See also:

• Salivary Swelling
• Instructions to patients submandibular salivary stones
• Sialograms and Sialography
• Salivary Ultrasound

Questions

• Age
• Sex
• Occupation (if retired, what did you do before retirement)
• Computer skills to use email and search the internet: yes____ no____
• Please provide a brief description of the symptoms you are having that warrant a visit to the doctor for you salivary gland(s):
• In addition to the description provided above, please add the following information (if not already present in your description) regarding A) Swelling, B) Pain, and C) Other information

Swelling

• What side(s), which glands?
  • Cheek = parotid gland
  • Under jaw = submandibular gland
  • Both areas
• How many years/months has it been going on?
• How often does it occur?
• How long (give a range) does the swelling last when it occurs (minutes/hours/days/weeks/months)
• What makes it better?
• What makes it worse?
• Is it associated with meals?
• Have you received antibiotic or steroids for it?
  • Please indicate what you received and how many times, and the most recent

Pain

• What side(s), which glands (cheek versus under jaw verus both)
• How many years/months has it been going on?
• How long (give a range) does the swelling last when it occurs
• What makes it better?
• What makes it worse?

Other Questions

• Do you have dry eyes or dry mouth? Do you use eye drops to keep your eyes moist?
• Do you have an autoimmune disorder such as rheumatoid arthritis, sjogrens syndrome, SLE, thyroiditis, fibromyalgia?
  • Have you had blood studies draw to evaluate for these disorders – and if so, what did they show?
• Have you had exposure to therapeutic radiation (radioactive iodine; external beam)?
  • If so, please describe when and what for:
• Have you had imaging of your salivary glands and what did it show
  • CT
  • MRI
  • Ultrasound of your salivary glands
• What medications are you on?
• Do you have allergies and if so what are they:
• Do you now or did you in past use tobacco?
  • Please describe
• Do you have any other medical problems such as:
  • Diabetes, hypertension, heart disease, lung disease, kidney disease, abnormal bleeding or bruising, neurologic or emotional problems: