Salivary Gland Inflammation: Symptoms, Treatment, and Next Steps

Regarding salivary gland inflammation?

Two months ago, I accidentally discovered an unknown lump near my larynx.
It appears normal externally, and I have not experienced any discomfort in my body.
I do not feel any pain while swallowing food, but when I lower my head, I can sense a protruding foreign sensation in that area, and there is a slight pain when I apply pressure.
I later visited a doctor at National Taiwan University Hospital, who diagnosed me with sialadenitis, and prescribed a week's worth of medication (antibiotics and pain relievers).
However, I can still feel the lump now.
I would like to know if this is normal.
If it is normal, when can I expect it to disappear? Should I go back to the hospital to see a doctor again? Can I request an X-ray from the doctor?

Huang, 20~29 year old female. Ask Date: 2006/03/01

Dr. Jian Huangqi reply Otolaryngology

You should continue receiving treatment from the physician at National Taiwan University.
If an X-ray examination is necessary, the physician will provide instructions.

Reply Date: 2006/03/01

More Info

Salivary gland inflammation, also known as sialadenitis, can be a concerning condition, especially when it presents as a palpable lump near the throat. Your experience of discovering a lump that does not cause significant discomfort while swallowing but becomes noticeable when tilting your head down is not uncommon. The inflammation can be due to various factors, including infections (bacterial or viral), blockages (such as salivary stones), or autoimmune conditions.

Symptoms of Salivary Gland Inflammation
The symptoms of sialadenitis can vary but typically include:
- Swelling in the area of the affected gland
- Pain or tenderness, especially when pressure is applied
- Dry mouth or difficulty swallowing
- Fever or chills if an infection is present
- Pus or discharge from the duct if there is an infection
In your case, the absence of severe pain and the presence of a lump suggest that the inflammation may not be severe, but it is essential to monitor the situation closely.

Treatment Options
The treatment for salivary gland inflammation often involves:
1. Antibiotics: If a bacterial infection is suspected, antibiotics are typically prescribed, as you have experienced.

2. Pain Relief: Over-the-counter pain relievers or prescribed medications can help manage discomfort.

3. Hydration: Staying well-hydrated can help stimulate saliva production, which may assist in clearing any blockages.

4. Warm Compresses: Applying warm compresses to the affected area can help alleviate pain and promote drainage.

5. Sialogogues: These are substances that stimulate saliva flow, such as sour candies or lemon juice, which can help flush out the gland.

Monitoring and Next Steps
Regarding your concern about the lump persisting after treatment, it is not uncommon for swelling to take time to resolve, especially if there was significant inflammation. However, if the lump does not decrease in size or if you experience new symptoms (such as increased pain, fever, or changes in swallowing), it would be prudent to follow up with your healthcare provider.

You can certainly request imaging studies, such as an ultrasound or X-ray, to evaluate the salivary glands further. These imaging techniques can help identify any underlying issues, such as stones or abscesses, that may not be palpable during a physical examination.

When to Seek Further Medical Attention
You should consider returning to your doctor if:
- The lump does not decrease in size after a few weeks.

- You develop new symptoms, such as fever, chills, or increased pain.

- You experience difficulty swallowing or breathing.

- There is any discharge from the mouth that is unusual.

In summary, while it is not unusual for the lump to persist for some time after treatment, close monitoring is essential. If you have concerns or if the situation changes, do not hesitate to seek further medical advice. Your health and peace of mind are paramount, and your healthcare provider can offer the best guidance tailored to your specific situation.

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