Sialolithiasis is a condition where stones (calculi) develop in your salivary gland or ducts, obstructing the passage of saliva. The stones, typically composed of calcium phosphate and hydroxyapatite, may lead to facial pain and swelling. Symptoms can be on one side (unilateral) or both sides (bilateral).
Anybody can develop sialolithiasis. But the condition most frequently occurs in men between the ages of 30 and 60. Children are rarely affected by sialolithiasis.
Sialolithiasis symptoms usually aggravate when you eat and fade again a couple of hours following meals. The reason is that chewing activates your salivary glands to secrete saliva, which becomes lodged in the gland because of blockage by the stone. Sialolithiasis symptoms include:
In a few instances, individuals with sialolithiasis don't have any symptoms at all.
Any condition that makes your saliva thicker can lead to sialolithiasis, including:
A doctor may diagnose sialolithiasis during a medical checkup. They'll poke around your neck and face and examine inside your mouth for bulges or any other abnormality. They will also ask questions about your illness and past illness history.
In certain instances, your doctor will ask for imaging tests to verify your diagnosis or to visualize the site of any salivary gland stones. Such tests may be:
Your doctor can also order a salivary gland scan. In this test, he/she will inject a radioactive tracer into a vein in your arm. Then, they'll place you in front of a unique machine — a gamma scintillation camera — that senses radiation and takes pictures. Around 45 minutes through the test, your doctor will have you suck on a lemon drop or some other sour thing to make you produce saliva. As your salivary glands secrete saliva, your doctor will take additional photos to check how much saliva is still in your ducts.
Treatment of sialolithiasis is based on the size and location of the stone. Home remedies, antibiotics, in-office removal of the stone or, in certain situations, surgery may be treatments.
In most cases, salivary gland stones resolve spontaneously with conservative management. You may be able to dislodge the stone from your salivary duct by consuming fluids, applying heat or massaging the affected area. You may also attempt sucking on lemon drops or other sour candies to enhance saliva production.
Drugs may be prescribed for patients with sialolithiasis who show overt signs of infection. These drugs are generally antibiotics.
Larger salivary gland stones might need surgery. A surgeon puts an endoscope into your salivary duct to find the stone during this procedure. They'll remove the stone using a special tool. In some instances, a small cut is needed.
In extreme cases, you might be required to undergo surgical removal of your salivary gland. Doctors save this treatment for individuals with severe, recurring symptoms or if the stone is in a position that is not amendable to conservative removal.
You can't prevent sialolithiasis completely. But you can lower your risk by keeping yourself hydrated, not smoking and maintaining good oral health. If you begin to experience pain or soreness near your salivary ducts, try sucking sour candies and beginning gland massage to increase the flow of saliva. This may prompt any stones to leave your body naturally.
If your salivary gland is blocked, you might feel pain or swelling near your salivary ducts when you eat. Such symptoms last typically one to two hours, then subside until your next meal.
If you have a blocked salivary gland, you'll get pain or swelling around your salivary ducts when you eat. These symptoms typically take about one to two hours to occur, then subside until your next meal.
Tender Palm Super-Speciality Hospital offers salivary stones treatment in Lucknow, India. Our expert ENT team uses advanced diagnostics and minimally invasive techniques to remove stones safely and effectively. We provide personalised care, quick recovery, and long-term relief for patients with salivary duct obstruction or infection.
Call us at +91-9076972161
Email at care@tenderpalm.com