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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Parotid Sialolithiasis Be Treated?

In 2004 I had symptons like I am having now - and was diagnosed with Right Parotid Sialodocholithiasis.
I think it was taken care of with an antibiotic. I can go to Urgent Care, but in the meantime do I put a cold pack or hot pack to relieve the pain - would aspirin help? Thanks
Thu, 9 Nov 2017
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Dentist,  's  Response
Hi..
Thanks for the query..

Parotid Sialolithiasis is due to obstruction in the salivary gland or the secretory duct of the salivary gland that occurs due to formation of crystalline stones in the duct of the gland or foreign body obstruction..

It can lead to pain, swelling and infection in the salivary gland..

You should consult an Oral Physician or an Oral Surgeon and get evaluated and along with clinical examination he can also advise you cross sectional x ray or MRI of the glands to rule out the exact cause and treat accordingly..

As of now you can chew sugar free chewing gum as it will increase saliva flow as well as drink plenty of water..
In case of superficial stones manual palpation can be done and the stones can be removed by pushing towards the duct opening..
In case of deeper stones surgical removal under Sialoscopic guidance can be done..

For now if there is pain you can do cool compresses over the swelling and take painkillers..

Hope this helps..

Regards.
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How Can Parotid Sialolithiasis Be Treated?

Hi.. Thanks for the query.. Parotid Sialolithiasis is due to obstruction in the salivary gland or the secretory duct of the salivary gland that occurs due to formation of crystalline stones in the duct of the gland or foreign body obstruction.. It can lead to pain, swelling and infection in the salivary gland.. You should consult an Oral Physician or an Oral Surgeon and get evaluated and along with clinical examination he can also advise you cross sectional x ray or MRI of the glands to rule out the exact cause and treat accordingly.. As of now you can chew sugar free chewing gum as it will increase saliva flow as well as drink plenty of water.. In case of superficial stones manual palpation can be done and the stones can be removed by pushing towards the duct opening.. In case of deeper stones surgical removal under Sialoscopic guidance can be done.. For now if there is pain you can do cool compresses over the swelling and take painkillers.. Hope this helps.. Regards.