Hesperian Health Guides
Infection Inside the Spit (Saliva) Gland
HealthWiki > Where There Is No Dentist > Chapter 7 Part 2: Some Special Problems > Infection Inside the Spit (Saliva) Gland
Spit is sent from the gland to the mouth through a thin pipe called a duct. Ducts open into the mouth in two places: on the inside of each cheek and under the tongue.
A small stone can often block a duct and cause an infection in the spit gland and swelling of the face. You may be able to feel the stone near where the duct enters the mouth.
Signs:
- Swelling in the area of the spit gland.
- Pain which gets worse when the person is hungry, and when he sees or smells food.
- The opening of the duct is red, swollen, and hurts when you touch it.
![]() tongue
spit from this gland enters on the inside of the cheek
spit from this gland enters under the tongue |
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Treatment:
Reduce the infection and swelling first. Later try to remove the stone.
- Give dicloxacillin (500 mg by mouth, 4 times a day for 7 to 10 days) or clindamycin (300 mg by mouth, 4 times a day for 5 to 14 days). Warning: Do not give dicloxacillin to people who are allergic to penicillin.
- Give aspirin, paracetamol (acetominophen), or ibuprofen for pain.
- Have the person drink a lot of fluids and hold a hot, wet cloth on the swelling as often as possible.
- Give enough soft food to prevent the person from feeling hungry. The pain will be less then.
- When the person feels better, a dentist or doctor can remove the stone that is blocking the duct.