Pain and Swelling in Salivary Gland Infections - Otolaryngology

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Parotitis pain


Hello, doctor: I have pain below my cheeks, with sharp pain in my parotid gland.
There is a slight swelling in the parotid gland, and pain relievers are not effective.
What should I do?

A-Tang, 30~39 year old female. Ask Date: 2023/03/23

Dr. Ji Zhaoyun reply Otolaryngology


It is recommended to consult an otolaryngologist to assess for any other infections or issues.

Reply Date: 2023/03/23

More Info


When it comes to salivary gland infections, particularly parotitis (inflammation of the parotid gland), the symptoms you are experiencing—pain, swelling, and discomfort—are quite common. Salivary gland infections can be caused by various factors, including viral infections (like mumps), bacterial infections, or even blockages due to salivary stones.
The pain you describe, particularly if it is sharp or throbbing, can be indicative of inflammation and swelling in the gland. The swelling you notice is a result of the gland becoming inflamed and possibly filled with pus if it is a bacterial infection. If over-the-counter pain medications are not providing relief, it may be necessary to consider other treatment options or further evaluation by a healthcare professional.

In terms of management, it is essential to identify the underlying cause of the infection. If the infection is viral, treatment typically focuses on symptom relief, as antibiotics would not be effective. However, if a bacterial infection is suspected, antibiotics may be necessary. In some cases, if there is a blockage, procedures may be required to remove stones or relieve the obstruction.

Here are some additional points to consider regarding salivary gland infections:
1. Hydration: Staying well-hydrated can help stimulate saliva production, which may assist in clearing any blockages and reducing discomfort.

2. Warm Compresses: Applying warm compresses to the affected area can help alleviate pain and promote drainage if there is swelling.

3. Massage: Gentle massage of the affected gland may also help in promoting saliva flow and reducing discomfort.

4. Medical Evaluation: If symptoms persist or worsen, it is crucial to seek medical attention. A healthcare provider may perform imaging studies, such as an ultrasound, to assess for any stones or abscesses in the gland.

5. Potential Complications: If left untreated, salivary gland infections can lead to complications such as abscess formation or the spread of infection to surrounding tissues. Therefore, timely evaluation and treatment are important.

6. Follow-Up: If you have been prescribed antibiotics or other medications, ensure you complete the full course as directed, even if symptoms improve. Follow-up appointments may be necessary to monitor the infection's resolution.

In summary, while pain and swelling in the salivary glands can be distressing, understanding the potential causes and treatment options can help manage the condition effectively. If your symptoms do not improve with home care or if you experience fever, chills, or worsening pain, it is advisable to return to your healthcare provider for further evaluation and management.

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