Swelling and Pain Below Left Ear: When to See a Doctor? - Otolaryngology

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Swelling and pain below the left ear?


This morning when I woke up, I noticed some swelling below my left ear, which hurts when pressed.
I don't have any other uncomfortable symptoms.
Should I just drink more water and rest to improve, or do I need to see a doctor for antibiotics to get better? Thank you.

A Yao, 30~39 year old female. Ask Date: 2024/06/26

Dr. Zheng Jueyi reply Otolaryngology


Hello: Commonly, inflammation may occur in the parotid gland or lymph nodes.
It is advisable to drink plenty of water.
If symptoms persist without improvement, if swelling and pain worsen, or if there are accompanying symptoms such as fever, it is recommended to seek medical evaluation to determine if antibiotic treatment is necessary.

Reply Date: 2024/06/26

More Info


When experiencing swelling and pain below the left ear, it is essential to consider various potential causes and the appropriate steps to take. While mild symptoms may sometimes resolve with rest and hydration, it is crucial to assess the situation carefully, especially if the symptoms persist or worsen.

Swelling and pain in the area below the ear could be indicative of several conditions. One common cause is an infection, which could be related to the ear, throat, or even dental issues. For instance, an ear infection (otitis media) or a throat infection (such as tonsillitis) can lead to referred pain in the ear area. Additionally, swollen lymph nodes, which can occur due to infections or other inflammatory processes, may also present as swelling below the ear.

Another possibility is the involvement of the temporomandibular joint (TMJ), which connects the jaw to the skull. TMJ disorders can cause pain that radiates to the ear and surrounding areas, often exacerbated by jaw movement or clenching. In some cases, dental issues, such as an abscessed tooth, can also cause localized swelling and pain that may be felt near the ear.

Given that you mentioned the swelling is painful when pressed, it is advisable to monitor the symptoms closely. If the swelling persists for more than a few days, increases in size, or is accompanied by other symptoms such as fever, difficulty swallowing, or changes in hearing, it would be prudent to seek medical attention. A healthcare provider can perform a thorough examination, which may include a physical examination of the ear, throat, and neck, and possibly imaging studies if deemed necessary.

In terms of treatment, if an infection is suspected, a doctor may prescribe antibiotics, especially if there are signs of bacterial involvement. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and reduce inflammation. Additionally, warm compresses applied to the affected area may provide some relief.

While hydration and rest are generally beneficial for overall health and recovery, they may not be sufficient if there is an underlying infection or other medical condition requiring intervention. Therefore, if you are uncertain about the cause of your symptoms or if they do not improve, it is always best to err on the side of caution and consult a healthcare professional.

In summary, while minor swelling and pain below the ear may resolve with conservative measures, persistent or worsening symptoms warrant a medical evaluation to rule out infections or other serious conditions. Early intervention can lead to better outcomes and prevent complications.

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