Submandibular Gland Lymph Nodes and Saliva Production - Otolaryngology

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Regarding the submandibular lymph nodes?


My CT scan shows an increased amount of lymph nodes in the submandibular gland, along with lymphadenitis.
I would like to ask: 1.
Does an increased number of lymph nodes in the submandibular gland lead to increased saliva secretion? 2.
Does lymphadenitis in the submandibular gland result in increased saliva production? Thank you.
Wishing you peace, health, and success.

Monica, 30~39 year old female. Ask Date: 2013/06/03

Dr. Zheng Jueyi reply Otolaryngology


Hello, having more lymph nodes in the submandibular gland does not necessarily indicate increased saliva secretion.
It may suggest insufficient water intake or the presence of inflammation in the oral cavity, such as dental issues, which could lead to an increase in lymph nodes.
It is advisable to drink more water or consult a dentist or an otolaryngologist to evaluate any potential oral problems.
Wishing you peace and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2013/06/03

More Info


The submandibular glands are one of the major salivary glands located beneath the jaw. They play a crucial role in saliva production, which is essential for digestion, oral health, and maintaining the moisture of the oral cavity. The lymph nodes in the submandibular region are part of the immune system and help in filtering lymph fluid, which can contain pathogens and other substances. When there is an increase in lymph nodes or inflammation, it can indicate an underlying issue, such as an infection or other inflammatory conditions.

1. Does having more lymph nodes in the submandibular area lead to increased saliva production?
The presence of more lymph nodes in the submandibular region does not directly correlate with increased saliva production. Saliva production is primarily regulated by the salivary glands themselves, particularly the submandibular glands, which are responsible for producing a significant portion of the saliva in the mouth. Factors that can influence saliva production include hydration status, stimulation from food, and the overall health of the salivary glands. While lymph nodes can indicate an immune response, they do not actively participate in the production of saliva.

2. Does inflammation of the submandibular lymph nodes lead to increased saliva production?
Inflammation of the lymph nodes in the submandibular area, often due to infection or other inflammatory processes, may not necessarily lead to increased saliva production. In fact, inflammation can sometimes result in discomfort or pain, which may inhibit the normal function of the salivary glands. Conditions such as sialadenitis (inflammation of the salivary glands) can lead to reduced saliva production, resulting in dry mouth (xerostomia). However, if the inflammation is due to a condition that stimulates the salivary glands, such as the presence of an infection that prompts the glands to produce more saliva to help wash away pathogens, there could be a temporary increase in saliva production.

In summary, while the presence of more lymph nodes or inflammation in the submandibular area can indicate an immune response, they do not directly cause increased saliva production. The salivary glands' function is primarily responsible for saliva secretion, and various factors, including hydration, stimulation from food, and the health of the glands, play a more significant role in this process. If you are experiencing symptoms such as increased saliva production or discomfort, it is essential to consult with a healthcare professional for a thorough evaluation and appropriate management.

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