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What causes sublingual and submandibular pain and swelling?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My sister, a 15-year-old female patient complains of intermittent pain on R sublingual area and neck (submandibular area) graded 6/10 at rest and aggravated when eating to 8/10. Past medical history: She developed fever recently and was diagnosed with UTI and was given cough remedy. Persistence of cough prompted us to another MD consult and was diagnosed with pneumonia of the lower lobe. She was on antibiotics for 10 days. She started complaining of the pain on March 25. MD thought of tonsilitis and was asked to gargle warm water with salt. Up until now, there is still pain on the area. Grade 1 tenderness on the R submandublar triangle area, no fever, mild cough still, feeling of lump on the R sublingual area, pain when tongue presses on the area. Patient complies with MD recommnedation of drinking a lot of water and gargling.

Answered by Dr. Navelkar Rohan Sanjay

Education:

MS

Professional Bio:

Dr. Navelkar Rohan Sanjay is an Otolaryngologist with expertise in ENT and Rhinoplasty. He has extensive experience in diagnosing and treating conditions of the ear, nose, and throat, as well as performing advanced rhinoplasty procedures. He provides personalized care and surgical expertise to his patients.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

It is 23 days now since the infection started, that is quite a long time. Her chief complaint is pain in the submandibular and sublingual region which can happen due to tonsillitis as well as infection of the salivary gland which is located in that region. Typically these are both treated by Antibiotics. The best way to differentiate is take a look inside her mouth with a torch and see if there is reddness in the tonsils. However, the treatment you need is a proper course of antibiotics and pain killers with antiseptic gargles and chewable Vitamin C.

Differential diagnosis

Acute tonsillitis, acute sialadenitis.

Treatment plan

Tablet Amoxicillin and Clavulinic acid 625 mg twice daily after food for 7 days. Tablet Pantoprazole 40 mg in the morning half an hour before meals for 7 days Lactobacillus or curds everyday Chewble Vitamin C 500 mg twice daily for 7 days to suck on Povidone Iodine gargles 5-6 times a day 1 ml diluted in 1 ml of water Tablet Paracetamol 650 mg twice daily after food

Preventive measures

Avoid cold foods, cold environments, oily foods and spicy foods.
Medically reviewed by Dr. Divya Banu M
Published At April 13, 2020
Reviewed At May 31, 2024

Education:

MS

Professional Bio:

Dr. Navelkar Rohan Sanjay is an Otolaryngologist with expertise in ENT and Rhinoplasty. He has extensive experience in diagnosing and treating conditions of the ear, nose, and throat, as well as performing advanced rhinoplasty procedures. He provides personalized care and surgical expertise to his patients.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Divya Banu M is a dedicated Dental Surgeon with valuable clinical experience. She specializes in the diagnosis, prevention, and treatment of various diseases and conditions affecting the oral cavity. With a gentle and patient-centered approach, she is committed to promoting oral health and enhancing smiles through quality dental care. Her areas of expertise include restorative dentistry, preventive dental care, and cosmetic dental procedures.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MS

Professional Bio:

Dr. Navelkar Rohan Sanjay is an Otolaryngologist with expertise in ENT and Rhinoplasty. He has extensive experience in diagnosing and treating conditions of the ear, nose, and throat, as well as performing advanced rhinoplasty procedures. He provides personalized care and surgical expertise to his patients.

This doctor is not available for online consultations on the platform anymore.

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