Saliva Swallowing and Its Natural Flow Mechanism - Otolaryngology

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About swallowing saliva?


Hello Doctor, I have a concern regarding the area under my tongue, specifically behind the lower teeth where saliva is continuously being secreted.
I find that even after swallowing, it keeps coming back.
I would like to ask:
1.
In the area behind the lower teeth, at the base of the lingual frenulum, is it possible for the saliva produced under the anterior two-thirds of the tongue to flow into the throat naturally without the need for a conscious swallowing action? In other words, can the saliva secreted by the submandibular and sublingual glands flow into the throat automatically without needing to consciously swallow, or does this action require awareness to avoid interrupting breathing?
2.
Does the occlusion of the upper and lower teeth stimulate the salivary glands to produce saliva?
3.
Is it normal for the area around the lingual frenulum to continuously secrete saliva, leading to a situation where swallowing occurs repeatedly?
Wishing you peace, health, happiness, and joy.

Xiao Ke, 30~39 year old female. Ask Date: 2013/06/02

Dr. Zheng Jueyi reply Otolaryngology


Hello, near the frenulum of the tongue, there are openings of the submandibular and sublingual glands, which continuously secrete saliva.
When the amount reaches a certain level, it triggers a natural swallowing reflex, which is a normal physiological phenomenon.
It is advised that you do not need to pay special attention to it.
Wishing you peace and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the ENT Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2013/06/02

More Info


Understanding the mechanics of saliva swallowing and its natural flow is essential for grasping how our bodies manage saliva production and swallowing reflexes. Let’s break down your questions regarding saliva secretion, swallowing, and the role of the salivary glands.

1. Natural Flow of Saliva and Swallowing: The saliva produced by the submandibular (jaw) and sublingual (under the tongue) glands does indeed flow naturally into the throat without the need for conscious swallowing. This is a part of the autonomic nervous system's function, which regulates involuntary actions in the body. When saliva accumulates in the mouth, it can flow down the throat due to gravity and the natural movements of the tongue and jaw. This means that you do not need to consciously swallow every time saliva is produced; it can flow down naturally. However, it is important to note that swallowing does involve a coordinated effort that includes closing the airway to prevent aspiration, which is why it can feel like a conscious action at times.

2. Stimulation of Salivary Glands: Yes, the act of chewing and the contact of the upper and lower teeth can stimulate the salivary glands to produce more saliva. This is a reflex action that occurs when food is present in the mouth, as the body prepares for digestion. The taste and smell of food can also trigger salivation. This is why you might notice an increase in saliva when you think about or see food. The stimulation of the salivary glands is part of the body's preparation for digestion, ensuring that food can be adequately moistened and broken down.

3. Continuous Saliva Production: The salivary glands are constantly producing saliva, even when you are not eating. This continuous secretion is essential for maintaining oral health, as saliva helps to neutralize acids, wash away food particles, and provide enzymes that begin the digestion process. The submandibular and sublingual glands, in particular, are responsible for producing a significant portion of the saliva that is present in the mouth at any given time. Therefore, it is normal for you to feel like there is a constant production of saliva, especially if you are aware of it or if you are in a situation that stimulates your salivary glands (like thinking about food).

In summary, the swallowing of saliva can occur without conscious effort, and the salivary glands are continuously active, producing saliva that can flow naturally into the throat. Chewing and the presence of food can stimulate additional saliva production, which is a normal and healthy function of the body. If you have concerns about excessive saliva production or swallowing difficulties, it may be beneficial to consult with a healthcare professional for further evaluation and guidance.

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