Salivary Gland Issues: Symptoms and Causes Explained - Otolaryngology

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Salivary gland issues?


I would like to ask the doctor about the salivary glands, specifically the sublingual salivary glands.
Besides the two round glands located near the lingual frenulum, does the raised area behind them also count as a salivary gland? Why does that area sometimes appear red and slightly swollen, although it is not enlarged or exhibiting any other symptoms? I have previously undergone a minor surgery to remove a blockage in the duct of the sublingual gland, so I am particularly sensitive to any redness in that area.
Additionally, could this redness and slight swelling be related to food or a condition of excess heat in the body? Thank you for your valuable time in responding, doctor.

Vivian, 40~49 year old female. Ask Date: 2017/04/13

Dr. Zheng Jueyi reply Otolaryngology


Hello, if there is no significant swelling or pain, slight redness and swelling may be a sign of mild inflammation.
It is recommended to maintain a regular routine, drink plenty of water, and avoid spicy foods.
If you continue to have concerns, you may visit an otolaryngologist.
Wishing you peace and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/04/13

More Info


Salivary gland issues can manifest in various ways, and understanding the symptoms and causes is crucial for effective management. The sublingual salivary glands, located beneath the tongue, are part of the major salivary glands, which also include the parotid and submandibular glands. The sublingual glands are responsible for producing saliva, which aids in digestion and oral health.
In your case, you mentioned noticing some redness and slight swelling in the area behind the sublingual glands, which could be concerning. The sublingual glands are indeed located near the area you described, and any changes in color or swelling can indicate inflammation or irritation. This could be due to several factors, including infection, blockage of the salivary ducts, or even irritation from food or other substances.

One common cause of salivary gland inflammation is sialadenitis, which is an infection of the salivary glands. This condition can occur when the salivary flow is reduced, leading to a buildup of saliva and potential bacterial growth. Symptoms may include swelling, pain, and redness in the affected area. If you've had previous surgery to remove a blockage, it's possible that the duct may still be sensitive or prone to irritation.

Another possibility is that the redness and swelling could be related to dietary factors. Certain foods, especially acidic or spicy ones, can stimulate salivary production and may cause temporary swelling or irritation in the glands. Additionally, if your body is experiencing a state of "heat" or inflammation, as you mentioned, this could also contribute to the symptoms you're experiencing. Traditional Chinese medicine often refers to "heat" in the body, which can manifest as redness, swelling, and discomfort.

It's also important to consider other systemic factors that could affect your salivary glands. Conditions such as Sjögren's syndrome, an autoimmune disorder, can lead to dry mouth and swelling of the salivary glands. This condition is characterized by the immune system attacking the glands, leading to reduced saliva production and potential inflammation. If you have a family history of autoimmune diseases or if you experience other symptoms such as dry eyes or joint pain, it may be worth discussing this with your healthcare provider.

In terms of management, if the redness and swelling persist or worsen, it would be advisable to consult with a healthcare professional. They may perform a physical examination and possibly imaging studies to assess the glands and determine if there is an underlying issue that needs to be addressed. Treatment options may include hydration, warm compresses, and in some cases, antibiotics if an infection is present.

In summary, the area behind the sublingual glands is indeed part of the salivary gland system, and changes in this area can indicate various issues. Factors such as diet, previous surgeries, and systemic health can all play a role in the symptoms you're experiencing. If you have concerns or if the symptoms persist, seeking medical advice is the best course of action to ensure proper diagnosis and treatment.

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