How to Treat Sialadenitis & Sialadenosis through Ayurveda

Abstract

Sialadenitis and sialadenosis both are the common cause of swelling in the submandibular gland. The cause of the inflammation is bacterial infection, viral infection, mikulicz disease, sjogren’s disease, granulomatous sialadenitis, papillary obstructive parotitis and other autoimmune diseases. There are three pairs of the salivary glands (Exocrine glands) which are submaxillary gland, parotid gland and sublingual gland. They help in swallowing, in the digestion process, in mouth lubrication and prevent the teeth from various harmful bacteria. It is most important to take care of the salivary glands to prevent various diseases. Today we will read about the sialadenitis and sialadenosis disease in brief in this article.

Introduction

Sialadenosis is a diffuse, non-neoplastic, chronic, non-inflammatory disorder that may cause salivary glands enlargement that occurs in union with ductal and acinar hypertrophy. It is usually symmetric and bilateral non-tender inflammation. Sialadenitis is a condition in which the salivary gland is swollen. Mostly the parotid gland, affected the salivary gland. It may be chronic, recurrent and acute.

Causes

Causes of sialadenitis

1. Infectious causes – Bacterial

• Haemophilus influenzae
• Staphylococcal aureus
• Gram negative aerobes

2. Virus

• HIV
• Mumps

Others

• Tuberculosis
• Actinomyces

Obstructive causes

1. Ductal stricture
2. External compression like denture flanges
3. Sialolithiasis
4. Foreign body like grass blade, fish bone, hair

Inflammatory causes

1. Radioiodine treatment
2. Contrast induced sialadenitis
3. Post Radiation sialadenitis

Drug-induced sialadenitis

1. Phenylbutazone
2. I-asparaginase
3. Clozapine

Autoimmune sialadenitis

1. IgG4 related disease
2. Sjogren syndrome

Granulomatous sialadenitis

1. Xanthogranulomatous sialadenitis
2. Sarcoidosis

Causes of sialadenosis

1. Nutritional disorders

1. Vitamin deficiency
2. Bulimia nervosa

2. Endocrine disorder

1. Hypothyroidism
2. Diabetes mellitus

3. Metabolic disorders

1. Malabsorption
2. Cirrhosis
3. Obesity

Autoimmune condition

• Sjogren disease

Drug induced

1. Thiourea
2. Valproic acid

Symptoms

The following are the common symptoms of sialadenitis and sialadenosis:-

• Low grade fever
• Tender and painful swelling
• Malaise
• Purulent discharge
• Decreased saliva
• Swelling in the neck and cheek region
• Dry mouth
• Pain during eating

Diagnosis

• Proper history taken
• Physical examination
• Complete blood count (CBC)
• X-ray
• Ultrasonography
• CT scan

Treatment

• NSAIDS
• Sialogogues
• Empiric antibiotic therapy
• Massage
• Warm compresses
• Hydration
• Maintain oral hygiene
• Surgical removal of the affected salivary gland

Complications

• Abscess formation
• Dental decay
• Recurrence

Ayurvedic overview

In Ayurveda, Acharya Sushruta described 65 mukha roga (Disorder of buccal cavity). There is presence of all the three doshas that are Vata dosha, Pitta dosha and Kapha dosha in the mouth and play a vital role and functions. One of the subtypes of kapha dosha is bodhaka kapha that is responsible for lubrication of the mucous membrane of the oral cavity. Vata dosha is present in teeth pores and in blood vessels pitta dosha is present which protects and nourishes the tissues of gum. Vitiation of all the three doshas occur due to faulty lifestyle and diet that leads to imbalances of the doshas that usually cause swelling and inflammation in the salivary glands and oral cavity.

Treatment

• In Ayurveda, firstly we balance the doshas which are aggravated.
• Avoid the faulty diet and lifestyle
• Procedures like tongue cleaning, oil pulling and maintaining oral hygiene brings better results in this disease.
• Herbs like amalaki (Emblica officinalis), haridra (Curcuma longa), khadir (Acacia catechu), neem (Azadirachta indica) has anti inflammatory properties that reduce the inflammation and swelling of the salivary glands.

Herbal Remedies for Sialadenitis and Sialadenosis by Planet Ayurveda

Planet ayurveda provides various types of herbal remedies for various types of diseases. The company strictly follows all the criteria described in the ancient textbook of Ayurveda. These herbal remedies are pure, natural and vegetarian. These herbal medicines are GMP certified. There is no chemical, additives, yeast or any other preservatives and are safe to consume. There are no side effects of these medications. Planet Ayurveda provide herbal remedies for the management of sialadenitis and sialadenitis which are given below

1. Curcumin capsules
2. Septrin tablets
3. Kaishore guggul
4. Digestion support
5. Gum care powder

 

Product Description

1. Curcumin capsules

It is a single herbal capsule containing haridra (Curcuma longa). It is katu (Pungent) and tikta (Bitter). It is laghu (Light), ushna (Hot) and ruksha (Dry). It alleviates kapha dosha and vata dosha. It acts as an astringent, digestive, and anti-diabetic. It is very good for skin and helpful in blood formation. It contains vitamin A, minerals, volatile oils, protein and a rich amount of carbohydrates. It is a known anti allergic, diuretic, antioxidant, anti bacterial and carminative. It is indicated in blemishes, burns, liver diseases, autoimmune disorders and acne. It contains anti cancer properties which inhibit the tumors of colon and skin. It is also helpful in cuts and bruises because it is a natural antibiotic. It is an effective remedy for wounds, inflamed joints and sprains.

Dose:- 1 Capsule twice daily

2. Septrin tablets

It is a herbal tablet containing guggul (Commiphora mukul), haridra (Curcuma longa), tulsi (Ocimum sanctum), pippali (Piper longum), etc. It is bitter in taste but hot in effect. It has qualities to pacify all the three doshas in the body that is vata, pitta and kapha dosha. It is also described as dry, sharp, unctuous, sticky and light. It contains calcium, iron, silicon dioxide, magnesium and a volatile oil. It has a wide range of actions on the human body. It has antibacterial, anthelmintic, anti inflammatory and blood purifying properties. It is an anabolic, adaptogenic and immuno-modulator drug. It is indicated in fever, asthma, bronchitis, stress, skin diseases, obesity and headache. It is digestive, antipyretic, diuretic, carminative, aphrodisiac, immuno-stimulant and a tonic. It helps in relieving various respiratory problems like spasms, infections, and allergies. In various other diseases like constipation, anorexia, piles and in conditions where liver and spleen functioning needs improvement.

Dose:- 2 Tablets twice daily

3. Kaishore guggul

It is a herbal tablet containing amalaki (Emblica officinalis), haritaki (Terminalia chebula), bibhitaki (Terminalia bellirica), guggul (Commiphora mukul), etc. It is bitter, pungent, sour and sweet in taste but hot, dry and light in effect. It balances all the three doshas- vata, pitta and kapha. It acts as a carminative, laxative and digestive in nature. It corrects metabolism, stimulates liver functions, kills intestinal worms, and has a tonic effect. It has anti inflammatory, anti obesity, rejuvenate, aphrodisiac and wound healer properties. It is indicated in constipation, loss of appetite, indigestion, upward flow of abdominal gas, piles and sprue. It has a very good effect on swelling of the liver and spleen and is also beneficial in asthma, hiccups, jaundice, cough, and sinusitis. It helps to dissolve glandular swellings.

Dose:- 2 Tablets twice daily

4. Digestion support

It is a polyherbal capsules contain amalaki (Emblica officinalis), haritaki (Terminalia chebula), bibhitaki (Terminalia bellirica), sounf (Foeniculum vulgare), dhania (Coriander sativum), etc. It is pungent, bitter and sweet in taste and sharp, cold and light in effect. It contains fat, protein, fibre, carbohydrates and minerals. It alleviates vata dosha and kapha dosha. It acts as appetizing, digestive, carminative, and stimulating aid. It is an anti colic, galactagogue, expectorant and diuretic. It is also mildly vermicidal and antiseptic in action. It is used in a number of digestion related ailments such as dysentery, gas trouble, diarrhea, nausea and anorexia. It is also beneficial in conditions involving minor coughs and colds, burning micturition and bad breath. It is very useful in dyspepsia, biliousness, flatulence and indigestion.

Dose:- 1 Capsule twice daily<

5. Gum care powder

It is a herbal powder blend containing sunthi (Zingiber officinale), haritaki (Terminalia chebula), khadir (Acacia catechu), marich (Piper nigrum), etc. It is katu (Pungent) and tikta (Bitter) in taste. It is unctuous, hot and light in effect. It pacifies vata and kapha but aggravates pitta. It is digestive, blood detoxify, sialagogue, carminative, and anti colic. It also has cardiac stimulant, aphrodisiac and anti rheumatic properties. It is used in nausea, gas trouble and upset stomach. It helps in preventing gums from infections. It also has cough suppressant qualities, soothes sore throat and relieves congestion and sinusitis.

Dose:- For gargling:- Massage your teeth and gums gently with 3-6 gm powder. Rinse the mouth with lukewarm water after 2-3 minutes.

Conclusion

Sialadenitis and sialadenosis are the conditions in which swelling of the submandibular gland occur due to various causative factors. In Ayurveda, we can correlate this disease with vitiation of tridosha (Vata, Pitta and Kapha). We can manage this condition in Ayurveda with various herbs or herbal remedies like curcumin capsules, septrin tablets, kaishore guggul, etc. Other procedures like clean tongue, oil pulling or maintaining proper oral hygiene give better results in this disease