How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr. David Your Own Question
Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 47548
Experience:  Board Certified Physician
41363181
Type Your Medical Question Here...
Dr. David is online now

permanent swollen neck glands and saliva glans causing pain

Customer Question

permanent swollen neck glands and saliva glans causing pain and excess saliva
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. David replied 3 years ago.

Dr. David :

This is Dr. David

Dr. David :

have you had an ultrasound of the area?

Dr. David :

how long have you had this swollen salivary gland.

Dr. David :

you could have a large salivary stone stuck in the salivary gland.

Dr. David :

you might need to have have an ENT doctor cut into the salivary gland and make an incision to help it drain to take the pressure off.

Customer:

I have had scans and ultrasound nothing found, but this is very painfull and unpleasant

Dr. David :

I bet the ultrasounds have found swollen salivary glands, correct?

Dr. David :

even if the cause is not found, your ENT doctor can cut into the salivary gland.

Dr. David :

and help drain them.

Customer:

no

Customer:

it is the permanent swollen neck glands that cause more of a problem

Dr. David :

I see.

Dr. David :

have you had a lymph node biopsy

Dr. David :

to find out what is inside of the nodes?

Customer:

no I have not

Dr. David :

you can get blood testing to check for ebstein barr virus testing.

Dr. David :

EBV can cause enlarged lymph nodes.

Dr. David :

also conditions such as CLL or lymphoma can cause long term enlarged lymph nodes as well

Dr. David :

how large are these lymph nodes.

Customer:

not too large but they are all around my neck from ear to ear and under my chin

Dr. David :

I see.

Dr. David :

irritation of the throat like from acid reflux or allergies causing runny nose and post nasal drip can cause these neck lymph nodes to swell up.

Dr. David :

do you have acid reflux

Dr. David :

or allergies and runny nose and post nasal drip?

Customer:

no

Dr. David :

these small lymph nodes are not causing your excessive saliva.

Dr. David :

excessive saliva is a separate issue

Customer:

yes

Dr. David :

just because you feel lymph nodes in your neck does not mean they are problem atic.

Dr. David :

problematic.

Dr. David :

it is normal to be able to feel soft mobile lymph nodes in your neck and under your chin.

Dr. David :

that is where you have a lot of lymph nodes

Dr. David :

and these lymph nodes are normally there to help you fight off infections.

Dr. David :

are you feeling your neck and feeling for these lymph nodes often?

Dr. David :

feeling your neck and pressing on these lymph nodes can cause them to swell as well.

Customer:

no I try and leave them alone but they get painfull and I look like a chipmunk with them and the saliva glands

Dr. David :

well, the salivary gland inflammation is probably what is causing the lymph nodes to swell up.

Dr. David :

you need to get this excessive salivary gland treated.

Dr. David :

you can get a surgery to cut out some of your salivary gland

Dr. David :

or botox injections into the salivary gland can help paralyze parts of them so they don't produce soo much saliva.

Dr. David :

also medications like a scopolamine patch can help dry up your mouth and glands.

Dr. David :

these might help calm them down and this could help the lymph nodes not swell up so much

Dr. David :

have you tried scopolamine patches to help dry up your mouth?

Customer:

no but they did give me amatriptaline

Dr. David :

did that help?

Dr. David :

that is elavil

Dr. David :

and is used for nerve pain issues.

Customer:

no not really but I do have fibromyagia so its hard to work out what helps

Dr. David :

I would ask your doctors for scopolamine patches

Dr. David :

I bet that will help decrease how much saliva is produced.

Dr. David :

you can also try benadryl or diphenhydramine at night time to help decrease saliva production

Dr. David :

benadryl can help dry up your mouth a bit.

Dr. David :

good luck

Dr. David :

do you have other questions?

Customer:

yes will this help with the large glands

Dr. David :

scopolamine can help decrease saliva production

Dr. David :

but the best way to help decrease the size is with a botox injection

Dr. David :

or surgery to remove part of the salivary gland.

Customer:

can this b done on the nhs

Dr. David :

yes.

Dr. David :

but you might have to wait a long time.

Dr. David :

you can pay for a faster surgery.

Customer:

ok tku for your help

Dr. David :

you are welcome

Dr. David :

if done, please leave positive feedback below

Dr. David and 3 other Medical Specialists are ready to help you