Sialolithiasis, (Salivary Stones) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
By Kenneth Kee
()
About this ebook
Sialolithiasis or Salivary gland stone are crystallized minerals in the ducts that drain the salivary glands.
Salivary gland stones are a type of salivary gland disorder.
A salivary gland stone (also called salivary duct stone) is a calcified structure that may form inside a salivary gland or duct.
A salivary gland stone can obstruct the flow of saliva from the gland in to the mouth.
This can produce swelling and pain in the gland.
There may be one or multiple salivary gland stones in the affected people.
Most of the salivary gland stones affect the sub-mandibular glands which are sited at the floor of the mouth.
Less often, these stones also affect the parotid glands which are sited on the inside of the cheeks, or the sublingual glands, under the tongue.
These salivary gland stones are formed from calcium and most are lesser than 1 cm in diameter.
About 90% stones are less than 10 mm in size.
Normally these stones are required to be removed even though they can sometimes be removed on their own.
The exact cause is not known.
Any factors contributing to reduced saliva production and thickened saliva may be likely risk factors for formation of salivary stones.
These risk factors are:
1. Dehydration,
2. Poor eating, and
3. Use of certain medications (such as antihistamines), blood pressure drugs, psychiatric drugs, and bladder control drugs.
4. Trauma to the salivary glands may also raise the risk for salivary stones.
When saliva cannot exit a blocked duct, it backs up into the gland, causing pain and swelling of the gland.
Symptoms
1.Difficulty opening the mouth or swallowing
2.Dry mouth
3.Pain in the face or mouth
4.Swelling of the face or neck
The symptoms are normally most noticeable when eating or drinking.
Normally if the salivary gland stone is very small and not blocking the duct then the patient may not realize that he or she has the stones as there are no noticeable symptoms.
Large salivary gland stones may be observed easily when the mouth is wide open.
1.Dull pain and swelling, over the affected gland that may come and go.
2.There may be symptoms of pain and an abscess may be developed in case of severe infection of the gland due to the salivary gland stone.
3.There may be severe pain, particularly after the patient starts eating; in case the salivary gland is completely blocked.
An examination of the jaw region by the doctor or dentist reveals one or more enlarged, tender salivary glands.
The doctor may be able to feel the stone during examination.
X-rays, ultrasound, or CT scan of the face can confirm the diagnosis.
Sialography is a special x-ray test which reveals any abnormalities in the duct or the salivary gland through injection of a dye.
Sialendoscopy may detect the stone and remove it.
Treatment
Sometimes a small stone comes out into the mouth by itself.
Most stones that cause symptoms will not go away unless they come out or are removed.
1.Lots of water and sugar-free lemon drops are used to increase the saliva, which may remove the stone.
2.Massage of the salivary gland with heat may help.
The doctor or dentist may be able to push the stone out of the duct.
3.Gentle Probing may free the stone out of the stuck duct
4.Therapeutic Sialendoscopy: doctors are using a newer and less invasive technique called sialendoscopy to remove salivary gland stones.
In some cases, where the stone is rather large, the stone is broken up first and then the fragments are pulled out
5.Lithotripsy or Shock Wave Treatment uses ultrasound waves so as to break up stones.
6.For larger, harder-to-remove stones, doctors normally make a small incision in the mouth to remove the stone
Some people develop one or more further stones at some later time.
TABLE OF CONTENT
Introduction
Chapter 1 Sialolithiasis
Chapter 2 Causes
Chapter 3
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"
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Sialolithiasis, (Salivary Stones) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee
Sialolithiasis,
(Salivary Stones)
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 Sialolithiasis, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.
(What The patient Need to Treat Sialolithiasis or Salivary Stones)
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 you 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