There is a hard lump below the left cheek that is painful when pressed?
Recently, I discovered a small round hard lump on the left cheek near the jaw, and the area around it is becoming increasingly swollen.
It is painful to press, and the entire area feels hard! It also hurts when I chew food! I've been staying up late and drinking alcohol lately, but I have never experienced this situation before! Doctor, which department should I visit at the hospital for this condition?
A-Ren, 20~29 year old female. Ask Date: 2013/06/18
Dr. Liao Yaopan reply Family Medicine
Hello, based on the description in your letter, we recommend that you consult an otolaryngologist for further evaluation of the head and neck mass.
Thank you for your letter, and we care about your well-being.
Changhua Hospital.
Reply Date: 2013/06/18
More Info
When you discover a painful lump under your left cheek, particularly near the jawline, it is important to take this symptom seriously. The presence of a hard, painful lump that is also accompanied by swelling can indicate several potential issues, and it is advisable to seek medical attention promptly.
Given your description, there are a few possible causes for the lump and associated pain. One common possibility is a swollen lymph node, which can occur due to infections, such as dental infections, sinus infections, or even viral illnesses. Lymph nodes can become enlarged and tender when your body is fighting off an infection, and they are often located in areas such as the neck and jawline.
Another potential cause could be a salivary gland issue, such as sialadenitis or a blocked salivary duct. This condition can lead to swelling and pain in the area, particularly when eating or chewing, as the salivary glands become inflamed or obstructed.
Additionally, dental problems, such as an abscessed tooth or gum disease, could also manifest as a painful lump in the jaw area. If you have been experiencing dental issues or have not had a dental check-up in a while, this could be a significant factor.
Given the symptoms you described, it is advisable to see a healthcare provider. You should consider visiting a dentist first, as they can evaluate any dental issues that may be contributing to your symptoms. If the dentist rules out dental problems, they may refer you to an ear, nose, and throat (ENT) specialist or a primary care physician for further evaluation.
In the meantime, it is important to monitor the lump for any changes, such as increased size, redness, or fever, which could indicate a more serious infection. Avoid pressing on the lump, as this may exacerbate the pain or cause further irritation.
In summary, you should seek medical attention for a painful lump under your left cheek, especially if it is accompanied by swelling and pain during chewing. Start with a visit to your dentist, who can assess for any dental issues and guide you on the next steps. Early intervention is key to addressing potential infections or other underlying conditions effectively.
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