Hi sir....
Your history seems you have salivary stone (sialolith) that which is medically called as Sialolithiosis
Sialolithiosis__Formation of salivary gland stone usually within salivary gland duct...
As you have swelling in the floor of mouth , the gland probably involved is SUBMANDIBUAR SALIVARY GLAND.
SIGNS AND SYMPTOMS:
** Intermittent pain usually before mealtime and subsides afterwards
**Intermittent swelling usually before meal time and subsides afterwards
**Tenderness of involved salivary gland
** PALPABLE HARD LUMP if the stone is located near end of the duct, IF THE STONE IS NEAR THE SUBMANDIBULAR DUCT,YOU CAN FEEL THE LUMP IN THE FLOOR OF THE MOUTH(UNDER THE TONGUE)
**Lack of saliva(Total obstruction)
**Erythema(Redness) of floor of the mouth
** Pus discharge
**Bad breathe
** Cervical lymph node enlargement
CAUSES OF SIALADENITIS:
**Abnormal
calcium metabolism
** Dehydration
** oropharyngeal infection
** Reduced salivary flow rate
**Acidic Ph of saliva
DIAGNOSIS..
Mostly by
**physical examination and history **X_ray of salivary gland( sialogram)
**Ultrasound
Next Steps
Treatment:
For small stones,(Non_invasive)
**Hydration
** Moist heat therapy
**pain killers (NSAID'S)
** sucking citrus fruits( it increase salivary flow and spontaneous expulsion of stone)
**Taking food that is bitter or sour
** Massaing the gland duct with specialist
**shock wave therapy
For moderate stone(Minimally invasive)
Sialoendoscopy
surgical treatment:
**canaliculate the duct to remove stones
**Making small incision near stone to remve it
** If the stone is recurring, it is essential to remove whole salivary gland duct..
SUPPORTING TREATMENT
**ANTIBIOTICS
Health Tips
Kindly visit nearby dentist for furthur consultation and management