my daughter had this and I was surprised to find out that it can be a pretty emergent medical situation. I would definitely call your pediatrician. Hers was a blocked salivary gland. He suggested lemon drops or sour candy, warm compresses, rubbing it, and we ended up having to do a course of antibiotics. Sent us to an ENT who followed her every 6 months for a few years because she had a few more episodes. He gave us a rx for abx to keep at home in case it happened over a weekend. I don't think it is cause for freaking out necessarily but I also wouldn't let it go too long before getting it checked out. in the mean time sour patch kids for breakfast!