What are the common causes of swollen tongue lymph nodes. How can you recognize the symptoms of lymphoedema. When should you seek medical attention for swollen lymph nodes in the neck and tongue. What are the treatment options for lymphoedema.

Understanding Lymphoedema: A Common Complication of Cancer Treatment

Lymphoedema is a condition characterized by swelling in various parts of the body, often occurring as a side effect of cancer treatment. It results from a buildup of lymph fluid due to blocked, removed, or damaged lymph drainage channels or lymph nodes. This article delves into the causes, symptoms, and management of lymphoedema, with a particular focus on swollen tongue lymph nodes and associated complications.

Common Causes of Swollen Tongue Lymph Nodes

Swollen tongue lymph nodes can be attributed to several factors, primarily related to cancer and its treatment. Some common causes include:

• Cancer blocking a lymph node or lymph vessels
• Surgical removal of lymph nodes
• Radiation therapy damaging lymph nodes or part of the lymphatic system
• Infections or inflammatory conditions affecting the oral cavity

Is there a specific timeframe for lymphoedema symptoms to appear after cancer treatment? Symptoms can develop at any time following cancer treatment, ranging from immediately after surgery to months or even years later. It’s crucial for patients to remain vigilant and report any persistent swelling to their healthcare provider.

Recognizing the Early Signs of Lymphoedema

Identifying lymphoedema in its early stages is crucial for effective management. The primary symptom is swelling, which may be accompanied by other sensations. Early signs to watch for include:

• Swelling in a specific body part
• Tightening of clothes, shoes, or jewelry
• A feeling of heaviness in the affected area
• Tightness, stiffness, or aching sensations
• Tingling feelings (less common)

How can you differentiate between normal post-surgical swelling and lymphoedema? While some swelling around the surgical site is normal after surgery and should subside shortly after, persistent or recurring swelling may indicate lymphoedema. It’s essential to consult with your healthcare provider if swelling doesn’t improve or returns after initially subsiding.

Specific Symptoms of Head and Neck Lymphoedema

Lymphoedema affecting the head and neck region can present unique symptoms, particularly following surgery or radiotherapy to the neck’s lymph nodes. These symptoms may include:

• Swelling or a feeling of fullness in the neck area
• Difficulty swallowing
• Changes in voice
• Swelling of the tongue and other parts of the mouth

Can lymphoedema in the head and neck region affect your daily life? Indeed, lymphoedema in this area can significantly impact various aspects of daily living, including eating, speaking, and overall comfort. Prompt recognition and treatment are crucial to minimize these effects and maintain quality of life.

Swollen Tongue Lymph Nodes: A Closer Look

Swollen tongue lymph nodes can be particularly concerning due to their potential impact on essential functions like speaking and eating. Symptoms specific to tongue lymphoedema may include:

• Visible swelling of the tongue
• Difficulty articulating words
• Altered sense of taste
• Discomfort while eating or drinking

How does tongue lymphoedema affect speech and swallowing? Swelling of the tongue can lead to difficulties in articulation and may interfere with the proper movement of food and liquids during swallowing. This can result in both communication challenges and potential nutritional issues if left untreated.

Lymphoedema in the Genital Area: A Hidden Concern

While less commonly discussed, lymphoedema can also affect the genital area, causing discomfort and potentially impacting quality of life. Symptoms in this region may include:

• A feeling of heaviness in the genital area
• Swelling of the scrotum and penis in men
• Swelling of the vulva, labia, and lower pelvis in women
• Difficulty urinating
• Reduced mobility

How does genital lymphoedema impact sexual health and relationships? Genital lymphoedema can significantly affect sexual function and intimacy due to physical discomfort and altered body image. Open communication with healthcare providers and partners is crucial for addressing these concerns and exploring appropriate management strategies.

When to Seek Medical Attention for Lymphoedema Symptoms

Recognizing when to consult a healthcare professional is crucial for effective lymphoedema management. You should contact your doctor or specialist nurse if:

• You notice any persistent swelling, especially if you’re at risk for lymphoedema
• You experience difficulty swallowing or changes in your voice
• You have a feeling of fullness or pressure in the head or neck area
• You develop skin changes or infections in the affected area

Why is early intervention important in managing lymphoedema? Early treatment can help control swelling, prevent it from worsening, and reduce the risk of complications such as infections. Prompt attention to symptoms allows for more effective management and improved quality of life.

Treatment Options and Management Strategies for Lymphoedema

While lymphoedema is a chronic condition, various treatment options and management strategies can help control symptoms and improve quality of life. These may include:

1. Manual lymphatic drainage (MLD)
2. Compression therapy
3. Exercise and movement techniques
4. Skincare and hygiene practices
5. Lifestyle modifications
6. Surgical interventions (in severe cases)

What role does a multidisciplinary approach play in lymphoedema management? A comprehensive treatment plan often involves collaboration between various healthcare professionals, including lymphoedema specialists, physical therapists, and oncologists. This multidisciplinary approach ensures that all aspects of the condition are addressed, from physical symptoms to emotional well-being.

The Importance of Self-Care in Lymphoedema Management

Self-care plays a crucial role in managing lymphoedema and preventing complications. Key self-care practices include:

• Regular skin inspection and moisturizing
• Proper nutrition and hydration
• Wearing appropriate compression garments as recommended
• Engaging in prescribed exercises and activities
• Avoiding injuries and infections in the affected area

How can patients effectively incorporate self-care practices into their daily routines? Establishing a consistent self-care routine is essential for managing lymphoedema. This may involve setting reminders for skincare, scheduling regular exercise sessions, and working with healthcare providers to develop personalized management strategies that fit into the patient’s lifestyle.

