Sialadenitis or Sialadenosis- Causes Symptoms and Herbal Treatment

ABSTRACT

In normal terms, Sialadenitis is inflammation of the salivary glands whereas Sialadenosis is non-inflammatory swelling of salivary glands. The salivary gland helps to make saliva and saliva helps in swallowing and mixing of food and protects the teeth from infection. There are three salivary glands present in our mouth: parotid gland, sub mandibular gland, and sublingual gland. Sialadenitis is due to infection, autoimmune disease, and salivary gland stones. Sialadenitis can affect any age group but is more common in adults more than 50 years old and especially affects the person who is affected by salivary gland stones. Staphylococcus aureus is the main cause of sialadenitis. If left untreated it can go to deep tissues of the neck and head and cause a severe infection. Sialadenosis is a non-inflammatory condition in which swelling primarily affects the parotid gland and sometimes affects the submandibular gland. It is mostly affected due to systemic metabolic disease.

INTRODUCTION

As we know Sialadenitis is inflammation of the salivary gland so due to infection it may spread from one person to another person by sneezing, or coughing, or when it is due to salivary stones it does not spread from one person to another, whereas Sialadenosis is associated with ductal atrophy and acinar hypertrophy. It is non-tender swelling and mostly symmetrical and bilateral. It is bilateral, and chronic, and commonly affects the parotid gland.

CAUSES

The causes of Sialadenitis are

1. Dehydration
2. Immunosuppressants patient  
3. Malnutrition
4. Poor oral hygiene
5. Medications
6. Virus- Mumps, HIV
7. Ductal stricture
8. External constriction of duct
9. Sialoliathasis
10.  Ductal foreign body

The causes of Sialoadenosis are-

1. Vitamin deficiency
2. Obesity
3. Diabetes mellitus
4. Liver cirrhosis
5. Hypothyroidism
6. Malabsorption

SYMPTOMS

1. Enlargement of salivary gland
2. Tenderness of the salivary gland
3. Discoloration of salivary gland
4. Difficulty in eating
5. Fever
6. Chills
7. Pus in the mouth
8. Dry mouth
9. Dry eye
10. Mouth pain
11.  The amount of saliva decreases
12.  Inflammation in the neck and cheek region
13.  A foul taste in the mouth
14.  Weight loss

The symptoms of sialadenosis are

1. Painless, soft, and bilateral enlargement of the parotid gland
2. Dryness in mouth
3. Mild discomfort
4. The amount of saliva decreases
5. Tenderness of glands

DIAGNOSIS OF SIALADENITIS AND SIALADENOSIS

The physician checks the patient and the following tests are done

1. X-ray- To detect the sialolith
2. USG- To detect sialolith(less than 1 cm), and abscess cavity
3. CT (Computerised Tomography) Scan – To detect sialolith, in chronic cases salivary glands are enlarged or atrophic
4. MRI (Magnetic resonance imagining)- To suspect malignancy
5. FNAC of the affected gland- For the presence of a tumour
6. DSA Sialography- To check sialolith, ductal stricture

TREATMENT

1. Warm massage on the affected side
2. Maintain oral hygiene
3. Do massage of salivary gland
4. Keep the patient hydrated
5. Surgical removal of the gland

AYURVEDA ASPECT FOR SIALADENITIS AND SIALADENOSIS

As Acharya Sushrat सु.नि. १३।१३ explained पाषाणगर्दभ (disease of salivary glands). Due to the vitiation of kapha and vata dosha, there is shopha (edema) in the हनुसंधि (temporomandibular joints) termed as पाषाणगर्दभ. As Acharya explains 65 diseases of the oral cavity. Where 8 are the औष्ठगत रोग (disease of lips), 15 are the दन्तमूलगत रोग (disease of periodontia), 8 are दन्तगत रोग (dental disease), 5 are जिहवागत रोग (disease of tongue), 9 are तालुगत रोग (disease of palate), 17 are कण्ठगत रोग (disease of pharynx and larynx), and 3 are सर्वसर रोग(generalised mucosal affections of the oral cavity). The three doshas are the main elements of our body and are responsible for the normal functioning of the body. Each dosha plays an important role in the buccal cavity. As vata dosha is present in teeth pores, pitta dosha contains blood vessels that protect and nourish the teeth, and kapha dosha has a subtype that is bodhak kapha which lubricates the mucous membrane of the buccal cavity. Due to improper diet and improper activities, the dosha Parkopa (vitiates) will be here and result in a dosha imbalance. Due to dosha imbalance, there is inflammation and swelling of the glands.

