Submandibular lymphadenitis should be treated in combination with other diseases

Lymphadenitis is an inflammation of the lymph nodes. It can be deep or superficial, acute or chronic. Submandibular lymphadenitis is one of the most common forms of this disease. Microbes can penetrate through lymph, blood, or by contact. The cause of such an ailment may be the patient's presence of chronic tonsillitis, caries, inflammation of the gums, stomatitis, etc. Submandibular lymphadenitis sometimes develops as a consequence of minor injuries of the oral mucosa, which occur during the process of chewing food, and then become infected. Inflammation of hemorrhagic origin is not common and occurs with scarlet fever, rubella, typhoid fever, measles, as well as after these infectious diseases. Microbes may enter the lymph node if it is injured. Inflammation is caused by staphylococci, anaerobes and intestinal sticks.

When the submaxillary lymphadenitis begins to develop, the symptoms grow gradually. First, a pain occurs under the jaw, as well as when palpation of the nodes, which at the initial stage of the disease have clear boundaries and retain mobility. At this time, the mouth opens normally. After only 2-3 days, under the edge of the lower jaw, there is quite a large swelling, with pressure on which there are strong painful sensations. The tumor gradually expands and can occupy all the submaxillary spaces and descend to the collarbone. Skin in this area blushes, stretches, and when you open and close your mouth there are difficulties. When examining the oral cavity of the patient, swelling and reddening of the mucosa from the side of the inflammatory process is observed. Patients complain of sleep disorders, which causes constant fatigue, elevated temperature. Often, patients refuse to eat, apathy appears.

If at this stage of the disease it is possible to eliminate the focus of infection, submandibular lymphadenitis can pass without treatment. However, this happens very rarely. If the disease continues its development, the pain intensifies, acquiring a tugging character. The temperature is maintained at 38 degrees, and sometimes increases. The skin over the lymph nodes first reddens, and then turns blue, which indicates that purulent discharge goes to the skin . As a rule, they are not very abundant.

If there is a submandibular lymphadenitis, the treatment can be surgical or conservative. In the early stages of the acute form of this disease, it is enough to do the following:

• Eliminate the cause of inflammation;
• Carefully observe the hygiene of the oral cavity;
• On the submaxillary bone, apply compresses with Burov's fluid ;
• Physiotherapy.

If the clinical picture indicates the onset of a purulent form of this disease, then there are two possible solutions: surgical and therapeutic, but necessary in a hospital setting. With a conservative method of treatment, the patient is prescribed antibiotics, previously eliminating the cause of the disease. But very often this treatment is ineffective. After the withdrawal of the prescribed drugs, after a small period of time, a relapse occurs, and the signs of the disease manifest themselves very rapidly.

Surgical treatment in this case is preferable, although the recovery period will be somewhat longer. If submandibular lymphadenitis appeared only in one node, a cut is made in the place where the greatest protrusion is observed. The doctor, having penetrated into the capsule of the node, removes pus. Then drainage is installed. More often several nodes become inflamed at once. Then a surgical procedure similar to the treatment of an abscess is performed.