Emotional Impact and Support for Lymphoedema Patients

Living with lymphoedema can have significant emotional and psychological effects on patients. Common emotional challenges may include:

• Anxiety about symptom progression
• Body image concerns
• Frustration with ongoing management requirements
• Social isolation due to visible symptoms or treatment needs

Where can patients find emotional support and resources for coping with lymphoedema? Support options for lymphoedema patients include:

• Counseling services through cancer support organizations
• Peer support groups, both in-person and online
• Educational resources from organizations like the Lymphoedema Support Network
• Mental health professionals specializing in chronic illness management

How important is a strong support system in managing lymphoedema? A robust support system can significantly impact a patient’s ability to cope with lymphoedema. Emotional support from family, friends, and healthcare providers can help patients maintain a positive outlook, adhere to treatment plans, and navigate the challenges of living with a chronic condition.

Advances in Lymphoedema Research and Treatment

The field of lymphoedema management is continually evolving, with ongoing research aimed at improving diagnosis, treatment, and prevention strategies. Some areas of current research and development include:

• Advanced imaging techniques for early detection
• Novel surgical approaches for lymph node transfer and lymphatic reconstruction
• Pharmacological interventions to reduce inflammation and fibrosis
• Personalized treatment protocols based on genetic and risk factors

What potential breakthroughs in lymphoedema treatment are on the horizon? Emerging technologies and treatment modalities show promise in improving lymphoedema management. These include:

• Bioengineered lymphatic vessels for transplantation
• Gene therapy approaches to stimulate lymphangiogenesis
• Advanced wearable technologies for real-time monitoring and treatment
• Immunomodulatory therapies to address underlying inflammatory processes

How might these advancements change the landscape of lymphoedema care in the coming years? As research progresses, patients may benefit from more targeted and effective treatments, potentially reducing the long-term impact of lymphoedema and improving overall quality of life. The integration of personalized medicine approaches could lead to more tailored management strategies based on individual patient characteristics and risk factors.

The Role of Preventive Measures in Lymphoedema Management

While not all cases of lymphoedema can be prevented, certain measures may help reduce the risk or severity of the condition, particularly in individuals undergoing cancer treatment. Preventive strategies may include:

• Pre-treatment education and risk assessment
• Early intervention and monitoring during and after cancer treatment
• Implementation of exercise and movement programs
• Use of compression garments in high-risk situations
• Careful attention to skin care and infection prevention

How effective are preventive measures in reducing lymphoedema risk? While the effectiveness of preventive measures can vary among individuals, studies have shown that early education, proactive monitoring, and implementation of risk-reduction strategies can help minimize the incidence and severity of lymphoedema in at-risk populations.

Navigating Healthcare Systems: Accessing Lymphoedema Care

Accessing appropriate care for lymphoedema can sometimes be challenging, particularly given the specialized nature of treatment. Key considerations for patients seeking lymphoedema care include:

• Understanding insurance coverage and reimbursement options
• Locating certified lymphoedema therapists in their area
• Advocating for referrals to specialized lymphoedema clinics
• Exploring telehealth options for ongoing management and support

How can patients effectively advocate for their lymphoedema care needs within the healthcare system? Patients can take proactive steps to ensure they receive appropriate care by:

• Educating themselves about lymphoedema and available treatment options
• Maintaining detailed records of their symptoms and treatment history
• Communicating openly with their healthcare providers about their concerns and needs
• Seeking second opinions when necessary
• Connecting with patient advocacy groups for guidance and support

What resources are available to help patients navigate the complexities of lymphoedema care? Organizations such as the Lymphoedema Support Network and the British Lymphology Society offer valuable resources, including directories of lymphoedema services and guidance on accessing care within various healthcare systems. Additionally, many cancer support organizations provide information and assistance in navigating treatment options and insurance coverage for lymphoedema-related care.

The Importance of Ongoing Monitoring and Follow-up Care

Managing lymphoedema is an ongoing process that requires regular monitoring and adjustments to treatment plans. Key aspects of long-term care include:

• Regular follow-up appointments with lymphoedema specialists
• Periodic reassessment of symptoms and treatment effectiveness
• Adjustment of compression garments and exercise regimens as needed
• Ongoing education about new developments in lymphoedema management
• Vigilant monitoring for signs of complications or infections

How often should patients with lymphoedema undergo follow-up assessments? The frequency of follow-up care can vary depending on the severity of the condition and individual patient needs. Generally, patients may need more frequent assessments initially, with appointments potentially spacing out as the condition stabilizes. However, it’s crucial for patients to maintain open communication with their healthcare providers and seek prompt attention if new symptoms or concerns arise.

Symptoms of lymphoedema | Coping with cancer

The most common symptom of lymphoedema is swelling. Some people also feel heaviness or aching in the affected area. 

Lymphoedema symptoms related to cancer treatment might develop when:

• the cancer blocks a lymph node or some lymph vessels
• you have treatment for cancer to remove lymph nodes. Or treatment that damages the lymph nodes or part of the lymphatic system

Symptoms can appear at any time after cancer treatment.

It is usual to have some swelling around the surgical site after surgery. This should begin to settle soon after your surgery. Let your nurse or doctor know if the swelling does not go down or comes back.