HERBAL REMEDIES FOR SIALADENITIS AND SIALADENOSIS BY PLANET AYURVEDA

Planet Ayurveda is GMP-certified. Their products are made up of 100% natural herbs and are free from any type of adulterants, preservatives, fillers, yeast, and chemicals. Remedies are prepared under the guidance of M.D Ayurveda experts. The formulations offered by Planet Ayurveda for sialadenitis and sialadenosis are

Product list

1. Curcumin Capsules
2. Septrin tablet
3. Kaishore Guggul
4. Digestion support
5. Gum care powder

Product Description for sialadenitis and sialadenosis are

1. Curcumin Capsules

It is made up of an extract of Haridra (Curcuma longa). It contains anti-cancerous properties, helpful in avoiding the formation of tumours. It pacifies all three doshas and maintains a healthy immune system of the body. As it is katu and tikta in rasa it balances the pitta and kapha dosha. As curcumin has anti-inflammatory properties it reduces the inflammation of salivary glands.

Dosage– 1 capsule twice daily, with plain water, after meals.

2. Septrin tablets

Septrin tablets are made up of Tulsi (Ocimum sanctum), Haldi (Curcuma longa), Guggul (Commiphora mukul), and many more ingredients. It balances the three main energies of the body that is vata, pitta, and kapha dosha. Tulsi has properties of strengthening the gums and teeth which is helpful in treating mouth ulcers. Haldi has anti-inflammatory properties so it reduces the inflammation of salivary glands. Guggul manages the cholesterol level in the body and it helps in obesity.

Dosage – 2 tablets twice daily

3. Kaishore Guggul

The tablet contains Red physic nut (Baliospermum montanum), Amalaki (Emblica officinalis), Indian Jalap (Ipomoea turpethum), Bibhitaki (Terminalia bellirica), Haritaki (Terminalia chebula), Guggul (Commiphora mukul) and many other herbs. As it contains triphala it decreases the formation of plaque in the oral cavity and maintains oral hygiene. Guduchi helps decrease the formation of plaques, prevents inflammation of gums, and removes bacteria from the oral cavity. Ginger helps to remove plaques, prevent cavities, and strengthen the gums.

Dosage – 2 tablets twice daily with lukewarm water.

4. Digestion support

Digestion support contains Jeerak (Cyminum cuminum), Haritaki (Terminalia chebula), Dhania (coriander sativum), and many more herbs. Maintaining a healthy digestive system is so useful in loss of appetite, vomiting, diarrhoea, and indigestion. It removes toxins from the body, improves digestive fire, and provides good digestion. Amla cleans the oral cavity and fights against the cavities, As it increases the amount of salivary PH it helps to fight against bacteria those involved in the formation of cavities. Jeerak helps to improve the overall health of the oral cavity.

Dosage – 1 capsule twice daily, with plain water, after meals.

5. Gum care powder

The powder contains Poog (Areca catechu), Marich (Piper nigrum), Twak (Cinnamomum zeylancia), Lavang (Syzygium aromaticum), and other herbs. It helps to maintain healthy teeth and gums and prevents gum infection. It pacifies the vata and kapha dosha but aggravates the pitta dosha. As pitta increases it increases digestive fire and improves appetite. It helps with stomach upset, and uneasiness. It is a cough suppressant given in sore throat and congestion. It helps to maintain proper hygiene of the oral cavity. Lavang helps to dilate nerves, helps in proper blood circulation and soothes the oral cavity.

Dosage– Massage teeth and gums with 3-6 gm powder. Rinse the mouth with lukewarm water after 2-3 minutes.

Contact Planet Ayurveda Support Team to provide you the costing / ordering and delivery information at – costing.planetayurveda@gmail.com or Call at 0172-521-4040 (India), +91-172-521-4040 (Outside India) or Whatsapp at (+91) 9915-593-604

CONCLUSION

As we studied in the article the cause, symptoms, diagnosis, and treatment of sialadenitis and sialadenosis. The condition follows the swelling of glands due to various causative factors. In Ayurveda, Acharya Sushrat सु.नि. १३।१३ explained पाषाणगर्दभ (disease of salivary glands). Due to an imbalance of three doshas. Due to poor lifestyle and improper diet, the dosha are aggravated. As salivary glands help in the digestion and swallowing of food and protect the mouth from bacteria therefore it is good to maintain a healthy salivary gland. The herbal remedies provided by Planet Ayurveda such as Curcumin Capsules, Septrin tablets, Kaishore Guggul, Digestion support, and Gum care powder help to cure sialadenitis and sialadenosis. With the help of Cleaning the tongue, maintaining oral hygiene, and a healthy lifestyle gives better results.