Lymph Node Issues During Pregnancy: What You Need to Know

Lymph node issues?

I am currently over three months pregnant.
For the past 3-4 days, I have noticed a round lump on the left side of my jaw extending to my neck.
Sometimes it appears larger and sometimes smaller, but it is visible when I lift my neck, and I can clearly see that the size on both sides of my neck is uneven.
I do not have any symptoms of a cold.
The left side of my lingual frenulum is slightly swollen, which I can feel with my tongue.
Pressing on the lump in my neck and the area under my tongue causes pain, and I also feel discomfort when I lift my neck or swallow saliva, as if there is something there.
Initially, I experienced pain when opening my mouth wide to eat, but it has improved now.
Could this be a serious issue? I would prefer not to take medication during my pregnancy.
Thank you.

Ms. Zhao, 30~39 year old female. Ask Date: 2016/06/04

Dr. Ji Zhaoyun reply Otolaryngology

Hello, based on your description, it is most likely an infection of the left submandibular salivary gland, which can be caused by either a viral or bacterial infection.
If it is a viral infection, it is indeed sufficient to stay hydrated and rest without medication.
However, if it is a bacterial infection, it can sometimes extend to other parts of the neck and the floor of the mouth, leading to a deep neck infection, in which case antibiotic treatment is necessary.

If the salivary gland frequently becomes inflamed, it is advisable to undergo an ultrasound examination to check for salivary stones or tumors.
In addition to salivary gland infection, what you mentioned could also be due to enlarged cervical lymph nodes, which would be managed similarly.
If it is a bacterial infection, antibiotics would be required.

Even during pregnancy, there are antibiotics and other medications that can be safely used.
If needed, it is best to consult an otolaryngologist.
Wishing you peace and good health.

Sincerely,
Dr.
Chi Chao-Yun,
Director of the Department of Otolaryngology, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/06/04

More Info

When it comes to lymph node issues during pregnancy, it's essential to approach the situation with caution and a thorough understanding of the potential causes and implications. Based on your description, you have noticed a lump on the left side of your jaw and neck that varies in size, along with some tenderness and discomfort. While it is understandable to be concerned, especially during pregnancy, there are several factors to consider.

Firstly, swollen lymph nodes can occur for various reasons, including infections, inflammation, or even benign conditions. Given that you do not have any cold symptoms, it is less likely that this is related to a typical viral or bacterial infection. However, localized swelling in the lymph nodes can still indicate an underlying issue, such as a dental problem, an infection in the mouth or throat, or even a reaction to something else in your body.

The tenderness you are experiencing, particularly when swallowing or moving your neck, suggests that there may be some inflammation or irritation in the area. The fact that you mentioned a swollen area at the base of your tongue could indicate that there is some localized infection or inflammation, possibly related to your oral health. It is crucial to consider that during pregnancy, hormonal changes can affect your immune response and oral health, making you more susceptible to issues like gingivitis or other dental infections.

While you may be hesitant to seek medication during pregnancy, it is vital to consult with a healthcare professional to determine the cause of your symptoms. They may recommend a physical examination and possibly imaging studies, such as an ultrasound, to assess the lymph nodes and surrounding tissues. This approach can help rule out any serious conditions and provide peace of mind.

In terms of treatment, if the swelling is due to an infection, your healthcare provider may suggest safe options for managing the condition during pregnancy. This could include warm compresses, hydration, and possibly antibiotics that are deemed safe for use during pregnancy if an infection is confirmed. It is essential to avoid self-medicating or using over-the-counter medications without consulting your doctor, as some medications may not be safe during pregnancy.

Additionally, if the lump persists or worsens, or if you develop new symptoms such as fever, night sweats, or significant pain, it is crucial to seek medical attention promptly. These could be signs of a more serious condition that requires immediate evaluation.

In summary, while swollen lymph nodes during pregnancy can be concerning, they are often related to benign causes. However, it is essential to consult with your healthcare provider to ensure proper evaluation and management. They can provide guidance tailored to your specific situation, ensuring both your health and the health of your baby are prioritized. Remember, open communication with your healthcare team is key to navigating any health concerns during pregnancy.

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