What is lymphoedema?

Lymph fluid is in all body tissues. It comes from the tiny blood vessels into the body tissues. Normally it drains back into the bloodstream through channels called lymph vessels. These are part of the lymphatic system.

Blocked, removed or damaged lymph drainage channels or lymph nodes cause a build up of lymph fluid. This is the swelling called lymphoedema.

First symptoms of lymphoedema

One of the first symptoms you might notice is swelling in part of the body. Your clothes, shoes, or jewellery may become tighter.

Other symptoms can include:

• a feeling of heaviness in the area affected
• tightness, stiffness or aching in the affected area. You might feel this before you develop any swelling
• tingling feeling in the area. This symptom is less common

The swelling may be soft and easy to push in with your fingers, leaving a dent (called pitting oedema). The swelling may also be non-pitting.  

There are other reasons why people develop swelling. But if you notice any swelling that doesn’t go away, contact your doctor.

Symptoms of lymphoedema in the head and neck

After surgery to remove some or all the lymph nodes in your neck or radiotherapy to lymph nodes in your neck, the area can become swollen. This can be due to general swelling. But it can also be a sign of lymphoedema.

Lymphoedema in the head or neck can also cause symptoms inside your mouth and throat. This may include swelling of your tongue and other parts of your mouth.

Tell your doctor or nurse if you:

• have any swelling or a feeling of fullness or pressure
• find it difficult to swallow
• have changes in your voice

Symptoms of lymphoedema in the genital area

Lymphoedema in the genital area can cause a feeling of heaviness.

This can affect the scrotum and penis in men. In women, it can affect the vulva and labia, and lower tummy (pelvis).

Other symptoms that people might have with genital lymphoedema include:

• swelling in one or both legs
• difficulty having a wee
• finding it difficult to move about

These symptoms can affect your sex life due to the discomfort of the swelling.  

The skin in the area can feel thicker and harder. And you may be more at risk of developing an infection. 

What to do if you have symptoms of lymphoedema

Contact your doctor or specialist nurse if you know you’re at risk of lymphoedema and you have any symptoms. Early treatment can help to control swelling and stop it getting worse. Your doctor or nurse can refer you to a lymphoedema specialist.

Not everyone gets lymphoedema and swelling is not always due to lymphoedema. But it is important to know the signs and symptoms. Lymphoedema can start to develop soon after cancer treatment or it can take longer. This might be months or even years.

The Lymphoedema Support Network can tell you how to get lymphoedema care within the NHS.

The British Lymphology Society has a directory of lymphoedema services.

Severe lymphoedema symptoms

Without treatment, your symptoms might change over time. The swollen area could become more swollen, harder, and more painful.

You might also have:

• pins and needles or tingling
• a numb feeling
• reddening of your skin, which may become hard and stiff
• more difficulty moving the affected area
• pain
• pitting – indents in your skin
• a change in the shape of your arm or leg
• skin infections and a change in the texture of your skin
• watery fluid (lymph fluid) leaking from your skin

See your doctor as soon as possible if you have any of these symptoms. Treatment can reduce the swelling and make you more comfortable.

Support for you

Lymphoedema can also affect you emotionally. You can get help and support with this, so ask for help from your treatment team if you need it.

• Commissioning Guidance for Lymphoedema Services for Adults in the United Kingdom

  The National Lymphoedema Partnership, 2019

• All-Ireland Lymphoedema Guidelines for the Diagnosis, Assessment and Management of Lymphoedema, 2022.

• Prevalence of secondary lymphedema in patients with head and neck cancer

  J Deng and others

  Journal of Pain and Symptom Management, 2012

  Volume 43, Issue 2

• Diagnosis, treatment, and Quality of Life in Patients with cancer-related lymphedema

  I Kalemikerakis and others

  JBUON Open Access Journal aimed at the rapid diffusion of scientific knowledge in Oncology, 2021. Volume 26, Issue 5, Pages 1735-1741

Last reviewed: 

20 Apr 2023

Next review due: 

20 Apr 2026

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Lingual lymph nodes: Anatomy, clinical considerations, and oncological significance

1. Ferlay J, Shin HR, Bray F, Forman D, Mathers C, Parkin DM. Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int J Cancer. 2010;127:2893–2917. [PubMed] [Google Scholar]

2. Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global cancer statistics. CA Cancer J Clin. 2011;61:69–90. [PubMed] [Google Scholar]

3. Weatherspoon DJ, Chattopadhyay A, Boroumand S, Garcia I. Oral cavity and oropharyngeal cancer incidence trends and disparities in the United States: 2000-2010. Cancer Epidemiol. 2015;39:497–504. [PMC free article] [PubMed] [Google Scholar]

4. Woolgar JA, Triantafyllou A, Lewis JS Jr, Hunt J, Williams MD, Takes RP, Thompson LD, Slootweg PJ, Devaney KO, Ferlito A. Prognostic biological features in neck dissection specimens. Eur Arch Otorhinolaryngol. 2013;270:1581–1592. [PubMed] [Google Scholar]

5. Ozeki S, Tashiro H, Okamoto M, Matsushima T. Metastasis to the lingual lymph node in carcinoma of the tongue. J Maxillofac Surg. 1985;13:277–281. [PubMed] [Google Scholar]

6. Küttner H. Über die Lymphgefäße und Lymphdrüsen der Zunge mit Beziehung auf die Verbreitung des Zungencarcinoms. Beitr Klin Chir. 1898;21:732. [Google Scholar]

7. Rouviere H. Michigan, Ann Arbor: Edwards Brother, Inc; 1938. Anatomy of the human lymphatic system. [Google Scholar]

8. Katayama T. Anatomical study of the lymphatic system of the mouth. J Nippon Dent Assoc. 1943;30:647-677. [Google Scholar]

9. Mashkov OA. Anatomy and topography of lymphatic vessels and regional lymph nodes of adult human tongue. Moscow: I.M.Sechenov First Moscow State Medical University, 1968. [Google Scholar]

10. Feind CR, Haagensen CD. The head and neck. The Lymphatics in Cancer. Pennsylvania, Philadelphia: Saunders WB, 1972. [Google Scholar]

11. Shelomentsev IuA, Sushentsov AA. [Certain principles of prevention of recurrences after surgical treatment of tongue cancer] Vestn Khir Im I I Grek. 1975;114:71–74. [PubMed] [Google Scholar]

12. Ananian SG, Gvetadze SR, Ilkaev KD, Mochalnikova VV, Zayratiants GO, Mkhitarov VA, Yang X, Ciciashvili AM. Anatomic-histologic study of the floor of the mouth: the lingual lymph nodes. Jpn J Clin Oncol. 2015;45:547–554. [PubMed] [Google Scholar]

13. Tomblinson CM, Nagel TH, Hu LS, Zarka MA, Hoxworth JM. Median Lingual Lymph Nodes: Prevalence on Imaging and Potential Implications for Oral Cavity Cancer Staging. J Comput Assist Tomogr. 2017;41:528–534. [PubMed] [Google Scholar]

14. Suzuki M, Eguchi K, Ida S, Okada R, Kawada T, Kudo T. Lateral lingual lymph node metastasis in tongue cancer and the clinical classification of lingual lymph nodes. J Jpn Soc Head Neck Surg. 2016;26:71–78. [Google Scholar]

15. DiNardo LJ. Lymphatics of the submandibular space: an anatomic, clinical, and pathologic study with applications to floor-of-mouth carcinoma. Laryngoscope. 1998;108:206–214. [PubMed] [Google Scholar]

16. Hoshina Y, Hayashi T, Shingaki S, Saito C. Imaging features of in-transit lymph node metastases in patients with tongue carcinoma. J Jpn Soc Oral Oncol. 2010;22:25–36. [Google Scholar]

17. Eguchi K, Muro S, Miwa K, Yamaguchi K, Akita K. Deep cervical fascia as an anatomical landmark of lingual lymph nodes: An anatomic and histologic study. Auris Nasus Larynx. 2019;S0385-8146:30930–7. [PubMed] [Google Scholar]

18. Eguchi K, Kawai S, Mukai M, Nagashima H, Shirakura S, Sugimoto T, Asakage T. Medial lingual lymph node metastasis in carcinoma of the tongue. Auris Nasus Larynx. 2020;47:158–162. [PubMed] [Google Scholar]

19. Grodinsky M. RETROPHARYNGEAL AND LATERAL PHARYNGEAL ABSCESSES: AN ANATOMIC AND CLINICAL STUDY. Ann Surg. 1939;110:177–199. [PMC free article] [PubMed] [Google Scholar]

20. Lindner HH. The anatomy of the fasciae of the face and neck with particular reference to the spread and treatment of intraoral infections (Ludwig’s) that have progressed into adjacent fascial spaces. Ann Surg. 1986;204:705–714. [PMC free article] [PubMed] [Google Scholar]

21. Hollinshead WH. Anatomy for surgeons. Head and neck. Pennsylvania, Philadelphia: Harper Row, 1982. [Google Scholar]

22. Werner JA, Dünne AA, Myers JN. Functional anatomy of the lymphatic drainage system of the upper aerodigestive tract and its role in metastasis of squamous cell carcinoma. Head Neck. 2003;25:322–332. [PubMed] [Google Scholar]

23. Abe M, Murakami G, Noguchi M, Yajima T, Kohama GI. Afferent and efferent lymph-collecting vessels of the submandibular nodes with special reference to the lymphatic route passing through the mylohyoid muscle. Head Neck. 2003;25:59–66. [PubMed] [Google Scholar]

24. Pan WR, Suami H, Taylor GI. Lymphatic drainage of the superficial tissues of the head and neck: anatomical study and clinical implications. Plast Reconstr Surg. 2008;121:1614–24; discussion 1625-6. [PubMed] [Google Scholar]

25. Dutton JM, Graham SM, Hoffman HT. Metastatic cancer to the floor of mouth: the lingual lymph nodes. Head Neck. 2002;24:401–405. [PubMed] [Google Scholar]

26. Saida K, Naganawa Y, Umemura M, Oto H, Iwai S, Sakuma H. A case of multiple metastases to the lateral lymph nodes from carcinoma of the lower gingiva. Jpn J Oral Maxillofac Surg. 2014;60:257–261. [Google Scholar]

27. Kimura Y, Hanazawa T, Okano T. Lingual lymph node metastases from carcinoma of the tongue and floor of the mouth suspected by image findings: clinical analysis and a review of the Japanese literature. Toukeibu Gan. 2010;36:488–497. [Google Scholar]

28. Honma Y, Kinoshita Y, Asano N, Mizutani N, Kakuta T, Hirai E, Shimura K. Metastasis to the lingual lymph node in carcinoma of the tongue: report of a case. Jpn J Oral Maxillofac Surg. 1986;32:1522–1524. [Google Scholar]

