Salivary gland stones are small stones that form in salivary glands in your mouth and can block the flow of saliva (spit). They're not usually serious and you may be able to remove them yourself.

Most salivary gland stones form below your tongue in one of the glands supplying saliva to your mouth. You cannot always see them.

Salivary gland stones may cause:

• dull pain in your mouth that comes and goes
• swelling in your mouth that flares up from time to time
• an infection around the stone – signs of infection include pain, redness and a high temperature

If you feel intense pain during mealtimes, this could mean the stone is completely blocking a saliva gland. The pain usually lasts 1 to 2 hours.

You can try to remove a salivary gland stone by doing things to increase the amount of saliva in your mouth, such as:

• drinking plenty of water
• gently massaging around the stone
• chewing sugar-free gum or sucking on sugar-free sweets or lozenges

If you have pain and swelling, you can:

• take paracetamol or ibuprofen
• suck ice cubes or ice lollies

The symptoms will not go away until the stone has been removed.

Important

Do not use anything sharp to try to remove a salivary gland stone because it could cause injury and infection.

See a GP if:

Small salivary gland stones sometimes fall out on their own.

You’ll continue to have symptoms until the stone falls out or is removed.

A GP may attempt to gently remove the stone with a thin, blunt instrument.

If that's not possible, you may need to have the stone removed in hospital.

It's not clear what causes salivary gland stones, so there's no way to prevent them. They're not usually linked to other health problems.

Once removed, salivary gland stones do not usually come back. But if you keep getting them you might need to have 1 of your salivary glands removed.