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Q: Swollen Parotid Glands
asked by: akwit on October 20th, 2008
New User
So my parotids have been swollen for the past two years.
Ive had basically every exama nd test under the sun and EVERYTHING has come back negative (HIV, Sjogrens, Sarcoidosis, cancers, etc-thank g-d). Ive had an MRI, Cat Scan, Gallium Exam, Bipsy, etc...

I was on Depakote for about ten years and one of its side effects could be swollen glands. I have been off it for 3 months now-definitiely a major improvement but I still have quite a bit of swelling and pain. I alos have been taking Percocet for about 5 years for a neck injusry but I take a very low does (about a half a pill only at night-pill is a 10/325).

Could the dryness/dehydration caused from painkillers have caused my problem? Anyone have any suggestions or advice?

Im desperate to find and answer or even some real relief.

Thank You.
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rooted
replied on October 21st, 2008
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Salivary gland tumors are rare. Swelling of the salivary glands is most commonly due to:

* Abdominal surgery
* Cirrhosis of the liver
* Infections
* Other cancers
* Salivary duct stones
* Salivary gland infections
* Sarcoidosis
* Sjögren syndrome

The most common type of salivary duct tumor is a slow-growing tumor of the parotid gland. This is usually a noncancerous growth that gradually increases the size of the gland. However, some of these tumors can be cancerous (malignant).
Malignant salivary gland tumors are usually carcinomas.



An examination by a health care provider or dentist shows a larger-than-normal salivary gland, usually one of the parotid glands.

Tests may include:

* X-rays of the salivary gland (called a ptyalogram or sialogram) to look for a tumor
* CT scan or MRI to verify that there is a mass and to see if cancer has spread to lymph nodes in the neck
* Salivary gland biopsy or fine needle aspiration to determine if the tumor is noncancerous (benign) or cancerous (malignant).


I'd suggest that given the nature and serious possibilities of the problem, that you follow up and get another diagnosis from an ENT specialist. I think it's best that you start looking for the cause of the swelling and get some answers ASAP!
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akwit
replied on October 21st, 2008
New User
rooted wrote:
Salivary gland tumors are rare. Swelling of the salivary glands is most commonly due to:

* Abdominal surgery
* Cirrhosis of the liver
* Infections
* Other cancers
* Salivary duct stones
* Salivary gland infections
* Sarcoidosis
* Sjögren syndrome

The most common type of salivary duct tumor is a slow-growing tumor of the parotid gland. This is usually a noncancerous growth that gradually increases the size of the gland. However, some of these tumors can be cancerous (malignant).
Malignant salivary gland tumors are usually carcinomas.



An examination by a health care provider or dentist shows a larger-than-normal salivary gland, usually one of the parotid glands.

Tests may include:

* X-rays of the salivary gland (called a ptyalogram or sialogram) to look for a tumor
* CT scan or MRI to verify that there is a mass and to see if cancer has spread to lymph nodes in the neck
* Salivary gland biopsy or fine needle aspiration to determine if the tumor is noncancerous (benign) or cancerous (malignant).


I'd suggest that given the nature and serious possibilities of the problem, that you follow up and get another diagnosis from an ENT specialist. I think it's best that you start looking for the cause of the swelling and get some answers ASAP!


Ive already seen two ENTS; the second is now working with my Gen Pr. and my Rhumetologist.

So you are saying that you dont hintk it is caused by the mouth dryness caused by the Percocet? Im trying to find out if that is even possible...
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yogahoneybunny
replied on October 22nd, 2008
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Percocet contains oxycodone hydrochloride and acetaminophen and can lead to dependence, which it sounds like you're withdrawing from. In my research about the side effects of long term us of Percocet, I found that hypersensitivity reactions to the drug may include: Skin eruptions, urticarial, erythematous skin reactions. Hematologic reactions may include: Thrombocytopenia, neutropenia, pancytopenia, hemolytic anemia. Cases of agranulocytosis has likewise been associated with acetaminophen use. Check these with your doctor when you return for your next appointment.

http://www.rxlist.com/percocet-drug.htm
http://www.drugs.com/percocet.html

I suggest that you report your side effects to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088
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akwit
replied on October 22nd, 2008
New User
Yogahoneybunny-thanks for the reply.
Im not sure what you are saying here though.
I have not gotten off the painkillers so I couldnt be experiencing any withdrawal symptoms, no?

Also, I know nothing about the side effects you have listed; do any of them have anything to do with swollen Parotid glands?

Thanks for the help.
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rooted
replied on October 23rd, 2008
Supporter
If you're still using Percocet, the symptoms yogahoneybunny found might still be present and causing the swelling. Have you address Percocet dependence with your doctor?
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akwit
replied on October 23rd, 2008
New User
rooted wrote:
If you're still using Percocet, the symptoms yogahoneybunny found might still be present and causing the swelling. Have you address Percocet dependence with your doctor?


Which symptoms that Yoga found are you referring to?

There are like 8 symptoms listed in his/her response.
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rooted
replied on October 28th, 2008
Supporter
Skin and blood reactions, just generally. I'd suggest that you tackle the Percocet dependence and maybe look at it as a general problem which can cause multiple symptoms.
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joniqua
replied on October 6th, 2009
New User
Parotid gland swelling - NO ASPIRATION!!!
DON'T LET THEM STICK A NEEDLE IN IT!!!!! If it is cancerous, you will have it spread....

If you need to have it removed get it done ASAP!!.. the longer you wait, the larger it can get and the higher the risk of paralysis..

I had my parotidectomy 2 years ago and have not looked back..

Jo
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