Description When saliva flow is...
Description
When saliva flow is reduced or stopped, bacteria can grow in a salivary gland. This can cause an infection called sialadenitis. It occurs most often in people over the age of 50 who have a debilitating illness and dry mouth (xerostomia). However, it can happen in any age group, including infants. A stone (sialolith) or kink also can reduce flow through one of the tubes that carry saliva.
Symptoms
The first symptom is often a tender, painful lump in the cheek (in front of the ear) or under the chin. Pus drainage into mouth, fever, chills, and malaise (a general sick feeling) may also develop.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed to see if the affected gland is swollen. If the gland discharges pus it may be tested for bacteria. Images of the salivary glands and ducts may be taken.
Other Specific Tests: Bacterial culture, MRI, CT scan
Specialists:
Dentistry
Workup:
A history and physical exam will be performed to see if the affected gland is swollen. If the gland discharges pus it may be tested for bacteria. Images of the salivary glands and ducts may be taken.
Other Specific Tests: Bacterial culture, MRI, CT scan
Specialists:
Dentistry
Treatment
Treatment will involve antibiotics. It is very important to make sure the body has enough fluids. Intravenous (IV) fluids may be needed. The doctor also may recommend sugar-free chewing gum or candies to stimulate saliva production. If the infection does not improve, surgery may be needed. Sialadenitis usually goes away within one week if treated appropriately.