{
  "schema_version": 1,
  "kind": "condition",
  "id": "sialolithiasis",
  "name": "Salivary gland stone (sialolithiasis)",
  "category": "chronic",
  "sources": "Anatomy, Head and Neck, Submandibular Gland - StatPearls - NCBI Bookshelf - https://www.ncbi.nlm.nih.gov/books/NBK542272/ · ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class DD66.03 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care",
  "review_status": "reviewed",
  "verified_against": "No dose - referral pathway, no medicine given in primary care · Salivary gland stone (sialolithiasis) - disease-level clinical article (sialolithiasis-clinical.txt)",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 1636,
      "generic": "No drug therapy in primary care (Referral & Advice)",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": "A calcified stone blocking a salivary duct (usually submandibular) causes painful swelling that worsens with eating. GP advises hydration, sialogogues (e.g. sour sweets), gland massage, and analgesia; gives antibiotics if the gland is infected; refers to ENT/maxillofacial for stone removal if it does not resolve.",
      "adult_duration": "Refer, with advice",
      "dose_source": "No dose - referral pathway, no medicine given in primary care",
      "rationale": "A calcified stone blocking a salivary duct (usually submandibular) causes painful swelling that worsens with eating. GP advises hydration, sialogogues (e.g. sour sweets), gland massage, and analgesia; gives antibiotics if the gland is infected; refers to ENT/maxillofacial for stone removal if it does not resolve.",
      "cautions": [
        "No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to.",
        "RED FLAG - Specific physical examination signs indicating superimposed infection requiring antibiotic therapy (cervical adenopathy, purulent discharge from duct, periductal erythema) are omitted",
        "RED FLAG - Complications of chronic untreated obstruction include permanent gland fibrosis and atrophy.",
        "RED FLAG - Facial swelling with fever or pus, suggesting suppurative sialadenitis, signs of abscess, or recurrent stones."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Children follow the same pathway: recognise and refer. No primary-care medicine is implied.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "sialolithiasis"
    }
  ]
}