Dr S. Chidambaranathan B.H.M.S, M.D Homeopathy Doctor Madurai (Treatment avail for all people around the world)
- Thick saliva – highly concentrated saliva (concentrated more with calcium, mucin, magnesium , etc.) – may be because of dehydration or super-saturation or salivary gland diseases.
- Changes in saliva PH (saliva PH gets altered in infections or diseases or tumours)
- Saliva inadequate drainage – slowness in flow and stagnation with obstructive flow or in case of infection, will encourage precipitation of salivary salts to form stones.
Many a time, most of the salivary stones remain asymptomatic. Usually, symptoms occur when stone(s) happen to move and block a duct. Mostly stone(s) do not block a duct completely. So there won’t be any need for emergency attention. Even if it blocks completely, saliva from remaining glands cope up with the need / digestion in the mouth. So complaints arise only when the affected gland swells more drastically or gets infected. The common symptoms of salivary calculus are:
- Swelling of the affected gland(s) – usually follows more after food intake or while chewing since additional amount of saliva is often produced in salivary glands to break down the intake of food materials in the mouth. Swelling may be persistent or vary in size from time to time.
- Pain – occurs mostly because of swelling and pressure. So, as like swelling, which increases after
- Dryness of mouth (occasionally) – due to lack of saliva
- Halitosis – due to drying of thick saliva
- Altered taste in mouth
- Clinical examination
- Radiological imaging studies with the help of X-rays / ultrasound / CT or MRI scans
- Sialoangiography – radiography of duct after injecting radio opaque materials.
- Sialoendoscopy can aid for diagnosis as well as for removal
- Chemical analysis of calculus (which have been expelled on their own or removed by surgery) can provide a clue in identifying the underlying causative factor and can aid in preventing it in future.
- Chronic infections
- Recurrence of stones
- Fibrosis of the gland
- Plenty of water – good hydration often helps to ease the condition and further helps to stop stone formations
- High sources of calcium diets – meat, dairy products, cheese, poultry, fish, calcium supplements, ice creams, chocolates, tea.
- Citrus fruits like orange, lemon, tomato, etc. – These items can increase saliva production, which in-turn can cause swelling and pain in the blocked gland.
- Lithotripsy (shock wave treatment) – to break stones to expel them easily in parts.
- Sialoendoscopy can aid in removal – if necessary, (in case of big stone whose size exceeds the duct size) intracorporeal lithotripsy aid can also be sought for breaking stones to force easy removal.
- Sialolithectomy – total removal of gland will be advised in case of multiple stones or recurrent infections.
- Intraoral open surgery to remove obstructed (big and adhered) stone.
These days, people keep worrying about their health and go for surgery sometimes even unnecessarily. Even for minor ailments, they get admitted to a hospital to rule out all (?) risk factors. Removing just stones or the salivary gland cannot be taken as elimination of the whole disease since stones are only the effects of the disease and not the disease itself. So, the stone-forming tendency will be there in the body and the disease will move or proceed to other places/parts. The best way to stop occurrence/recurrence of stones is to treat the condition and to prevent the formation of stones in future.