Managing Pain and Healing After Salivary Gland Imaging - Dentistry

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Salivary gland imaging


Hello, doctor.
Four days ago, I underwent a sialography at the oral surgery department of the hospital, and now I have developed 4-5 sores in my mouth (from the anesthesia and the tube used during the procedure).
These sores seem to be getting more swollen and painful.
Upon examining them with a mirror and flashlight, I noticed that the wounds appear pale white.
I am currently taking the antibiotics and pain relievers prescribed by my doctor, but I still feel a stinging sensation when drinking water.
Should I see a doctor, or can I wait for them to heal on their own? If they are expected to heal on their own, can I purchase an oral ointment to apply? Thank you!

Jin Yu, 20~29 year old female. Ask Date: 2023/08/21

Dr. Zeng Guanghui reply Dentistry


Hello Miss Goldfish: It is recommended to return for a follow-up visit to have the physician check for any signs of infection or inflammation in the wound.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2023/08/21

More Info


After undergoing salivary gland imaging, it is not uncommon to experience some discomfort or complications, such as the development of small wounds or ulcers in the oral cavity. The presence of 4-5 holes, as you described, likely corresponds to the sites where anesthesia was administered or where the imaging tube was inserted. The fact that these areas are becoming increasingly swollen and painful, and that you observe a whitish appearance, suggests that there may be some irritation or even a mild infection at the site.

Given your symptoms, it is crucial to monitor the situation closely. The use of antibiotics and pain relievers as prescribed by your physician is a good initial approach to manage any potential infection and alleviate discomfort. However, if you continue to experience significant pain, swelling, or if the wounds do not show signs of improvement within a few days, it would be advisable to follow up with your healthcare provider. They can assess the wounds more thoroughly and determine if further intervention is necessary, such as a different course of antibiotics or topical treatments.

In terms of self-care, while waiting for the wounds to heal, you can take several steps to promote healing and manage pain:
1. Maintain Oral Hygiene: Keeping your mouth clean is essential to prevent infection. Use a gentle mouthwash or a saline solution to rinse your mouth, especially after meals. Avoid alcohol-based mouthwashes as they may irritate the wounds.

2. Avoid Irritants: Steer clear of spicy, acidic, or hard foods that may exacerbate the pain. Stick to soft foods and cool liquids to minimize discomfort.

3. Topical Treatments: If you are considering using an oral gel or ointment, ensure that it is specifically designed for oral use. Products containing benzocaine or similar anesthetics can provide temporary relief from pain. However, consult your doctor or pharmacist before using any over-the-counter products to ensure they are safe and appropriate for your situation.

4. Hydration: Continue to drink fluids, but do so carefully. If drinking water causes pain, try sipping slowly or using a straw to minimize contact with the affected areas.

5. Pain Management: Continue taking the prescribed pain medication as directed. If the pain is not adequately controlled, discuss this with your doctor, as they may adjust your pain management plan.

6. Monitor Symptoms: Keep an eye on the wounds for any signs of worsening infection, such as increased redness, swelling, pus, or fever. If any of these symptoms develop, seek medical attention promptly.

In summary, while it is possible that the wounds may heal on their own, it is essential to remain vigilant and consult your healthcare provider if your symptoms persist or worsen. They can provide tailored advice and treatment options based on your specific condition. Your health and comfort should be the priority, so do not hesitate to seek further medical advice if needed.

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