Swelling and Ulcers at the Salivary Gland Opening

Swelling of the oral parotid duct opening?

Hello doctor, about two weeks ago, I woke up to find that the opening of my left parotid duct was swollen, with a white ulcer and pain.
After applying an oral ointment for a week, the pain disappeared, and the swelling reduced, but there is still a small lump there that is not painful.
The white ulcer is still present, but it has faded somewhat.
What could be the issue? Thank you.

LIN, 20~29 year old female. Ask Date: 2021/02/27

Dr. Li Jiaxuan reply Otolaryngology

It may be necessary to rule out issues such as tonsil stones or salivary gland inflammation.
It is recommended to visit an otolaryngology clinic.
Wishing you good health.

Reply Date: 2021/02/27

More Info

Swelling and ulcers at the salivary gland opening can be concerning symptoms, and it's good that you are seeking medical advice. Based on your description, it sounds like you may be experiencing a condition related to the salivary glands, possibly a sialolithiasis (salivary stone), sialadenitis (inflammation of the salivary gland), or a mucous retention cyst.

Possible Causes:
1. Sialolithiasis: This condition occurs when a stone forms in the salivary gland or duct, leading to swelling and pain. The stone can block the flow of saliva, causing the gland to swell and become painful. The presence of a white ulcer could be due to irritation or infection in the area.

2. Sialadenitis: This is an infection or inflammation of the salivary glands, often caused by bacteria or viruses. Symptoms can include swelling, pain, and sometimes pus discharge. If the inflammation is chronic, it can lead to the formation of ulcers.

3. Mucous Retention Cyst: If the duct is blocked, saliva can accumulate, leading to the formation of a cyst. These cysts can sometimes become inflamed or infected, resulting in pain and swelling.

4. Oral Candidiasis: A fungal infection in the mouth can also cause white patches or ulcers. If you have a history of dry mouth or are on medications that reduce saliva production, this could be a possibility.

What You Should Do:
1. Consult a Healthcare Provider: Since the symptoms have persisted for two weeks, it is important to see a healthcare provider, preferably an ENT specialist or a dentist who specializes in oral health. They can perform a thorough examination and may recommend imaging studies like an ultrasound or CT scan to assess the salivary glands.

2. Maintain Oral Hygiene: Keeping the mouth clean can help prevent further irritation or infection. Rinse your mouth with warm salt water to help soothe the area.

3. Hydration: Staying well-hydrated can help promote saliva flow, which may assist in clearing any blockages.

4. Avoid Irritants: Try to avoid spicy or acidic foods that may irritate the ulcer or inflamed area.

5. Medications: If an infection is suspected, your doctor may prescribe antibiotics. If it's a stone, they may discuss options for removal or other treatments.

Conclusion:
While the symptoms you describe may resolve on their own, persistent issues like a lump or ulcer should not be ignored. Early intervention can prevent complications and lead to a more effective treatment plan. It’s essential to follow up with a healthcare professional who can provide a definitive diagnosis and appropriate management based on your specific condition.

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