Saliva, Otolaryngology FAQ - Page 29

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Understanding Sublingual Gland Issues: Symptoms and Treatment Options

Sublingual gland issues I recently developed a large red bump on one side of my submandibular gland, which appears to have some blood accumulation around it and feels blocked. I've been experiencing dry mouth as well. I visited an ENT specialist who suggested that I might ha...


Dr. Zheng Jueyi Reply:
Dear Xiao Yuan, Hello, it may be an issue related to inflammation of the minor salivary glands. If the symptoms have improved, you can observe for a while. However, if there are recurrent episodes of inflammation or swelling, it may be necessary to seek medical attention for fur...

[Read More] Understanding Sublingual Gland Issues: Symptoms and Treatment Options


Understanding Throat Irritation and Coughing: Allergies or GERD?

The throat is constantly itchy and there is a dry cough, sometimes leading to choking? Hello Doctor: Recently, I often wake up with nasal congestion, and my nose feels uncomfortable, as if mucus is draining down, making me want to swallow frequently. My throat often feels itchy, ...


Dr. Zheng Jueyi Reply:
Hi Allen, I recommend that you seek medical evaluation to determine if you have allergic rhinitis, which could explain your frequent symptoms of nasal congestion, post-nasal drip, nasal itching, or sneezing. If you also experience gastroesophageal reflux, it can indeed lead to c...

[Read More] Understanding Throat Irritation and Coughing: Allergies or GERD?


Why Does My Throat Feel Creaky When Swallowing Saliva?

When swallowing saliva, there is a clicking sensation in the throat cartilage? Hello Dr. Cheng: Recently, I've been experiencing some discomfort in my throat, especially when I wake up in the morning and drink water or when I lie down before sleeping and swallow saliva. I of...


Dr. Zheng Jueyi Reply:
Hello, Xiao Ke: Based on the symptoms you've described, it is possible that you are experiencing chronic pharyngitis, which may be caused by chronic irritants such as spicy foods, gastroesophageal reflux, smoking, or prolonged speaking due to work. I recommend that you first...

[Read More] Why Does My Throat Feel Creaky When Swallowing Saliva?


Understanding Sore Throat and Dry Cough: Causes and Remedies

Sore throat and dry cough? Hello Doctor: A while ago, I had a cold and experienced severe coughing, which led to a sore throat that lasted about two weeks. Now, sometimes when I swallow saliva or have a dry mouth, my throat hurts, and it feels like there’s something fuzzy or pric...


Dr. Zheng Jueyi Reply:
Hello, it is possible that the chronic inflammation of your throat is due to a cold and the need for prolonged speaking at work. The small bump at the tip of your tongue is likely a taste bud, which may appear more swollen and prominent due to inflammation. It is recommended to d...

[Read More] Understanding Sore Throat and Dry Cough: Causes and Remedies


Understanding Submandibular Gland Lymph Nodes and Saliva Production

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. Doe...


Dr. Zheng Jueyi Reply:
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. ...

[Read More] Understanding Submandibular Gland Lymph Nodes and Saliva Production


Understanding Saliva Swallowing and Its Natural Flow Mechanism

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 l...


Dr. Zheng Jueyi Reply:
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 th...

[Read More] Understanding Saliva Swallowing and Its Natural Flow Mechanism


Understanding Saliva Secretion: Neural Control and Gland Function

Regarding salivary secretion? I often feel saliva pooling at the bottom of my mouth. Does the human body secrete saliva continuously, or is there a nervous system that controls saliva secretion? Do the parotid, submandibular, and sublingual glands continuously secrete saliva, or ...


Dr. Zheng Jueyi Reply:
Hello, saliva in the human body is continuously secreted. Under normal circumstances, it is primarily produced by the submandibular glands, while during eating, it is mainly secreted by the parotid glands. The salivary glands are controlled by the parasympathetic nerves from the ...

[Read More] Understanding Saliva Secretion: Neural Control and Gland Function


Understanding Recurrent Unilateral Parotitis: Causes and Next Steps

Parotitis In the past six months, there have been 5-6 episodes of unilateral parotitis. A CT scan has ruled out the possibility of salivary gland stones. Due to accompanying symptoms of dry eyes and dry mouth, a referral was made to the rheumatology and immunology department. Tea...


