Painful Lumps on the Jaw: Possible Causes and Concerns - Internal Medicine

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There is a small, hard, round lump located on the lower left cheek?


Recently, I suddenly noticed a small round hard lump on the lower part of my left cheek near the jaw, and the area around the lump is slightly swollen! It also hurts when I press on it! When I eat, especially when using the teeth at the back on the left side, it also hurts! Could this be an inflamed lymph node? Is it related to my recent late nights and drinking alcohol? However, I have not experienced this condition before.

A-Ren, 20~29 year old female. Ask Date: 2013/06/04

Dr. Xie Rongyuan reply Internal Medicine


Hello: Based on the symptoms mentioned, it is likely caused by an upper respiratory tract or head and neck infection.
It is recommended to visit a hospital for further examination to ensure safety.
Thank you for your message!

Reply Date: 2013/06/04

More Info


The presence of a painful lump on the jaw, particularly in the area you described, can be concerning and may have several potential causes. Given your symptoms of a round, hard lump that is painful to touch and associated with discomfort when chewing, it is important to consider a few possibilities.

One common cause of a lump in the jaw area is swollen lymph nodes. Lymph nodes can become enlarged due to various reasons, including infections (viral or bacterial), inflammation, or even malignancies. In your case, if the lump is indeed a swollen lymph node, it could be a response to an infection in the mouth, throat, or even a dental issue, such as an abscessed tooth. The fact that you mentioned recent late nights and alcohol consumption could potentially weaken your immune system, making you more susceptible to infections.

Another possibility is that the lump could be related to a dental issue, such as a tooth abscess or impacted wisdom teeth. An abscess occurs when bacteria infect the tooth or the surrounding gum tissue, leading to pus formation and swelling. This can cause significant pain, especially when biting or chewing. If you have wisdom teeth that are coming in or are impacted, they can also cause swelling and pain in the jaw area.

Additionally, the lump could be a benign growth, such as a cyst or a lipoma (a fatty tumor), which can also present as a hard lump. While these are generally not serious, they can still cause discomfort and may need to be evaluated by a healthcare professional.

Given that this is a new symptom for you, it is essential to seek medical attention. A healthcare provider, such as a dentist or an ear, nose, and throat (ENT) specialist, can perform a thorough examination, possibly including imaging studies like an X-ray or ultrasound, to determine the exact nature of the lump. They may also take a history of your recent health, including any infections, dental issues, or other symptoms you may have experienced.

In the meantime, here are a few recommendations:
1. Avoid Irritants: If you suspect that your lifestyle choices, such as drinking alcohol or staying up late, may be contributing to your symptoms, consider reducing these activities. Proper rest and hydration can support your immune system.

2. Maintain Oral Hygiene: Ensure that you are practicing good oral hygiene. Brush and floss regularly, and consider using an antiseptic mouthwash to help reduce any potential bacterial load in your mouth.

3. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and reduce inflammation. However, consult with a healthcare provider before taking any medication, especially if you have underlying health conditions or are taking other medications.

4. Monitor Symptoms: Keep track of any changes in the lump, such as size, pain level, or any new symptoms that may arise. This information will be helpful for your healthcare provider.

In conclusion, while there are several potential causes for the painful lump on your jaw, it is crucial to seek professional medical advice to obtain an accurate diagnosis and appropriate treatment. Early intervention can prevent complications and ensure that any underlying issues are addressed effectively.

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