Cheek Swelling: Causes and When to See a Doctor - Otolaryngology

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Cheek swelling


I have noticed a lump below my right cheek that is painful when pressed.
I initially thought it would go away quickly, but it has not diminished so far.
I would like to ask the doctor what could be causing this and which specialty I should consult for diagnosis.

Ms. Wu, 20~29 year old female. Ask Date: 2016/11/23

Dr. Li Jiaxuan reply Otolaryngology


Is there inflammation in the teeth, or did you experience trauma? If neither of these symptoms is present, it may be necessary to visit an otolaryngology clinic.
Wishing you good health.

Reply Date: 2016/11/23

More Info


Cheek swelling can be concerning, especially when accompanied by pain. There are several potential causes for swelling in the cheek area, and understanding these can help you determine the appropriate course of action.

One common cause of cheek swelling is an infection. This could be due to dental issues, such as an abscessed tooth or gum disease, which can lead to localized swelling and pain. Infections can also arise from sinusitis, where inflammation and fluid buildup in the sinuses can cause pressure and swelling in the cheeks. Another possibility is a salivary gland infection, which can occur if the glands become blocked or infected, leading to swelling in the cheek area.

Another potential cause of cheek swelling is trauma or injury. If you have recently experienced any impact to the face, even if it seemed minor at the time, it could result in swelling due to inflammation or bruising. Allergic reactions can also lead to swelling, particularly if you have been exposed to allergens such as certain foods, medications, or insect stings. In some cases, conditions like angioedema, which is a rapid swelling of the deeper layers of the skin, can occur and may require immediate medical attention.

In addition to infections and injuries, other medical conditions can cause cheek swelling. For example, conditions like mumps, which is a viral infection that affects the salivary glands, can lead to noticeable swelling in the cheeks. Autoimmune disorders, such as lupus or Sjögren's syndrome, can also cause facial swelling as part of their symptomatology.

Given that your swelling has persisted and is associated with pain, it is advisable to seek medical attention. You should consider visiting a healthcare provider who specializes in ear, nose, and throat (ENT) issues, as they can evaluate potential sinus or salivary gland problems. Alternatively, a dentist may be appropriate if the swelling is suspected to be related to dental issues.
During your visit, the healthcare provider will likely conduct a thorough examination, which may include imaging studies like X-rays or a CT scan to assess for any underlying issues. They may also take a detailed history of your symptoms, including any recent dental work, injuries, or allergies, to help pinpoint the cause of the swelling.

In summary, cheek swelling can arise from various causes, including infections, trauma, allergies, and systemic conditions. Given the persistence of your symptoms and associated pain, it is important to consult a healthcare professional promptly to receive an accurate diagnosis and appropriate treatment. Early intervention can help prevent complications and ensure a quicker recovery.

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