Sialadenitis, (Salivary Gland Infection) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

By Kenneth Kee

Sialadenitis is an inflammation of the salivary glands (normally parotid or sub-mandibular).
Sialadenitis of the sub-mandibular gland is a relatively often encountered infection but it is not as frequent as sialadenitis of the parotid gland.
Causes vary from simple infection to autoimmune sources.
Bacterial infections are most frequently due to:
1. Blockage from salivary duct stones
2. Poor cleanliness in the mouth (oral hygiene)
3. Low amounts of water in the body, most often while in the hospital
4. Smoking
Viral infections such as mumps often involve the salivary glands.
Mumps most often involves the parotid salivary gland.
Mumps is a rare disorder today because of the MMR vaccine
Other causes are autoimmune diseases such as autoimmune sialadenitis.
Symptoms are:
1. Acute swelling of the involved salivary glands or entire side of face (particularly in front of the ears, below the jaw, or on the floor of the mouth)
2. Sore throat
3. Fever
4. General toxemia and malaise
5. Pus or purulent saliva may discharge from the Stensen's duct (opening of the salivary duct)
6. Abnormal tastes, foul tastes
7. Decreased ability to open the mouth
8. Dry mouth
9. Mouth or facial "squeezing" pain, especially when eating
10. Redness over the side of the face or the upper neck
In diagnosing the patient with sialadenitis, steps should be taken in the following order:
1. History, physical examination,
Presence of swelling of salivary gland especially the parotid
2. Culture, laboratory investigation,
3. Radiography,
X-rays may reveal the presence of stones in the salivary duct
CT scan, MRI scan or ultrasound is done if the doctor suspects an abscess or to look for stones.
4. Fine-needle aspiration biopsy
Treatment:

In some cases, no treatment is needed.

Treatment from the provider may include:

1. Antibiotic according to sensitivity

Antibiotics are given if the patient has a fever or pus drainage or if the infection is due to bacteria.

Antibiotics are not useful against viral infections.

2. Surgical drainage of pus

Surgery or aspiration is done to drain an abscess if the patient has one

Treatment of sub-mandibular sialadenitis and sialadenosis involves a wide range of approaches, from conservative medical management to more aggressive surgical intervention.
Self-care steps the patient can take at home to help with recovery are:
1. Practice good oral hygiene.
Brush the teeth and floss well at least twice a day.
This may help with healing and prevent an infection from spreading.
Rinse the mouth with warm salt water rinses (one half teaspoon or 3 grams of salt in 1 cup or 240 milliliters of water) to ease pain and keep the mouth moist.
2. Stop smoking if the patient is a smoker, to speed up healing.
3. Drink lots of water and use sugar-free lemon drops to increase the flow of saliva and reduce swelling.
4. Massaging the gland with heat.
5. Use warm compresses on the inflamed gland.
Prevention
In many cases, salivary gland infections cannot be prevented.
1. Proper oral hygiene
Proper oral hygiene may stop some cases of bacterial infection
2. Regular cleaning of gums and teeth by brushing and flossing
3. Gargling of mouth after meals
4. Healthy lifestyle with balanced diet and exercise.
5. Avoid smoking
6. In children wash hands before putting into mouth

TABLE OF CONTENT
Introduction
Chapter 1 Sialadenitis
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Mumps
Chapter 8 Sjogren’s Syndrome
Epilogue

• Language: English
• Publisher: Kenneth Kee
• Release date: May 24, 2017
• ISBN: 9781370445882

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

Book preview

Sialadenitis,

(Salivary Gland Infection)

A

Simple

Guide

To

The Condition,

Diagnosis,

Treatment

And

Related Conditions

By

Dr Kenneth Kee

M.B.,B.S. (Singapore)

Ph.D (Healthcare Administration)

Copyright Kenneth Kee 2017 Smashwords Edition

Published by Kenneth Kee at Smashwords.com

Dedication

This book is dedicated

To my wife Dorothy

And my children

Carolyn, Grace

And Kelvin

This book describes Sialadenitis, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

(What The patient Need to Treat Sialadenitis)

This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If the patient would like to share this book with another person, please purchase an additional copy for each reader.

If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

Thank the patient for respecting the hard work of this author.

Introduction

I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

My purpose in writing these simple guides was for the health education of my patients.

Health Education was also my dissertation for my Ph.D (Healthcare Administration).

I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

From which many free articles from the blog was taken and put together into 800 amazon kindle books and 200 into Smashwords.com eBooks.

Some people have complained that the simple guides are too simple.

For their information they are made simple in order to educate the patients.

The later books go into more details of medical disorders.

The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

Since 2013, I have tried to improve my spelling and writing.

As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

I apologize if these repetitions are irritating to some readers.

Chapter 1

Sialadenitis

What is Sialadenitis?

Sialadenitis is an inflammation of the salivary glands (normally parotid or sub-mandibular).

Sialadenitis of the sub-mandibular gland is a relatively often encountered infection but it is not as frequent as sialadenitis of the parotid gland.

Causes vary from simple infection to autoimmune sources.

What is the cause of Sialadenitis?

Salivary gland infections involve the glands that secrete saliva (spit).

The infection may be caused by bacteria or viruses.

There are 3 pairs of major salivary glands: