and at times can cause rise in temperature of the body too.
The infection can occur as there are more chances of food debris and bacteria to settle in the floor of mouth and the infection can travel from the ducts to the gland.

Another common cause seems to be inflamed and swollen submental lymph nodes that can occur due to infection in oropharyngeal [head and neck] regions..

I would suggest you to consult an oral pathologist and get evaluated and investigations like x ray, MRI SCAN etc can be advised for ruling the exact cause of the swelling and pain and treated accordingly..

In case of infection antibiotic treatment like augmentin or clidamycin etc along with anti-inflammatory pain killer like ibuprofen can be relieving..

If it is a lymph node along with medication do alternate warm and cool compresses..

Hope this information helps.

Thanks and regards..
Dr.Honey Nandwani Arora.
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Suggest Treatment For Painful Knot Under The Chin

Hi.. Can understand your concern.. As per your complain painful knot under the chin can be due to infection in the sublingual salivary gland present below the chin.. Sublingual salivary gland is one of the major salivary gland present below the chin and infection in the gland can lead to inflammation and formation of pus inside the gland and leading to swelling.. It leads to pain,swelling and at times can cause rise in temperature of the body too. The infection can occur as there are more chances of food debris and bacteria to settle in the floor of mouth and the infection can travel from the ducts to the gland. Another common cause seems to be inflamed and swollen submental lymph nodes that can occur due to infection in oropharyngeal [head and neck] regions.. I would suggest you to consult an oral pathologist and get evaluated and investigations like x ray, MRI SCAN etc can be advised for ruling the exact cause of the swelling and pain and treated accordingly.. In case of infection antibiotic treatment like augmentin or clidamycin etc along with anti-inflammatory pain killer like ibuprofen can be relieving.. If it is a lymph node along with medication do alternate warm and cool compresses.. Hope this information helps. Thanks and regards.. Dr.Honey Nandwani Arora.