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  5. I have a painful swelling and hard lump below my right ear. My doctor diagnosed it as a Salivary gland stone and prescribed multiple medications including antibiotics, but there has been no relief after 5 days and the swelling is increasing. What should be the next step in management?

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I have a painful swelling and hard lump below my right ear. My doctor diagnosed it as a Salivary gland stone and prescribed multiple medications including antibiotics, but there has been no relief after 5 days and the swelling is increasing. What should be the next step in management?

Asked by Female, 44 · 14 days ago

G.santoshini Reddy

G.santoshini Reddy

M Pharmacy (Pharmaceutics)

14 days ago

A painful, increasing swelling below the ear, diagnosed as a salivary gland stone that is not improving after 5 days of medicines, likely means the blockage is still present and may need a procedure rather than tablets alone. You should see an ENT specialist or oral surgeon promptly for further evaluation; tests like an ultrasound may be done, and treatment may involve procedures to remove the stone (such as gentle extraction, endoscopic removal, or a small surgery if needed). In the meantime, you can stay well hydrated, apply warm compresses, gently massage the area, and suck on sour candies or lemon to stimulate saliva flow, which sometimes helps move the stone. Do not delay care, especially if swelling is increasing, as an untreated blockage can lead to infection or abscess formation.
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  1. Possible Causes of Painful Swelling Below the Ear:

    • Salivary gland stone
    • Infection or abscess in the salivary gland
    • Lymph node swelling or infection

  2. Explanation of Salivary Gland Stone:

    • A calcified structure (stone) blocks saliva flow, often causing painful swelling.
    • Common in submandibular glands; can also affect parotid and sublingual glands.

  3. Reasons for Lack of Relief with Antibiotics:

    • Stone might still be present and obstructing saliva flow.
    • Possible infection or abscess formation that requires additional treatment.

  4. Potential Side Effects of Antibiotics:

    • Nausea, diarrhea, or allergic reactions.
    • Ineffectiveness might suggest antibiotic resistance.

  5. Next Steps in Management:

    • Consider imaging (ultrasound or CT) to confirm stone location.
    • Discuss with a healthcare provider about stone removal options.

  6. Specialist to Consult:

    • See an ENT (Ear, Nose, and Throat) specialist for further evaluation and treatment options.

Answered 3 days ago