Salivary Gland Issues: Seeking Help for Sticky Saliva

Saliva viscosity

Three years ago, I had a terrible experience with a doctor who mishandled a dental issue! The doctor likely damaged my salivary gland, resulting in very thick saliva on the left side, while the right side is normal.
Over the past three years, I have seen more than 30 doctors, but none have been able to identify the cause.
I have consulted all the renowned specialists in the northern region, yet the cause remains undetermined.
Which specialty should I consult for salivary gland issues? I have switched ENT doctors four times, and I have also been tested for xerostomia, but the doctors said the results were normal.
I have seen neurologists and psychiatrists as well, and they all said there were no issues.
I would like to ask for some advice on what I should do next.

Pei Ling, 50~59 year old female. Ask Date: 2023/10/22

Dr. Zheng Jueyi reply Otolaryngology

If the examination by a Western medicine physician shows no abnormalities, consideration can be given to traditional Chinese medicine for treatment and adjustment.

Reply Date: 2023/10/22

More Info

It sounds like you have been through a challenging journey with your salivary gland issues, particularly with the sticky saliva on the left side. Given your extensive experience with various specialists, it’s understandable that you are feeling frustrated and seeking further guidance.
Salivary gland dysfunction can manifest in various ways, including changes in the consistency of saliva, which can be caused by a range of factors. In your case, it seems that the left salivary gland is producing thicker saliva compared to the right side. This could potentially be linked to a few different underlying issues, including but not limited to:
1. Obstruction: A blockage in the salivary duct can lead to thickened saliva. This could be due to salivary stones (sialolithiasis) or other obstructions that prevent normal saliva flow.

2. Infection or Inflammation: Conditions such as sialadenitis (inflammation of the salivary glands) can alter saliva production and consistency.
3. Neurological Factors: Since you mentioned seeing a neurologist, it’s worth noting that certain neurological conditions can affect the autonomic nervous system, which controls salivary gland function.

4. Medication Side Effects: Some medications can lead to changes in saliva production, making it thicker or causing dry mouth (xerostomia). If you are taking any medications, it might be worth reviewing them with your doctor.

5. Dehydration or Diet: Insufficient hydration or a diet low in certain nutrients can also affect saliva consistency.
Given that you have already consulted with ENT specialists, neurologists, and other healthcare providers without a definitive diagnosis, I would recommend considering a few additional steps:
- Oral and Maxillofacial Surgery: Since your issue seems to be localized to the salivary glands, consulting with an oral and maxillofacial surgeon might provide insights. They specialize in conditions affecting the mouth, jaws, and face, and may have more targeted diagnostic tools.

- Salivary Gland Imaging: If not already done, imaging studies such as ultrasound or MRI of the salivary glands can help visualize any structural abnormalities or blockages.

- Sialendoscopy: This is a minimally invasive procedure that allows doctors to look inside the salivary ducts and potentially remove any obstructions or stones.

- Salivary Function Tests: These tests can measure the flow rate and composition of saliva, which might help in understanding the dysfunction better.

- Consult a Rheumatologist: Since you mentioned that you have been tested for dry mouth conditions, it might be worthwhile to see a rheumatologist to rule out autoimmune conditions like Sjögren's syndrome, which can affect salivary glands.

- Lifestyle Modifications: In the meantime, staying well-hydrated, using saliva substitutes, and avoiding caffeine and alcohol can help manage symptoms.

It’s important to advocate for yourself and continue seeking answers. If you feel that your concerns are not being addressed adequately, consider seeking a second opinion from a different specialist or a comprehensive care center that focuses on complex cases. Remember, you are your best advocate, and persistence is key in finding the right diagnosis and treatment.

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