Unexplained Bump Near Mouth: Causes and Treatment Insights - Otolaryngology

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A strange growth has appeared on the cheek near the corner of the mouth?


Hello, doctor.
I have a strange lump on my cheek, just a little below the corner of my mouth.
It is not visible on the surface, nor can it be felt inside my mouth.
I can only feel it when I press down on it; otherwise, it seems to be undetectable.
If I insert my index finger below my lips and press with my thumb on my cheek, I can feel it move, but it doesn't hurt.
I have noticed it for about a week and a half.
Will it disappear on its own? (My colleagues say it might be due to excessive heat in my body...)

David, 30~39 year old female. Ask Date: 2019/08/29

Dr. Zheng Jueyi reply Otolaryngology


Hello: Common issues with the small salivary glands in the oral cavity may occur.
If the problem persists, please visit an otolaryngology clinic for examination.
Wishing you peace and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2019/08/29

More Info


When it comes to unexplained bumps near the mouth, there are several potential causes that could be at play. Given your description of the bump being soft, movable, and painless, it could be a few different things, including a mucous cyst, a lipoma, or even a swollen lymph node.
1. Mucous Cyst: These are fluid-filled sacs that can develop in the oral cavity, often as a result of blocked salivary glands. They are typically painless and can vary in size. Mucous cysts often resolve on their own, but if they persist or cause discomfort, a healthcare professional might recommend drainage or removal.

2. Lipoma: This is a benign tumor made of fat tissue. Lipomas are usually soft, movable, and painless. They can occur anywhere on the body, including the face. Like mucous cysts, lipomas are generally harmless and may not require treatment unless they become bothersome or grow significantly.

3. Swollen Lymph Node: Lymph nodes can swell in response to infection or inflammation. If the bump is located near the jawline or under the chin, it could be a lymph node reacting to a nearby infection, even if there are no other symptoms present. Lymph nodes usually return to normal size once the underlying issue is resolved.

4. Other Causes: Other possibilities include fibromas or other benign growths. In some cases, bumps can be related to dental issues, such as an abscess or a reaction to dental work.


When to Seek Medical Attention
While many bumps in the oral and facial area can be benign and self-resolving, there are certain signs that warrant a visit to a healthcare provider:
- Duration: If the bump persists for more than two weeks without improvement.

- Changes: If the bump changes in size, color, or texture.

- Symptoms: If you start experiencing pain, swelling, or other symptoms such as fever or difficulty swallowing.

- Associated Symptoms: If you notice other symptoms like difficulty moving your jaw, changes in your bite, or any unusual oral symptoms.


Diagnosis and Treatment
If you decide to see a healthcare provider, they may perform a physical examination and possibly recommend imaging studies, such as an ultrasound or CT scan, to better understand the nature of the bump. In some cases, a biopsy may be necessary to rule out any serious conditions.


Home Care and Management
In the meantime, here are some general tips for managing oral bumps:
- Maintain Oral Hygiene: Keeping your mouth clean can help prevent infections.

- Avoid Irritants: Stay away from spicy or acidic foods that might irritate the bump.

- Warm Compress: Applying a warm compress to the area may help reduce discomfort if there is any inflammation.


Conclusion
In summary, while the bump you described is likely benign, it is essential to monitor it for any changes. If it does not resolve on its own or if you have any concerns, consulting with a healthcare provider, such as an ear, nose, and throat (ENT) specialist or a dentist, would be a prudent step. They can provide a thorough evaluation and recommend appropriate treatment if necessary. Remember, your health and peace of mind are paramount, so don't hesitate to seek professional advice if you feel uncertain.

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