Salivary Gland Disorders Diagnosis
After describing your symptoms, your doctor will review your medical history and history of cigarette smoking, medications currently taking and food intake. The doctor may also ask if:
- was recently hospitalized for surgery, because eating less food and liquids after surgery can increase the risk of kidney and salivary gland infections
- received radiotherapy for head and neck cancer
- was diagnosed with measles or mumps vaccine
- was recently exposed to someone with influenza or other viral diseases
- is an autoimmune condition such as rheumatoid arthritis
Then, your doctor will examine your head and neck, including the area inside the mouth. The doctor will press gently on the area of ??your cheeks and jaw to detect inflammation, sensitive areas and calculations of the salivary glands. Then, based on your symptoms, history and physical examination, the doctor may order one or more of the following tests:
- X-rays to detect salivary gland stones
- Magnetic resonance imaging (MRI) or computed tomography (CT) to detect tumors and calculations that are not seen on radiographs
- FNA (fine needle to remove cells from the salivary glands) to determine if the tumor is cancerous
- sialography, in which dye is placed into the duct of the gland to see the ways through which the salivary flow
- blood tests to measure antibodies against specific viral infections or antibodies to Sjogren’s syndrome
- salivary gland biopsy (removing a small piece of tissue) to diagnose a cyst, tumor or Sjogren’s syndrome
- examination of the salivary gland function to help diagnose Sjogren syndrome.
- Blood tests to detect nutritional or hormonal problems that can cause sialadenosis
- special eye exams to detect signs of Sjogren’s syndrome