The medical history represents an important component in the diagnosis of sialadenitis, in addition to the findings. Family history
- What is the general health of your family?
- Infectious diseases?
Social history
- What is your profession?
- Are you at risk of infection in your profession?
Current medical history / systemic history (somatic and psychological complaints).
- What complaints do you have?
- Have you noticed any general signs of illness such as headache, fever, loss of appetite?
- Do you have any pain and if so, where?
- Headache?
- Earache?
- Testicular pain?
- Have you noticed any painful neck stiffness?
- Do you experience pain when chewing?
- Do you have difficulty swallowing?
- Do you have any functional limitations?
- Difficulty opening your mouth?
- Have you noticed swelling in response to food intake?
- Do you suffer from dry mouth?
- Do you suffer from dry, burning eyes?
- Do you have burning tongue?
- Do you suffer from inflammation of the lips (cheilitis) or inflamed corners of the mouth (rhagades of the corners of the mouth, cheilitis angularis)?
- Do you have an impaired sense of taste?
Vegetative anamnesis including nutritional anamnesis.
- Has your appetite changed?
- Do you feel run down?
- Are you drinking enough? How much daily?
- Do you eat a balanced diet?
- Do you suffer from nausea / vomiting?
- Do you drink alcohol? If so, what and how much daily?
Self history incl. medication history.
- Pre-existing conditions
- Allergies
- Blood diseases
- Endocrinopathies (clinical pictures caused by disturbed function of endocrine glands or the defective action of hormones) with a general influence on the salivary glands
- Diabetes mellitus
- Osmotic diuresis
- Primary biliary cholangitis (PBC, synonyms: nonpurulent destructive cholangitis/biliary duct inflammation; formerly primary biliary cirrhosis).
- Diabetes mellitus
- Disease of the rheumatic type.
- Sjögren’s syndrome or sicca syndrome
- Systemic lupus erythematosus (SLE) – autoimmune disease in which the formation of autoantibodies occurs. It is one of the collagenoses
- Polymyositis – systemic inflammatory disease of skeletal muscle.
- Scleroderma – disease associated with leathery connective tissue hardening of the skin.
- Rheumatoid arthritis (RA) – chronic inflammatory multisystem disease, usually manifested in the form of synovitis (inflammation of the synovial membrane).
- Primary fibromyalgia syndrome – widespread syndrome that can lead to chronic pain in several regions of the body.
- Viral infections
- Parotitis epidemica (mumps)
- Cytomegalovirus disease
- Coxsackie
- Influenza (flu)
- Hepatitis C
- HIV infection
- Specific infections
- Tuberculosis
- Sarcoidosis (synonyms: Boeck’s disease; Schaumann-Besnier’s disease) – systemic connective tissue disease with granuloma formation (skin, lungs and lymph nodes).
- Water balance disorders (dehydration/fluid deficiency).
- Surgeries (laparotomy/abdominal incision; oral and maxillofacial surgery).
- Previous complaints
- Accidents (injuries in the mouth, jaw and face)
- Immunosuppression (suppression of the immune system).
- Radiotherapy
- Vaccination status
- Vaccination mumps?
- Medication history
- Salivation-inhibiting (reducing salivary flow) medications can affect salivary gland health. About 400 such drugs with xerogenic (dry mouth-causing) properties are known.They belong to the following groups:
- Antiadiposita
- Antiarrhythmics
- Anticholinergics
- Antidepressants
- Antiepileptic drugs
- Antihistamines
- Antihypertensives
- Antiparkinsonian drugs
- Antipsychotics (neuroleptics)
- Anoretics
- Anxiolytics
- Ataractics
- Diuretics
- Hypnotics
- Muscle relaxants
- Sedatives
- Spasmolytics
- Salivation-inhibiting (reducing salivary flow) medications can affect salivary gland health. About 400 such drugs with xerogenic (dry mouth-causing) properties are known.They belong to the following groups: