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Mouth Diseases

From Portugal, Help on Diagnosis, Please

05/08/2009

Question:

Hello Dear Sir I am from Portugal and when I saw your website I decided to ask a question because my family doctor is a bit old, we can`t ask for another until he retires but the problem is that I have an health situation that he doesn`t diagnose correctly. In this situation I have come here to try your help, because if you give me some advise I might then complement your diagnose with blood tests or other exams I can do to be sure. Please forgive me my english, I will try to describe the symptoms even though I might not use the correct term. About 1 month ago I began to feel irritation on my throat and swelling. this impression also attacks my lower jaw below the teeth, the skin gets rough when I pass with the tongue and all the right side of my face is attacked. up to my temporal and ears. I don`t know what this is and my doctor has given me pills for inflamation of the tongue but the sympton doesn`t go away. under the right side of my jaw, in the throat, it is swollen, there is a lump there.

Can you help me a little? I know I am not there and you can`t see it but maybe you can tell me something

thank you much dearly

Ana Lemos

Answer:

You do not mention whether or not this lump was something your doctor was able to feel or see. This is a very important point, because the feeling of a lump can be present without any evidence (by regular examination or x-rays or other imaging machines) of a physical mass. If there is a true mass or lump below your right jaw or in the throat, this may need additional testing to be sure that it does not represent something more than inflammation.

I would recommend that you request a referral from your family doctor to a specialist doctor in ear, nose and throat examination (an otorhinolaryngologist or otolaryngologist), if for nothing else than peace of mind.

Good luck!

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Response by:

John R Kalmar, DMD, PhD John R Kalmar, DMD, PhD
Clinical Professor of Pathology
Associate Dean of Dentistry Administration
College of Dentistry
The Ohio State University