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What does it mean if a child has lumps behind the ear and in front they hurt when opens their mouth chews?

Lumps behind the ear and in front that hurt when a child opens their mouth or chews could be a sign of several medical conditions. Here are some possible causes:

1. Swollen Lymph Nodes: Lymph nodes are small glands that play a crucial role in the immune system. When there is an infection or inflammation in the body, lymph nodes can swell up. If the swollen lymph nodes are located behind the ear and in front, it could be due to an infection or inflammation in the ear, nose, throat, or scalp.

2. Mumps: Mumps is a viral infection that causes swelling of the salivary glands. The parotid glands, which are located on both sides of the face just below the ears, are commonly affected in mumps. Swelling of these glands can lead to lumps behind the ears and pain when opening the mouth or chewing.

3. Ear Infections: Severe or recurring ear infections can cause swelling and tenderness around the ear. This may also lead to the formation of lumps behind the ear that are painful when touched or when the child opens their mouth or chews.

4. Dental Issues: Sometimes, dental problems such as impacted teeth or wisdom teeth can cause swelling and pain in the jaw area. If the pain is primarily located in front of the ear and increases when the child opens their mouth or chews, it's advisable to consult a dentist.

5. Mastoiditis: Mastoiditis is a bacterial infection of the mastoid air cells, which are located behind the ear. It can develop as a complication of an untreated or severe ear infection. Symptoms include pain, swelling, and tenderness behind the ear, as well as fever, chills, and headache.

6. Tumors: In rare cases, lumps behind the ear and pain when opening the mouth or chewing could be a symptom of a benign or malignant tumor. However, this is less likely and should be considered after other common causes have been ruled out.

It's important to consult a medical professional, such as a pediatrician or an ear, nose, and throat specialist (otolaryngologist), to determine the exact cause of the lumps and pain. The doctor can conduct a physical examination, review the child's medical history, and order additional tests, such as imaging studies or blood work, if necessary. Prompt diagnosis and appropriate treatment are crucial to address the underlying condition and alleviate the child's discomfort.

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