There is a lump in the upper gum of the left cheek that feels about the size of a peanut, but it is not painful and cannot be felt upon touch?
On New Year's Day, I noticed a lump in my upper left gum that is about the size of a peanut.
It is not painful and I cannot feel it when I touch it, so I didn't think much of it, but it has been persistent.
Recently, I observed that my left cheek appears fuller than my right cheek when I look in the mirror.
However, when I touch it, it feels like there is just more flesh, and I cannot feel a tumor.
It is still not painful, but sometimes I feel like the tissue is growing and pressing against my cheekbone, accompanied by a slight itch, although it is still not painful.
What specialty should I consult for further examination?
Chen, 40~49 year old female. Ask Date: 2006/03/20
Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, it is recommended to consult with an oral surgeon or an otolaryngologist.
Reply Date: 2006/03/20
More Info
When experiencing unexplained swelling in the upper gum area, particularly when it has persisted for an extended period without pain, it is important to approach the situation with caution. Given your description of a peanut-sized lump in the upper gum that has led to noticeable asymmetry in your facial appearance, it is advisable to consult a healthcare professional for a thorough evaluation.
In this case, the most appropriate specialist to see would be an Ear, Nose, and Throat (ENT) specialist, also known as an otolaryngologist. ENT specialists are trained to diagnose and treat conditions related to the head and neck, including issues affecting the gums, teeth, and surrounding structures. They can perform a comprehensive examination, which may include imaging studies such as X-rays or CT scans, to assess the underlying cause of the swelling.
There are several potential causes for the swelling you are experiencing. These could range from benign conditions, such as a mucous retention cyst or a dental abscess, to more serious issues, including tumors or infections. The fact that the swelling is not painful is somewhat reassuring, but it does not eliminate the need for further investigation. Swelling can sometimes indicate an underlying issue that may require treatment, even if it is not accompanied by pain.
In addition to seeing an ENT specialist, you may also consider consulting a dentist or an oral surgeon. Dental professionals can evaluate your oral health and determine if the swelling is related to dental issues, such as impacted teeth or periodontal disease. They may also collaborate with the ENT specialist if the swelling is found to be related to both dental and ENT concerns.
It is important to monitor any changes in the swelling, such as an increase in size, the development of pain, or any other new symptoms. If you notice any of these changes, it would be prudent to seek medical attention sooner rather than later.
In summary, given the unexplained swelling in your upper gum, the best course of action is to schedule an appointment with an ENT specialist for a thorough evaluation. They will be able to provide you with a proper diagnosis and recommend an appropriate treatment plan based on their findings. Additionally, do not hesitate to reach out to a dental professional if you have concerns about your oral health. Early intervention can often lead to better outcomes, so it is wise to address these symptoms promptly.
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