Pain Around the Submandibular Gland: Causes and Solutions

In the past few days, I have been experiencing pain around the submandibular glands when opening my mouth and swallowing?

Today (April 30), I feel pain (a soreness) around the submandibular gland when opening my mouth, chewing, and swallowing.
Swallowing is not as smooth as before (sometimes I feel like I can't swallow completely).
I would like to know what could be the situation? (Last Friday, I was diagnosed with parotitis, and I had a follow-up appointment; I just finished my medication.)

Daisy, 20~29 year old female. Ask Date: 2017/04/30

Dr. Ji Zhaoyun reply Otolaryngology

Hello Daisy, based on your description, it is most likely a submandibular salivary gland infection (I assume that by "顎下腺" you mean "submandibular gland," as there is currently no term "顎下腺").
This can be caused by either a viral or bacterial infection.
If it is a viral infection, it is indeed possible to manage it without medication, just by drinking plenty of water and resting.
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 antibiotics are necessary.

If you frequently experience inflammation of the salivary glands, it is advisable to undergo an ultrasound examination to check for salivary stones or tumors.
In addition to salivary gland infections, 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 also be required.
If symptoms persist, it is best to consult an otolaryngologist.

Wishing you safety and good health.

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

Reply Date: 2017/04/30

More Info

Understanding pain around the submandibular gland can be quite complex, as it may arise from various underlying conditions. Given your recent diagnosis of parotitis (inflammation of the parotid gland), it is essential to consider how this may relate to your current symptoms.

The submandibular gland is one of the major salivary glands located beneath the jaw. Pain in this area can be attributed to several factors, including infections, inflammation, or even blockages in the salivary ducts. Since you mentioned that you were diagnosed with parotitis last week, it is possible that the inflammation could have spread or that you may be experiencing a secondary infection affecting the submandibular gland.

1. Infection: Infections of the salivary glands, such as viral infections (like mumps) or bacterial infections, can lead to pain and swelling. If the parotid gland was inflamed, it could potentially affect the nearby submandibular gland, causing discomfort during activities like chewing and swallowing.

2. Sialolithiasis: This condition refers to the formation of stones in the salivary glands, which can block the flow of saliva and lead to pain, especially during meals when saliva production increases. If a stone is present in the submandibular gland, it could cause pain and difficulty swallowing.

3. Duct Obstruction: Inflammation or swelling can lead to obstruction of the ducts that drain saliva from the glands. This can result in a buildup of saliva, leading to pain and discomfort.

4. Muscle Strain: Sometimes, pain in the area can be attributed to muscle strain from excessive chewing or jaw clenching, especially if you have been experiencing discomfort for an extended period.

5. Referred Pain: Pain from other areas, such as dental issues or temporomandibular joint (TMJ) disorders, can also manifest as pain around the submandibular gland.

Given your symptoms of difficulty swallowing and the sensation of incomplete swallowing, it is crucial to seek medical attention. These symptoms could indicate that the inflammation is affecting the function of the salivary glands or that there is another underlying issue that needs to be addressed.

Recommendations:
- Follow-Up with a Healthcare Provider: Since you have recently been treated for parotitis, it is advisable to return to your healthcare provider for a thorough examination. They may perform imaging studies, such as an ultrasound, to assess the glands and check for any obstructions or stones.

- Hydration and Warm Compresses: Staying well-hydrated can help promote saliva flow, which may alleviate some discomfort. Applying warm compresses to the affected area can also help reduce pain and swelling.

- Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help manage your pain. However, consult your healthcare provider before taking any medication, especially if you have other health conditions or are on other medications.

- Salivary Gland Massage: Gentle massage of the affected gland may help stimulate saliva flow and relieve discomfort, but this should be done cautiously and preferably under the guidance of a healthcare professional.

In conclusion, the pain you are experiencing around the submandibular gland could be related to your recent parotitis or other conditions affecting the salivary glands. It is essential to consult with a healthcare provider to determine the exact cause and appropriate treatment for your symptoms.

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