Dr. Zheng Jueyi Reply:
Dear Ah Sheng, Hello. If the possibility of a salivary gland stone has been ruled out, it may be worthwhile to consult a dentist to check for any dental issues. Additionally, you could ask an infectious disease specialist to evaluate for any other unusual infections. However, gi...

[Read More] Understanding Recurrent Unilateral Parotitis: Causes and Next Steps


Switching from Mouth to Nose Breathing: Tips for Relief and Hydration

Mouth breathing I have started breathing through my nose with my mouth closed, but I find myself swallowing saliva frequently. I'm not sure if years of mouth breathing have led to this situation. I often feel thirsty and consume a lot of water, even though my nasal passages ...


Dr. Zheng Jueyi Reply:
Hello, it is recommended to continue breathing through the nose, as the nose serves to filter and warm the air. Generally speaking, breathing through the nose should result in less dryness in the mouth. You may also want to drink more water and observe the situation for a while. ...

[Read More] Switching from Mouth to Nose Breathing: Tips for Relief and Hydration


Understanding Ear and Oral Lesions After Long Phone Calls: When to Seek Help

After the phone call, there are "bumps" appearing on the ear? Hello, doctor :) I worked part-time the day before yesterday, and my job involved making phone calls for about three hours. After that, my ear felt a bit sore, but I didn't pay much attention to it. Howe...


Dr. Zheng Jueyi Reply:
Hi Xiao M: 1. It could be an outer ear canal inflammation or folliculitis. You can observe it for now, but if the pain persists, it is advisable to seek medical evaluation. 2. It may be inflammation or stones in the small salivary glands at the floor of the mouth. Rinsing your mo...

[Read More] Understanding Ear and Oral Lesions After Long Phone Calls: When to Seek Help


Understanding Redness and Dryness Inside the Lips: ENT Insights

Inner lips The inner side of the lips is showing redness, has folds, and is dry. What could be the issue? Thank you.


Dr. Zheng Jueyi Reply:
Dear A-Jing, Hello, it is possible that the inflammation of the lips is due to simple inflammation or caused by an autoimmune dysfunction leading to dry mouth syndrome, which may result in inflammation of the minor salivary glands in the lips. If the symptoms persist without imp...

[Read More] Understanding Redness and Dryness Inside the Lips: ENT Insights


Understanding Swallowing Difficulties: Tonsil Inflammation and Its Impact

Dysphagia Hello, Doctor. My father has been experiencing pain in the area of the tonsils (the part connecting the jaw and throat) for over a year. Initially, he produced excessive saliva, but in the past few months, he has started to have difficulty swallowing and coughing. Whene...


Dr. Zheng Jueyi Reply:
Dear Kyky: Most cases of tonsillitis indeed cause pain when swallowing, and in severe cases, it may lead to difficulty swallowing. However, most patients improve with medication within one to two weeks. If there is no improvement and swallowing difficulties or pain persist, it is...

[Read More] Understanding Swallowing Difficulties: Tonsil Inflammation and Its Impact


Understanding Salivary Gland Tumors: Symptoms, Diagnosis, and Concerns

Salivary gland tumor I have had a small lump below my left ear for several years. At first, I didn't pay much attention to it, but in the past two years, it has grown quite rapidly and is now about 4 centimeters wide. It is not painful, movable, soft in texture, and has a ro...


Dr. Zheng Jueyi Reply:
Dear Mr. Li, This location is indeed a tumor of the parotid gland, most of which are benign tumors. A computed tomography (CT) scan can provide a lot of information for the physician's interpretation. A large and soft tumor may potentially be a lipoma or a cyst. We can wait...

[Read More] Understanding Salivary Gland Tumors: Symptoms, Diagnosis, and Concerns


Understanding Salivary Gland Tumors: When to Consider Surgery

Salivary gland tumor Thank you, Dr. Cheng, for your previous response. (1) I learned from online research that lipomas and cysts are also types of benign tumors. (2) I would like to ask Dr. Cheng whether lipomas or cysts need to be surgically removed, and if the surgical excision...