29. Omura K, Takemiya S, Shimada F, Hayashi N. Lingual node metastasis from tongue cancer: report of a case. Jpn J Oral Maxillofac Surg. 1989;35:996–1000. [Google Scholar]

30. Kitada H, Harada S, Ishikawa M, Notani K, Fukuda H, Shindoh M. A case of metastasis to the lateral lingual lymph nodes in a patient with carcinoma of the tongue detected preoperatively. Jpn J Oral Maxillofac Surg. 1999;45:620–622. [Google Scholar]

31. Ohiro Y, Tei K, Kashiwazaki H, Totsuka Y, Iizuka T, Minowa K. A case of metastasis to the lateral lingual lymph nodes in a patient with a preoperative diagnosis of carcinoma of the tongue. Jpn J Oral Maxillofac Surg. 2002;48:359–362. [Google Scholar]

32. Han W, Yang X, Huang X, Hu Q, Wang Z. Metastases to lingual lymph nodes from squamous cell carcinoma of the tongue. Br J Oral Maxillofac Surg. 2008;46:376–378. [PubMed] [Google Scholar]

33. Kawahara K, Kamiya Y, Ozawa N, Yamada T, Watanabe H, Sano D. A case of metastasis to the lateral lingual lymph nodes in a patient with carcinoma of the tongue, confirmed by palpation during operation. J Jpn Soc Oral Oncol. 2008;20:131–136. [Google Scholar]

34. Zhang T, Ord RA, Wei WI, Zhao J. Sublingual lymph node metastasis of early tongue cancer: report of two cases and review of the literature. Int J Oral Maxillofac Surg. 2011;40:597–600. [PubMed] [Google Scholar]

35. Ando M, Asai M, Asakage T, Oyama W, Saikawa M, Yamazaki M, Miyazaki M, Ugumori T, Daiko H, Hayashi R. Metastatic neck disease beyond the limits of a neck dissection: attention to the ‘para-hyoid’ area in T1/2 oral tongue cancer. Jpn J Clin Oncol. 2009;39:231–236. [PubMed] [Google Scholar]

36. Omura K, Takemiya S, Shimada F, Makino S, Katahashi T, Honda T, Hayashi N, Okamura H. Lingual lymph node metastasis from tongue cancer. Jpn J Head Neck Cancer. 1994;20:50–56. [Google Scholar]

37. Umeda M, Minamikawa T, Shigeta T, Oguni A, Kataoka T, Takahashi H, Shibuya Y, Komori T. Metastasis to the lingual lymph node in patients with squamous cell carcinoma of the floor of the mouth: a report of two cases. Kobe J Med Sci. 2010;55:E67–E72. [PubMed] [Google Scholar]

38. Calabrese L, Bruschini R, Giugliano G, Ostuni A, Maffini F, Massaro MA, Santoro L, Navach V, Preda L, Alterio D, Ansarin M, Chiesa F. Compartmental tongue surgery: Long term oncologic results in the treatment of tongue cancer. Oral Oncol. 2011;47:174–179. [PubMed] [Google Scholar]

39. Ando M, Asai M, Ono T, Nakanishi Y, Asakage T, Yamasoba T. Metastases to the lingual nodes in tongue cancer: a pitfall in a conventional neck dissection. Auris Nasus Larynx. 2010;37:386–389. [PubMed] [Google Scholar]

40. Hayashi N, Okamura H, Tanaka H, Ogoh K, Hashiguchi M, Masui I, Honda T, Komoto K, Hayashi T, Omura K. Median lingual lymph node metastasis from tongue cancer. Report of a case. Jpn J Oral Maxillofac Surg. 1992;38:140–141. [Google Scholar]

41. Nishio N, Fujimoto Y, Hiramatsu M, Yamamoto Y, Sone M. Sonographic detection of a lingual node metastasis from early squamous cell cancer of the tongue. J Clin Ultrasound. 2018;46:69–72. [PubMed] [Google Scholar]

42. Saito M, Nishiyama H, Oda Y, Shingaki S, Hayashi T. The lingual lymph node identified as a sentinel node on CT lymphography in a patient with cN0 squamous cell carcinoma of the tongue. Dentomaxillofac Radiol. 2012;41:254–258. [PMC free article] [PubMed] [Google Scholar]

43. Sugiyama S, Iwai T, Izumi T, Ishiguro K, Baba J, Oguri S, Mitsudo K. CT lymphography for sentinel lymph node mapping of clinically N0 early oral cancer. Cancer Imaging. 2019;19:72. [PMC free article] [PubMed] [Google Scholar]

44. Yang Y, Zhou J, Shi X, Sha Y, Wu H. Long-term observation of indirect lymphography using gadolinium-loaded polyethylenimine-entrapped gold nanoparticles as a dual mode CT/MR contrast agent for rabbit lingual sentinel lymph node identification. Acta Otolaryngol. 2017;137:207–214. [PubMed] [Google Scholar]

45. Wu WJ, Zheng L, Zhang JG. The use of carbon nanoparticles to track occult lingual lymph nodes in early-stage tongue squamous cell carcinoma. Int J Oral Maxillofac Surg. 2019;48:1153–1155. [PubMed] [Google Scholar]

