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Suggest Treatment For Stone On Salivary Gland

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Posted on Thu, 5 Feb 2015
Question: Our ten year old granddaughter who lives here in the DC area has been diagnosed with a 5 mm "stone" on her Salivary gland. Her pediatrician is suggesting that surgery might be necessary to reduce the size of the Salivary stone so she could "pass" the remainder. They are scheduling an ultra sound for the stone. Apparently she also has a growth on her thyroid gland. My wife and I are longtime patients and Benefactor 's at the clinic and have scheduled appointments beginning Feb. 2. However, it seems to me, we need to have a consult with an endocrinologist relative to our granddaughter. Thanks in advance. XXXXXXX O. Fritts. YYYY@YYYY . 703-241-0699 home
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Answered by Dr. Diptanshu Das (3 hours later)
Brief Answer:
Thyroid ultrasound and thyroid profile suggested

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone carefully through the details provided. If possible, I would suggest getting an ultrasound of the thyroid gland done along with that for the salivary stone, if feasible. To be able to comment on what the thyroid growth could indicate, I would have needed more information like the exact nature of the growth and the consistency of the thyroid gland. However, speaking broadly, chances are that she has some sort of iodine deficiency which is causing the symptoms. Getting the thyroid profile (TSH, T3, T4 - which are thyroid hormones) checked would perhaps throw more light on this. It can be worthwhile to get these two reports (thyroid profile and thyroid ultrasound) done and to schedule an appointment with a pediatrician or an endocrinologist based on the findings of the reports.

The salivary stone might not be a cause of much worry. It could have been caused due to thick salivary secretions, the cause of which needs to be explored. Your treating doctor can do this assessment. I admit that surgery might also be required but a 5 mm stone is more likely to pass out and get eliminated on its own.

In case, that does not clarify your queries, please feel free to revert back and I would be happy to help you further.

Regards
Dr. Diptanshu Das
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Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Diptanshu Das

Pediatrician

Practicing since :2005

Answered : 3875 Questions

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Suggest Treatment For Stone On Salivary Gland

Brief Answer: Thyroid ultrasound and thyroid profile suggested Detailed Answer: Thanks for asking on HealthcareMagic. I have gone carefully through the details provided. If possible, I would suggest getting an ultrasound of the thyroid gland done along with that for the salivary stone, if feasible. To be able to comment on what the thyroid growth could indicate, I would have needed more information like the exact nature of the growth and the consistency of the thyroid gland. However, speaking broadly, chances are that she has some sort of iodine deficiency which is causing the symptoms. Getting the thyroid profile (TSH, T3, T4 - which are thyroid hormones) checked would perhaps throw more light on this. It can be worthwhile to get these two reports (thyroid profile and thyroid ultrasound) done and to schedule an appointment with a pediatrician or an endocrinologist based on the findings of the reports. The salivary stone might not be a cause of much worry. It could have been caused due to thick salivary secretions, the cause of which needs to be explored. Your treating doctor can do this assessment. I admit that surgery might also be required but a 5 mm stone is more likely to pass out and get eliminated on its own. In case, that does not clarify your queries, please feel free to revert back and I would be happy to help you further. Regards Dr. Diptanshu Das