Who will help with inflammation of the salivary gland?

There can be several reasons for feeling unwell. And it is not always clear which doctor to contact with this or that ailment. Our expert will help you navigate. In order to get a complete answer, in the comments to this article you need:

  • summarize the main symptoms;
  • to make the question as specific as possible;
  • write a question in the comments below this article.

You will find the answers to the questions in the next issue of the heading “ What kind of doctor do I need? "

Question: How to treat inflammation of the salivary gland and who to contact with this disease?

Inflammation of one or more salivary glands - sialoadenitis. As a rule, it is accompanied by facial edema, soreness, and other symptoms and can lead to the formation of a purulent cavity, hardening of the gland, and even the development of a tumor process.

According to the localization of the salivary glands, one can distinguish: 

  • Parotitis (inflammation of the parotid gland), 
  • Sublinguitis (inflammation of the sublingual gland), 
  • Submaxillitis (inflammation of the submandibular gland), 
  • Macrosialoadenitis (inflammation of the large salivary glands), 
  • Microsialoadenitis (inflammation of the small salivary glands).

 

The main symptoms of sialoadenitis include:

  • Pain while chewing;
  • Difficulty opening the mouth;
  • Redness, swelling of the cheek or neck;
  • Dry mucous membranes;
  • Unpleasant taste in the mouth and impaired taste perception;
  • General deterioration in well-being.

Sialoadenitis can be specific (with tuberculosis, syphilis, actinomycosis) and nonspecific (bacterial and viral). Bacterial sialoadenitis occurs more often in the presence of foci of acute or chronic infection of the oral cavity, can be caused by staphylococci, streptococci, as well as bacteria of anaerobic microflora (caries, pulpitis, periodontitis, tonsillitis, etc.). Viral sialoadenitis is a consequence of exposure to viral agents: influenza virus, Epstein-Barr virus, cytomegalovirus, herpes, adenovirus.

The patient needs to consult a dentist-surgeon, a specialist will conduct an examination and diagnostics, choose a treatment strategy (conservative or surgical), and, if necessary, refer to a maxillofacial surgeon for consultation.

 

Question: Hair falls out a lot. Thyroid hormones are normal. Who should you contact?

Pathological hair loss - alopecia. The most common type of hair loss is diffuse telogen hair loss. As a rule, this leads to a decrease in hair volume but does not lead to complete hair loss.

 

Recall that telogen is the phase of shedding. In this phase, the hair papilla is torn off from the vessel feeding it and the nerve endings. The reasons for this hair loss:

  • Deficiency states: 
    • Anemia (due to blood loss in case of menstrual irregularities, heavy menstruation, etc.),
    • Latent iron deficiency,
    • Deficiency of a number of vitamins and minerals in the body, 
    • Lack of protein, etc .;
  • Endocrine changes;
  • Prolonged stress;
  • Transferred infectious diseases, etc.

The second most common type of hair loss is androgenic (or androgenetic) alopecia - hereditary progressive hair loss in men and women under the influence of male sex hormones - androgens. In men, there is a shift of the forehead hairline upward within 1 cm, and then hair thinning in the bald patches and the advancement of the hair thinning zone to the crown and parietal region, followed by complete baldness of these areas.

In women, complete baldness is not observed, but hair thinning in the fronto-parietal zone is noted, the central part visually becomes wider. As a rule, with this type of alopecia, women have endocrine disorders (polycystic ovary syndrome, adrenal diseases, etc.), and in addition to hair loss on the head, their increased growth in other parts of the body, the appearance of acne, and menstrual irregularities are noted.

 

More rare types of alopecia include:

  • Alopecia areata, which is more common in children and adolescents, is due to the fact that the immune system mistakenly attacks the hair follicles;
  • Anagen hair loss (hair loss in the anagen / growth phase as a result of chemotherapy);
  • Cicatricial alopecia due to diseases such as discoid lupus erythematosus, scleroderma, lichen planus, etc.;
  • Alopecia as a result of infectious diseases: 
    • Trichophytosis, 
    • Microsporia.

The patient should consult a trichologist. The specialist will conduct an examination and specialized studies - trichoscopy and phototrichogram, if necessary, refer to other narrow specialists (endocrinologist, gynecologist, etc.) and to additional research methods, including clinical, laboratory and biochemical methods.

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