46. Jia J, Jia MQ, Zou HX. Lingual lymph nodes in patients with squamous cell carcinoma of the tongue and the floor of the mouth. Head Neck. 2018;40:2383–2388. [PubMed] [Google Scholar]

47. Fang Q, Li P, Qi J, Luo R, Chen D, Zhang X. Value of lingual lymph node metastasis in patients with squamous cell carcinoma of the tongue. Laryngoscope. 2019;129:2527–2530. [PubMed] [Google Scholar]

48. Kaya İ, Öztürk K, Turhal G. Sublingual Lymph Node Metastasis in Early-Stage Floor of the Mouth Carcinoma. Turk Arch Otorhinolaryngol. 2017;55:177–179. [PMC free article] [PubMed] [Google Scholar]

Lymph Node Under the Jaw Inflamed [9 Reasons] How to Treat Cure Treatment at Home At Home Folk Remedies Kyiv Lumident

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Contents:

• Inflamed lymph node under the jaw
• What to do with inflammation of the lymph node under the jaw?
• Causes of pain in the lymph nodes under the lower jaw
• Symptoms and stages of lymphadenitis
• Types of lymphadenitis of the submandibular lymph node
• Clinical signs of lymphadenitis in mumps
• Lymphadenitis with toxoplasmosis
• Oncological nature of enlarged lymph nodes
• Diagnosis of lymphadenitis
• How to treat an inflamed lymph node under the jaw
• Treatment of submandibular lymphadenitis at home
• How to prevent inflammation of the submandibular lymph node?

Inflamed lymph node under the jaw

• Lymph nodes are part of the lymphatic system responsible for detecting and destroying pathological microorganisms entering the blood.
• The functions of pea-sized nodules are reduced to acting as a kind of filter that prevents the spread of infection.
• And the case when the lymph node under the jaw (chin) has become inflamed, signals a weakening of the human immune forces and the activation of pathogenic microflora.
• Similar phenomena of inflammation of the submandibular lymph nodes among doctors are called lymphadenitis and require careful diagnosis aimed at finding the underlying disease.
• Ignoring the problem or attempting self-treatment can lead to complications and make it difficult to eliminate the pathology.

Photo. Inflammation of the lymph node.

What to do with inflammation of the lymph node under the jaw?

• With inflammatory enlargement of the lymph nodes located in the submandibular region of the neck, it is important to determine the true source of the ongoing process.
• There may be several reasons that affect the state of the lymphatic system – they relate to the health of the teeth and ENT organs.
• At the same time, disorders can be asymptomatic, and before the situation when the submandibular lymph node already hurts, a person may not suspect pain in the throat area about the presence of pathology.
• The use of traditional medicine in the form of herbal decoctions helps to relieve unpleasant symptoms due to inflamed submandibular lymph nodes.
• However, home remedies are considered concomitant methods of facilitating the treatment process, without addressing the underlying cause, due to which the mandibular lymph nodes become inflamed.
• Therefore, if the lymph node under the jaw hurts, it is recommended to visit the doctor’s office.

Causes of pain in the lymph nodes under the lower jaw

Specialists note the prevailing majority of dental pathologies accompanied by inflammation of the lymph nodes – submandibular lymphadenitis.

The remaining cases of inflammation of the mandibular lymph nodes under the chin – relate to lesions of the respiratory system, infections, tumors and immune disorders.

Probable causes include (in descending order of incidence):

1. The most common – diseases of the teeth and tissues of the oral cavity – caries, stomatitis, pulpitis, periodontal disease, gingivitis, flux development;
2. ENT pathologies – otitis, tonsillitis, tonsillitis, sinusitis and laryngitis;
3. infectious lesions – mumps, whooping cough, chickenpox and measles;
4. autoimmune and immune-affecting pathologies – lupus, leukemia, HIV infection;
5. tumors – cysts, granulomas and lipomas;
6. pain in the lymph nodes and an increase in their size can be caused by attacks of parasites – toxoplasmosis or lymphoreticulosis;
7. submandibular lymph nodes begin to hurt with immune failures in the body.

With the dental nature of inflammation of the lymph nodes, the patient’s discomfort is eliminated as caries or other dental disease is treated.

In some cases, an infection that penetrates into the tissues of the oral cavity after tooth extraction becomes a triggering mechanism.

Symptoms and stages of lymphadenitis

Neither adults nor children are immune from the development of submandibular lymphadenitis.

The initial symptoms do not always appear simultaneously with the start of the inflammatory process in the lymph nodes – the characteristic signs increase gradually, over 3-5 days, depending on the stage of the pathology.

The following stages of inflammation of the lymph nodes are distinguished:

• first – submandibular lymph nodes become mobile dense balls, giving pain when palpated, the process is accompanied by weakness and drowsiness, fever;
• the second – is characterized by the development of a purulent abscess, in which the nodes swell and accumulate pus, the patient feels acute pain and heat;
• the third – is called purulent phlegmon and is accompanied by the spread of the lesion to the axillary lymph nodes, while the skin is cyanotic, the body temperature reaches high levels.

Because of the pain syndrome, it is difficult for a person to swallow and talk, redness and swelling of the skin in the cervical region are observed.

When taking tests, experts find a significant increase in leukocyte counts.

If untreated, unilateral inflammation of the lymph node quickly spreads to the area of ​​the second lymph node.

Painful symptoms increase, patient suffers from insomnia and general debility.

