Salivary Gland Inflammation: Symptoms and Treatment FAQs

Questions related to sialadenitis?

Hello Doctor, I woke up the day before with sudden swelling and pain on one side of my cheek extending to my jaw.
Besides a strange feeling in my throat and some colored phlegm, I have no other symptoms.
After waking up, I visited an ENT specialist who diagnosed me with sialadenitis and checked my tonsils, finding no issues.
The doctor prescribed antibiotics and some pain-relieving anti-inflammatory medication, as well as fever medication.
After taking the medication for three meals, I was awakened last night by throat pain.
The swelling and pain in my cheek have decreased, but upon waking, my throat pain is unbearable, and I have started to have a lot of nasal discharge.
When I blow my nose, it causes pain in my cheek, and I also notice some blood.
Upon waking, I feel dizzy and have a slight fever.
I have the following questions: 1.
I have heard that it’s best to see a doctor at the onset of discomfort, as symptoms may not fully manifest.
Given my current severe throat discomfort, should I see a doctor again, or should I finish my current medication first? 2.
I have heard that the course of antibiotics (AMOXICILLIN CAPSULES 500MG) is usually at least five days, but I have also heard that symptoms like fever and dizziness are more indicative of a viral rather than bacterial infection.
Should I finish the antibiotics and then return for a follow-up? 3.
Is sialadenitis contagious? Should I be concerned about transmitting it to my family members living with me? I apologize for the many questions, and thank you for your help.

Doufu, 20~29 year old female. Ask Date: 2023/11/14

Dr. Zheng Jueyi reply Otolaryngology

1.
If symptoms worsen or if there is a fever, you may return for an earlier appointment for reevaluation by your physician.
2.
Regarding the need for continued antibiotic treatment, it is recommended to complete the medication and then return for your physician's assessment on whether ongoing use is necessary.
3.
If there are elderly individuals or children at home, or if you are concerned about transmitting the infection to other household members, you may wear a mask and temporarily eat separately.

Reply Date: 2023/11/14

More Info

Salivary gland inflammation, commonly referred to as sialadenitis, can be a painful and uncomfortable condition. It often presents with symptoms such as swelling, tenderness in the affected area, and sometimes fever or malaise. In your case, it seems you have been experiencing significant discomfort, particularly in the facial region, along with throat pain and nasal symptoms. Let’s address your questions one by one.

1. Should you see a doctor again? Given that your symptoms have evolved and you are experiencing severe throat pain, nasal congestion, and possibly a fever, it would be prudent to consult your physician again. While it’s true that some symptoms may not fully manifest at the initial visit, the worsening of your throat pain and the presence of blood in your nasal discharge are concerning. These could indicate a secondary infection or complications that may require further evaluation and possibly a different treatment approach. It’s always better to err on the side of caution, especially when symptoms change or worsen.

2. Should you continue the antibiotics? Amoxicillin is a common antibiotic prescribed for bacterial infections, and it is typically recommended to complete the full course, which is usually at least five to seven days, even if you start feeling better. However, if your symptoms suggest a viral infection (such as the presence of significant throat pain and systemic symptoms like fever and malaise), antibiotics may not be effective. If you suspect that your condition is not improving or is worsening, it’s essential to discuss this with your doctor. They may decide to reassess your condition and determine whether a different treatment or additional diagnostic tests are necessary.

3. Is sialadenitis contagious? Sialadenitis itself is not contagious. It is usually caused by bacterial infections, often due to a blockage in the salivary glands (such as from dehydration, salivary stones, or reduced saliva flow), or it can be viral in nature. However, if your throat pain is due to a viral infection, such as a cold or flu, those viruses can be contagious. It’s wise to practice good hygiene, such as frequent handwashing and avoiding close contact with others, especially if you are experiencing respiratory symptoms. If you are concerned about the health of your family members, it’s best to maintain good hygiene practices and monitor for any symptoms they may develop.

In summary, given your evolving symptoms, it would be advisable to follow up with your healthcare provider. They can provide a thorough evaluation and adjust your treatment plan as necessary. It’s essential to communicate all your symptoms clearly to ensure you receive the most appropriate care. Remember, while antibiotics are crucial for bacterial infections, they are ineffective against viral infections, and understanding the underlying cause of your symptoms is key to effective treatment.

Similar Q&A

Understanding Salivary Gland Inflammation: Causes and Treatments

Three weeks ago, I experienced swelling of the salivary gland adjacent to my molars (the tip appeared leaf-shaped) along with an ulcer that was painful. After using an oral ointment, the swelling decreased slightly but persisted. A week later, during a visit to the clinic, the do...

Dr. Li Jiaxuan reply Otolaryngology
It is recommended to arrange an ultrasound examination of the glands at the otolaryngology outpatient clinic and to perform an oral biopsy when necessary. Wishing you well.

Understanding Submandibular Gland Inflammation: Symptoms and Treatment Options

Hello Doctor, I had tonsillitis at the end of June, which involved pus, and I recovered within about a week. Then, in early July, I developed a canker sore on the lower right side of my tongue (not on the tongue itself), which led to inflammation of the right submandibular gland....

Dr. Li Jiaxuan reply Otolaryngology
It is recommended to visit an otolaryngology clinic for a physical examination and X-ray. Before the appointment, it may be beneficial to maintain adequate sleep, nutrition, and hydration. Wishing you good health.

Understanding Submandibular Gland Inflammation and Acne: Causes and Solutions

Hello Dr. Hong, I have noticed that over the past six months, my left parotid gland seems to be experiencing recurrent inflammation and swelling without improvement. Occasionally, there is pain upon pressure, and the swelling varies in size. In the past 2 to 3 months, I have als...

Dr. Hong Zhengsheng reply Dermatology
Hello: A decrease in immunity is a major cause of inflammation. Irregular lifestyle habits, smoking, unbalanced diet, and individual constitution are all significant factors contributing to weakened immunity. I apologize for not being able to provide a diagnosis based solely on y...

Understanding Pain and Swelling in Salivary Gland Infections

Hello, doctor: I have pain below my cheeks, with sharp pain in my parotid gland. There is a slight swelling in the parotid gland, and pain relievers are not effective. What should I do?

Dr. Ji Zhaoyun reply Otolaryngology
It is recommended to consult an otolaryngologist to assess for any other infections or issues.