Sialolithiasis: Symptoms, Diagnosis & Treatment
A clear guide to salivary gland stones, covering warning signs, diagnosis and treatment options for relief.
Treatment usually begins with
Specialist Assessment
Imaging
Conservative Management
Procedural Removal
Many stones pass on their own with conservative measures, with procedures available for stones that don't clear.
You may need this evaluated if...
A salivary gland stone evaluation is recommended when these signs appear:
- Swelling and pain in the cheek or under the jaw, especially while eating
- A hard lump felt near a salivary gland
- Recurring swelling that comes and goes
- Dry mouth or reduced saliva flow
Salivary gland stones are treatable, and most cases resolve well with conservative care or a minor procedure.
What is Sialolithiasis (Salivary Gland Stones)?
Sialolithiasis is the formation of hardened mineral deposits within a salivary gland or its duct, causing pain and swelling, especially around mealtimes.
Common Salivary Gland Condition
One of the most frequent reasons for salivary gland-related pain and swelling.
Often Meal-Triggered
Symptoms typically worsen when eating, as saliva production increases.
Usually Not Serious
Most stones are benign and cause discomfort rather than serious complications.
Multiple Treatment Options
From conservative measures to minor procedures, most stones can be effectively managed.
Common Symptoms
- Swelling in the cheek or under the jaw
- Pain that worsens while eating
- A palpable lump near a salivary gland
- Dry mouth
- Occasional infection with fever
What Increases Your Risk
A combination of medical, lifestyle and environmental factors can increase the likelihood of this condition.
How It Is Diagnosed
A structured assessment confirms the diagnosis and helps guide the right treatment plan.
Clinical Examination
A physical examination identifies swelling and any palpable stone.
Ultrasound
Imaging confirms the presence, size and location of the stone.
CT Scan
More detailed imaging may be used for stones not clearly seen on ultrasound.
Sialography
Specialised imaging of the salivary duct may be used in select cases.
Treatment Approaches
Medical Care
- Increased fluid intake and gland massage
- Sialogogues to stimulate saliva flow and help pass the stone
- Warm compresses for symptom relief
- Antibiotics if infection is present
Surgical Care
Sialolithotomy or minimally invasive duct procedures remove stones that don't pass on their own, preserving the gland whenever possible.
Treatment decisions are based on symptoms, test results, timing and overall health, not a single test.
Know When to Act
Recognising these signs early and acting promptly is important for the best outcome.
Book an Assessment
Schedule a consultation for a routine evaluation or ongoing symptoms.
- Recurring swelling or pain near a salivary gland
- A palpable lump needing evaluation
Seek Urgent Care
Call for emergency care immediately if you notice any of the following.
- Severe swelling with fever, suggesting infection
Not Sure What You Need?
Speak to a Care Guide and we'll help you choose the right ENT specialist.
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