Types of lymphadenitis of the submandibular lymph node

The main causes of inflammation of the lymph nodes under the jaw include:

1. upper respiratory tract infections;
2. dental pathologies;
3. inflammation of the auricle.

If there are problems in the oral cavity, signs are observed:

• deep caries;
• inflammation of the gums;
• other diseases –

– symptoms of inflamed lymph nodes in the parotid region include visible reddening of the outer skin and hyperemia of the mucosa.

Photo. Location of the lymph nodes of the head and neck.

A protracted pathological process leads to the appearance of purulent foci and abscesses – and one ailment can cause the next.

In a weakened immune system, pathological microorganisms are transferred to neighboring tissues and organs.

The following clinical forms of lymphadenitis are distinguished:

• local – damage to the submandibular lymph nodes is observed in one or two areas;
• generalized – simultaneous inflammation of the lymph nodes of several areas, including the submandibular zone and neck.

The severity of the disease of the lymph nodes is affected by the nature of the source of the pathology – the type of bacteria that attacked the patient’s body.

They are:

• E. coli carriers;
• pneumococci;
• staphylococci;
• streptococci;
• enterobacteria.

Their reproduction and activity promote inflammatory reactions in:

• throat;
• ears;
• oral cavity;
• sinuses.

Clinical signs of lymphadenitis in mumps

If the lymph node under the jaw on the right hurts with a simultaneous inflammatory process in the salivary glands and the parotid zone, this is a sign of mumps.

A common ailment can be identified by the appearance of the patient, since the symptomatology is pronounced – the patient visibly swells up:

• lower jaw;
• cervical area;
• area under the earlobes.

Disease accompanied by symptoms:

1. headache;
2. high temperature;
3. nosebleeds;
4. hearing impairments;
5. difficulty in swallowing and chewing food;
6. vomiting and convulsions.

The specific manifestations of mumps include severe swelling of the face, leading to an upward displacement of the earlobes.

Pathology carries the risk of developing dangerous complications in the form:

• pancreatitis;
• meningitis;
• inflammatory processes in the ovaries;
• disorders of the organs of vision and hearing.

Lymphadenitis with toxoplasmosis

Enlarged lymph nodes in the submandibular region may accompany the course of toxoplasmosis, an acquired disease caused by the parasitic toxoplasma.

• Infection occurs when eating pork or beef meat that has not undergone a full heat treatment.
• Common sources of toxoplasmosis include contact with cats and their litter.

In adults, there are no clinical manifestations of the disease, with the exception of changes in the size of the lymph nodes.

In some cases, there may be signs of influenza, accompanied by subfebrile temperature.

Toxoplasmosis does not carry a serious health risk, except for the period of pregnancy – the disease causes developmental abnormalities in the fetus and its death in the early stages of gestation.

The definition of the disease occurs by conducting a blood test for the presence of antibodies.

Treatment for pregnant patients begins in the second trimester and includes medication.

Oncological nature of enlarged lymph nodes

The most dangerous manifestations of lymphadenopathy are malignant tumors characterized by large submandibular nodes.

In the absence of early diagnosis, pathology entails serious consequences up to death.

Oncological hyperplasia develops over several weeks, which makes it possible to detect disorders of the lymphoid tissue in the early stages.

Symptoms of lymphoma include:

• lymphadenopathy – a marked increase in nodes, accompanied by pain and cough;
• secondary signs – fever, night sweats, sudden weight loss;
• spread of cancer to areas of other organs – characterized by different manifestations depending on the area of ​​the lesion.

During the transition of oncology to the area of ​​internal organs, the patient’s bones, spleen, and parts of the brain can be affected.

Manifestations are neurological – the person suffers from:

• visual disturbances;
• headaches;
• vomiting;
• lack of cerebral blood supply.

Photo. Example of enlarged submandibular lymph nodes.

Diagnosis of lymphadenitis

When visiting a doctor with enlarged lymph nodes, an initial examination should be expected – doctor:

• examine the problem visually;
• will palpate the lymphoid tissue in the submandibular area;
• will ask the patient about associated symptoms.

If a pathology of the oral cavity is suspected, the applicant will be referred to:

• to the dentist;
• in case of signs of ENT diseases – to the otolaryngologist.

If the oncological nature of inflammation in the submandibular lymph nodes is suspected, a biopsy will be required – taking tissue cells for analysis of a biopsy containing:

• bacteria;
• leukocytes;
• lymphocytes;
• pathological cells.

Additional examinations may be carried out in parallel:

• ultrasound;
• magnetic resonance imaging.

How to treat an inflamed lymph node under the jaw

Painful inflammation of the lymph node under the lower jaw on the right or left requires examination by a doctor who can:

• refer the patient for an additional examination;
• to prescribe drugs in case of an unequivocal diagnosis.

In case of dental diseases that caused damage to the lymph, the dentist takes the following actions:

1. repairs and removes the cause;
2. removes pus by incising tissues, followed by the installation of a drain;
3. prescribes antibiotics, if necessary, recommends the application of heparin compresses.

Antibacterial drugs are needed to suppress infection that has spread through the circulatory system.

A full course of drug treatment is 10 to 14 days.

Additional activities are physiotherapy procedures that may be recommended by the attending physician.

Treatment of submandibular lymphadenitis at home

Many are wondering how to relieve inflammation of the lymph node under the jaw with folk remedies.

Methods of home therapy for inflamed lymph nodes under the lower jaw are not fundamental – they can reduce pain without eliminating the source of the lesion.

