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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes continual inflammation of the submandibular glands?

Dear Dr, I am having quite a terrible time with continual inflammation of my submandibular glands, and just general discomfort around my neck area. The symptoms all started about 6weeks ago with hugely inflammed tonsils and larynx accompanied by a bit of pyrexia and pain on swallowing. My Dr prescribed Phenomethylpenicillin + NSAIDS. This helped to clear it up and everything seemed fine after a week s course. Sadly, my head and neck area have just never really felt 100% normal since then. The submandibular glands inflammation really escalated about 3weeks ago...pain, discomfort and headache are worse in the evenings and slightly or sometimes much better during the day. Also, when I turn in bed at night, while asleep, my left ear feels as though it is slightly blocked but this feeling subsides during the day, albeit it still feels slightly uncomfortable. My appetite has not changed and I am not losing any significant weight. I m also not having any major systemic symptoms as everything seems to be weirdly confined to my head and neck. There is also persistent, intermittent inflammation of my nose tip. The pain and redness associated with this nose tip inflammation normally lasts about 3days before reappearing about a week later etc. The nose tip inflammation has been going on like this for about 4months-that is about 10weeks before the bilateral submandibular gland inflammation. Do you reckon these are all connected? What exactly is going on with my health, and what advice would you give? I impatiently look forward to reading from you. Cheers
Tue, 7 May 2019
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General Surgeon 's  Response
Hi,

The commonest causes of recurrent swelling of submandibular gland if these are due to lymph node enlargement are as follows:
Infection in the drainage areas as in your case the pharyngeal and tonsillar infection as well as tip of nose infection usually due to collumellitis.
Allergic due to eosinophilic reaction.
Primary causes can be bacterial and tubercular and in some cases of viral infection.
Hence I would advise you the following:
Go for CT scan or MRI of the neck and pharynx to know the cause and effects.
FNAC of the largest lymph nodes.
Tests of blood for CBC, culture and sensitivity, to rule out diabetes and other tests for thyroid, liver and kidney functions to see any adverse effects on these systems.
Continue the medications and may need change as required.
Continue anti-inflammatory medications.
Antihistamine if allergic cause is thought about.
Symptomatic and symptomatic management.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant,
ENT & General Surgeon
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What causes continual inflammation of the submandibular glands?

Hi, The commonest causes of recurrent swelling of submandibular gland if these are due to lymph node enlargement are as follows: Infection in the drainage areas as in your case the pharyngeal and tonsillar infection as well as tip of nose infection usually due to collumellitis. Allergic due to eosinophilic reaction. Primary causes can be bacterial and tubercular and in some cases of viral infection. Hence I would advise you the following: Go for CT scan or MRI of the neck and pharynx to know the cause and effects. FNAC of the largest lymph nodes. Tests of blood for CBC, culture and sensitivity, to rule out diabetes and other tests for thyroid, liver and kidney functions to see any adverse effects on these systems. Continue the medications and may need change as required. Continue anti-inflammatory medications. Antihistamine if allergic cause is thought about. Symptomatic and symptomatic management. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, ENT & General Surgeon