Persistent Swelling Near Submandibular Gland Two Years Post-Infection: What Are the Risks?
I am a generally healthy 25-year-old female, standing at 5'5" and weighing 165 pounds. I do not smoke or consume alcohol, maintain a plant-based diet, and engage in regular physical activity. Currently, I am not taking any medications. Approximately two years ago, I contracted the flu, and towards the end of my illness, I experienced a salivary gland infection in my submandibular gland, resulting in significant swelling that obscured the distinction between my chin and neck. This condition resolved after treatment with a high-dose steroid combined with a course of antibiotics. Since that episode, however, I have noticed persistent swelling in the same area, localized to a specific lump where the initial swelling occurred. It has a smooth texture, resembling the consistency of a big toe’s tip (an unusual comparison, I know, but it’s the closest description I can offer). I consulted an ear, nose, and throat (ENT) specialist who conducted ultrasounds and a needle biopsy. They indicated that the biopsy might show heightened levels due to lymph node reactivity, but the results were deemed normal. Eventually, I ceased follow-ups with the specialist, even though the spot remains swollen. I suspect that the lymph node located behind my submandibular gland is enlarged, contributing to the sensation of enlargement in the gland itself. Recently, I have noticed a slight increase in swelling. Should I be worried about the potential for lymphoma or other types of cancer? At this juncture, I feel perplexed and cannot comprehend why the swelling persists two years after the initial infection.
Answers (1)
8/27/2025, 8:43:31 PM
OpenHealth AI
It's understandable to feel concerned about persistent swelling in your submandibular area, especially given your previous infection and the duration of the swelling. Based on your description and the evaluations you've already undergone, it’s vital to address both your concerns about lymphoma or cancer and the potential reasons for the continued swelling.
Main Points
- Persistent swelling can be due to non-cancerous conditions, particularly in the context of previous infections.
- The risk of lymphoma is typically low in your demographic, especially given the normal biopsy results.
- Regular monitoring and follow-up are important to track any changes in the swelling.
Explanation
The submandibular gland's swelling could be related to the previous infection or could represent a benign condition such as a retained stone, lymphadenopathy (reactive lymph nodes), or even a fibrous tissue formation. Normal biopsy results suggest that there is unlikely to be a malignancy, particularly lymphomas, which often present with other systemic symptoms. However, it is definitely worth monitoring any changes in size or symptoms associated with the swelling.
Next Steps
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Observe Changes: Keep a close watch on the swelling. Note any changes in size, texture, consistency, or accompanying symptoms (such as pain, fever, or changes in swallowing).
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Increase Hydration: Staying well-hydrated may help with gland function and drainage. Aim for at least 8 cups of water daily, or more if you are active.
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Gentle Massage: If comfortable, gently massaging the area might support lymphatic drainage. Ensure your hands are clean, and apply light pressure as needed.
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Follow-Up: Although you ceased follow-ups with the ENT, consider scheduling a follow-up appointment to discuss the increase in swelling and any newer symptoms. Reassessing through imaging or further tests might be warranted.
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Document Symptoms: Maintain a diary of your symptoms, including any changes over time to share during your next consultation.
If the swelling causes significant discomfort, affects your daily functions, or if you develop new symptoms, it's advisable to seek medical evaluation sooner rather than later. Remember, remaining proactive about your health is key, and it's okay to seek reassurance when you have concerns.
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