Doctors recommend folk remedies only as an additional method of treating lymph nodes in the submandibular region that have become inflamed.

You can relieve discomfort in the following ways:

• echinacea infusion – dilute the solution and take 15 drops daily;
• decoction of licorice root – a spoonful of the solution, mixed with warm water, is drunk on an empty stomach to cleanse the lymph;
• ginger tea – reduces inflammation caused by dental pathologies.

Effective analgesic and immune-boosting properties noted:

• blueberry teas;
• beet juice;
• decoctions of plantain, lemon balm, calendula, ivy, mint and St. John’s wort.

But it is impossible to cure the inflammatory process without medical assistance from the network of Lumi-Dent dental clinics, exclusively by home self-treatment – without timely drug therapy, the lesion will turn into chronic lymphadenitis.

Photo. Doctor dentist therapist Odarchuk O.V. with a patient.

How to prevent inflammation of the submandibular lymph node?

To predict the possible inflammation of the lymph node under the jaw on the left or right will help to follow simple rules.

1. Preventive measures include meticulous oral hygiene and timely visits to the dentist – examinations and rapid elimination of pathologies that have arisen are the main way to protect against painful complications of the submandibular region;
2. In order to avoid the development of infectious and other lesions, care should be taken to avoid injury to the jaw and surrounding tissues. If an injury occurs, it is important to carefully treat all scratches and damage with antiseptic compounds.
3. At the first symptoms of inflammation in the ear canals, you should immediately contact an ENT specialist. Self-medication methods can lead to the development of deep otitis media with side complications – such diseases require the use of medications.
4. The ability of the body to cope with the attacks of viruses and parasites is considered the best way to prevent lymphadenitis. Proper and vitamin-rich nutrition, good rest and respect for health will be the key to strong immunity.

Don’t expect swollen lymph nodes to go away on their own! Most often, the problem of inflammation is in diseased teeth!

Sign up now at Lumi-Dent dental clinics in Kyiv for a free consultation!

Reception conducted

Kukhar Igor Vasilyevich

Dentist therapist

Artemenko Marta Sergeevna

Dentist

Solonchenko Ilya Romanovich

Dentist therapist

Miroshnichenko Diana Vladimirovna

Dentist therapist, periodontist

Dashkovskaya Daria Sergeevna

Dentist periodontist

Okhremenko Vasily Alekseevich

Dentist therapist

Frequently Asked Questions

How to treat lymph nodes in the neck at home?

• First you need to determine the cause of their inflammation, and this can only be done by a qualified doctor;
• If the lymph nodes are submandibular – most likely the culprit is a sick tooth that needs to be cured by a dentist;
• There is no specific method for treating the lymph nodes of the neck at home, since their inflammation is not a separate disease, but a consequence of other problems.

Creation date: 10/06/2021

Date of change: 04/25/2023

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“I felt tired, but no one even suspected that I was ill”

Latest news

Aytana Sánchez, a patient in the Department of Clinical Immunology and Primary Immunodeficiency at Barcelona Hospital Sant Joan de Deu, tells how she got used to living with her illness.

Aitana’s life has changed in a few months. In June 2018, after a blood test she was ordered for swollen lymph nodes , she visited her pediatrician to find out the result. A doctor at the Primary Care Center explained to a 15-year-old girl and her family that there were significant abnormalities in the analysis and that level immunoglobulins (or antibodies) was very low. For this reason, the doctor referred the patient to the Department of Immunology and Primary Immunodeficiency at the Hospital Sant Joan de Deu Barcelona.

A teenage girl was hospitalized in Sant Joan de Deu a little later, where she underwent hematological, immunological, infectious and diagnostic tests to find the source of the problem. In July, Aitana underwent surgery to examine swollen lymph nodes and rule out lymphoma.

“We were very scared, but from the very beginning they gave us all the information and explained that an operation was needed to rule out other diseases” , recalls Aytana.

Rapid diagnosis is the key to the treatment of the patient

After surgery, lymphoma was ruled out, but it was confirmed that the cause of inflammation of the lymph nodes in Aytana was a viral infection, which was difficult for her body to fight due to a decrease in the level of immunoglobulins and insufficient antibody response . The patient’s diagnosis was also confirmed: common variable immunodeficiency (CVID).

. “As a child, I already had low immunoglobulins in my blood tests and, once, I was admitted to the hospital due to platelet deficiency . I have been treated for growth retardation for several years. The truth is that we didn’t link it to a possible illness,” explains Aytana.

In fact, AVI is the most common symptomatic primary immunodeficiency , a disease that in many cases is not diagnosed until adulthood. According to the patient, she had mild infections and always felt very tired, but neither she nor her family ever suspected that they were symptoms of a possible pathology until Dr. Laya Alsina confirmed the diagnosis…

The cause of this disease in most cases is still not known, although several genetic studies have been carried out regarding this diagnosis. Thanks to the experience of a team of Clinical Immunology and Primary Immunodeficiencies of the Hospital Sant Joan de Deu and other departments of the hospital, it became possible to quickly diagnose and prescribe treatment for Aitana.

“Everything went very quickly and very well, in a short time I already knew what was happening to me and what would be the treatment for immunodeficiency ,” sums up the girl, who claims that she has grown a lot in recent months after the experience.

Home treatment to reduce hospital visits

“The first thing I asked myself was: will I have this illness for the rest of my life?” — Aytana was very worried about her future and the consequences of immunodeficiency for her daily life .