Dr. Zheng Jueyi Reply:
Dear Mr. Li, The length of the surgical incision is related to the location of the tumor, primarily to observe whether it is close to the facial nerve. If the tumor is relatively superficial, a smaller incision may suffice. However, if it is deeper or in close proximity to the f...

[Read More] Understanding Salivary Gland Tumors: When to Consider Surgery


Pain in the Right Neck When Swallowing: Possible Causes and Solutions

Experiencing pain on the right side of the neck when swallowing saliva? Hello, doctor. Today, I suddenly felt pain on the right side of my neck when swallowing saliva. However, it is not the typical throat pain; it doesn't hurt inside. The pain radiates from the area of the ...


Dr. Zheng Jueyi Reply:
Hello: It is recommended to consult an otolaryngologist to check for any redness or inflammation inside the oral cavity. If there is none, the pain may be caused by inflammation of the neck muscles or fascia, which could be related to long-term work or posture. If there is no imp...

[Read More] Pain in the Right Neck When Swallowing: Possible Causes and Solutions


Common Concerns About Nasal Irrigation: Tips and Insights

Nasal irrigation inquiry? Hello, doctor! I have some questions about using saline nasal irrigation for the first time. When the warm saline reaches the middle of my nasal bridge, I feel a slight tingling sensation, similar to when I accidentally inhale water while swimming, but i...


Dr. Zheng Jueyi Reply:
Dear: Hello, it is generally recommended to use saline solution for nasal irrigation, with a ratio of approximately 1000ml of water mixed with 9 grams of salt. The ratio you are using should be acceptable. As for the usage of the nasal irrigator, since there are many brands avail...

[Read More] Common Concerns About Nasal Irrigation: Tips and Insights


Understanding Lymph Nodes and Salivary Gland Tumors: Key Insights

Lymph node salivary gland tumor-related issues? Hello Doctor, I apologize for bothering you again. I have already visited a nearby otolaryngology clinic. The doctor performed a physical examination and mentioned it is a lymph node, but I still feel something is off. There is a mo...


Dr. Zheng Jueyi Reply:
Hello, there are many small lymph nodes around the parotid gland. If the examination shows small lymph nodes, you should trust the judgment of the clinical physician. If you still have concerns, you can seek a second opinion from another clinical physician. Thank you! Wishing you...

[Read More] Understanding Lymph Nodes and Salivary Gland Tumors: Key Insights


Understanding Salivary Gland Tumors and Lymph Node Swelling: Key Insights

Regarding the issue of lymphadenopathy in salivary gland tumors? Hello, doctor. I would like to ask you about the causes of salivary gland tumors, their severity, and why lymph nodes can become enlarged. What is the difference between benign and malignant tumors? Recently, I ofte...


Dr. Zheng Jueyi Reply:
Hello, based on your description, it seems more like a benign lymph node, as it is movable and small and round. It is commonly found in areas such as behind the ear and the neck, and the size may vary between the left and right sides. It is generally recommended to seek a detaile...

[Read More] Understanding Salivary Gland Tumors and Lymph Node Swelling: Key Insights


Understanding Throat Discomfort: Causes and Concerns

Foreign body in the throat? Hello, I previously experienced a sensation of something being stuck in my throat and noticed a small white spot when I looked in the mirror. After a few days, it disappeared on its own, but occasionally, I still experience this situation. What could b...


Dr. Xu Jiazhen Reply:
Hello: Common chronic laryngitis often presents with a sensation described as "gritty" or "rough." This is a form of chronic inflammation, and the small white secretions are primarily from minor salivary glands. Generally, this is not a cause for concern, alth...

[Read More] Understanding Throat Discomfort: Causes and Concerns


Understanding Throat Growths: Symptoms, Causes, and Treatment Options

There is something growing in the throat? I would like to ask about my friend's condition. They have developed 2 to 3 protrusions in their throat, and currently, eating is painful, and even swallowing saliva hurts. Could this be a tumor? They have also noticed some blood in ...


Dr. Xu Jiazhen Reply:
Hello: From your letter, it is not clear what specific location you are referring to regarding the "throat" protrusion, as some mucosal inflammations can present similar symptoms and should be manageable with medication. However, a small number of cases may involve earl...

[Read More] Understanding Throat Growths: Symptoms, Causes, and Treatment Options


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