Painful Movable Lump on Right Jaw: When to Seek Medical Attention? - Otolaryngology

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When it comes to a painful movable lump on the right jaw, there are several important factors to consider before deciding whether to seek medical attention. Based on your description, it sounds like you may be experiencing a lymph node enlargement or possibly a salivary gland issue, especially given the context of recent dental pain and a history of ear infections.


When to Seek Medical Attention
1. Duration and Changes: If the lump has been present for more than a week, has increased in size, or has changed in character (e.g., becoming harder, more painful, or fixed in place), it's advisable to seek medical attention. A lump that persists or evolves warrants further evaluation.

2. Associated Symptoms: If you experience additional symptoms such as fever, night sweats, unexplained weight loss, or difficulty swallowing, these could indicate a more serious condition that requires prompt medical evaluation.

3. Pain Level: Since you mentioned that the lump is painful upon pressure, this could suggest inflammation or infection. If the pain worsens or is accompanied by swelling in the surrounding areas, it is important to consult a healthcare provider.

4. Dental Issues: Given that you have recent dental pain, it’s possible that the lump could be related to a dental abscess or infection. If you have tooth pain, gum swelling, or any signs of infection (like pus), you should see a dentist as soon as possible.


Which Specialist to See
- Dentist: Since you mentioned dental pain and gum issues, starting with a dentist is a good idea. They can evaluate for any dental infections, abscesses, or other oral health issues that may be causing the lump.

- Primary Care Physician (PCP): If the dentist rules out dental causes, or if the lump persists after dental treatment, your next step could be to see your primary care physician. They can perform a physical examination and may refer you to a specialist if necessary.

- Ear, Nose, and Throat (ENT) Specialist: If there are concerns about the lump being related to the salivary glands or if there are ongoing issues with ear infections, an ENT specialist may be appropriate for further evaluation.


Possible Causes of the Lump
1. Lymphadenopathy: Enlarged lymph nodes are common in response to infections, including dental infections or upper respiratory infections. They can be tender and movable.

2. Salivary Gland Issues: Conditions like sialadenitis (inflammation of the salivary glands) or salivary stones can cause swelling and pain in the jaw area.

3. Dental Abscess: An infection at the root of a tooth can lead to localized swelling and pain, which may present as a movable lump in the jaw area.

4. Cysts or Tumors: While less common, cysts or benign tumors can also present as movable lumps. These typically require further investigation to rule out malignancy.


Conclusion
In summary, given your symptoms and the context of recent dental issues, it is advisable to seek medical attention, starting with a dentist. They can assess the situation and determine if further investigation or treatment is necessary. If the lump persists or if you experience worsening symptoms, follow up with your primary care physician or an ENT specialist for a more comprehensive evaluation. Early intervention can help prevent complications and ensure appropriate treatment.