Lump on the floor of the mouth. From?

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

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

Kindly visit nearby dentist for furthur consultation and management

Your symptoms suggest that you may have a sialolith or a salivary stone. Please visit an Oral Medicine specialist or an Oral Surgeon. They might ask for specific x-rays or a scan to determine the exact location of the stone. Depending on the same, the stone can be removed.

Although it's not serious, do not delay, as the involved gland may get affected if left untreated.