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Ask Dr. David Your Own Question

Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 43414
Experience:  Board Certified Physician
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permanent swollen neck glands and saliva glans causing pain

Customer Question

permanent swollen neck glands and saliva glans causing pain and excess saliva
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. David replied 2 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, Board Certified MD
Category: Medical
Satisfied Customers: 43414
Experience: Board Certified Physician
Dr. David and 3 other Medical Specialists are ready to help you

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