Submandibular sialadenitis is a condition in which the submandibular gland, one of the major salivary glands, gets inflamed. This inflammation can be acute or chronic. Acute infection is usually bacterial in nature, while chronic inflammation is usually related to calculi formation and reduced saliva, due to various causes.
The Ayurvedic treatment of submandibular sialadenitis is aimed at controlling the infection, dissolving small calculi, inducing normal flow of saliva and preventing complications like abscess. Medicines like Sukshma-Triphala, Triphala-Guggulu, Panch-Tikta-Ghrut-Guggulu and Gandhak-Rasayan are used to treat infection and inflammation in the salivary, submandibular gland. Medicines like Maha-Manjishthadi-Qadha, Saarivadi-Churna, Punarnavadi-Guggulu, Manjishtha (Rubia cordifolia), Saariva (Hemidesmus indicus), Punarnava (Boerhaavia diffusa), Haridra (Curcuma longa), Daruharidra (Berberis aristata), Deodar (Cedrus deodara), Nimba (Azadirachta indica), Tulsi (Ocimum sanctum), Khadeer (Acacia catechu), Bhrungraj (Eclipta alba), Guggulu (Commiphora mukul) and Shallaki (Boswelia serrata) can also be used to reduce inflammation.
Medicines like Gokshuradi-Guggulu, Chandraprabha-Vati, Yava-Kshar, Mulak-Kshar, Shankh-Vati, Pashanbhed (Bergenia lingulata), Kali-Musli (Curculigo orchioides), Ikshumool (Saceharum officinarum), Apamarga (Achyranthus aspera), Sahinjan (Moringa pterygosperma) and Kutki (Picrorrhiza kurroa) are used to dissolve small calculi and help in the normal flow of saliva.
Local applications can be made in the form of ointments containing Manjishtha, Saariva, Haridra, Daruharidra, Chandan and Mandukparni (Centella asiatica). This helps in early resolution of swelling and inflammation, and prevents the formation of abscess or fistula.
Acute symptoms of this condition usually resolve within a few days to a few weeks. Chronic sialadenitis may have a relapsing and remitting course. Ayurvedic medicines like Kanchnaar-Guggulu and Sukshma-Triphala help in resolving the chronic condition and preventing recurrence. Other associated conditions like Sjogren syndrome need to be treated with appropriate medicines. Adequate oral intake of fluids is an important part of the management of this condition.