Hypersalivation

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Hypersalivation
Other namesPtyalism, [1] sialorrhea, [2] water brash
Specialty Oral and maxillofacial surgery   OOjs UI icon edit-ltr-progressive.svg

Hypersalivation or hypersialosis is the excessive production of saliva. [3] It has also been defined as increased amount of saliva in the mouth, which may also be caused by decreased clearance of saliva. [4]

Contents

Hypersalivation can contribute to drooling if there is an inability to keep the mouth closed or difficulty in swallowing (dysphagia) the excess saliva, which can lead to excessive spitting.

Hypersalivation also often precedes emesis (vomiting), where it accompanies nausea (a feeling of needing to vomit). [5]

Causes

Excessive production

Conditions that can cause saliva overproduction include: [4]

Medications that can cause overproduction of saliva include: [4]

Substances that can cause hypersalivation include: [4]

Decreased clearance

Causes of decreased clearance of saliva include: [4]

Treatment

Hypersalivation is optimally treated by treating or avoiding the underlying cause. [4] Mouthwash and tooth brushing may have drying effects. [4]

In the palliative care setting, anticholinergics and similar drugs that would normally reduce the production of saliva causing a dry mouth could be considered for symptom management: scopolamine, atropine, propantheline, hyoscine, amitriptyline, glycopyrrolate. [9]

As of 2008, it is unclear if medication for people who have too much saliva due to clozapine treatment is useful. [10]

Related Research Articles

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Drooling, or slobbering, is the flow of saliva outside the mouth. Drooling can be caused by excess production of saliva, inability to retain saliva within the mouth, or problems with swallowing.

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<span class="mw-page-title-main">Gastroesophageal reflux disease</span> Medical condition

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<span class="mw-page-title-main">Xerostomia</span> Medical condition

Xerostomia, also known as dry mouth, is a subjective complaint of dryness in the mouth, which may be associated with a change in the composition of saliva, or reduced salivary flow, or have no identifiable cause.

<span class="mw-page-title-main">Parotitis</span> Medical condition

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Vomiting is the involuntary, forceful expulsion of the contents of one's stomach through the mouth and sometimes the nose.

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Rabies is a viral disease that causes encephalitis in humans and other mammals. It was historically referred to as hydrophobia due to the symptom of panic when presented with liquids to drink. Early symptoms can include fever and abnormal sensations at the site of exposure. These symptoms are followed by one or more of the following symptoms: nausea, vomiting, violent movements, uncontrolled excitement, fear of water, an inability to move parts of the body, confusion, and loss of consciousness. Once symptoms appear, the result is virtually always death. The time period between contracting the disease and the start of symptoms is usually one to three months but can vary from less than one week to more than one year. The time depends on the distance the virus must travel along peripheral nerves to reach the central nervous system.

<span class="mw-page-title-main">Stomach disease</span> Medical condition

Stomach diseases include gastritis, gastroparesis, Crohn's disease and various cancers.

<span class="mw-page-title-main">Foster Kennedy syndrome</span> Medical condition

Foster Kennedy syndrome is a constellation of findings associated with tumors of the frontal lobe.

<span class="mw-page-title-main">Nausea</span> Medical symptom or condition

Nausea is a diffuse sensation of unease and discomfort, sometimes perceived as an urge to vomit. While not painful, it can be a debilitating symptom if prolonged and has been described as placing discomfort on the chest, abdomen, or back of the throat.

Oral manifestations of systematic disease are signs and symptoms of disease occurring elsewhere in the body detected in the oral cavity and oral secretions. High blood sugar can be detected by sampling saliva. Saliva sampling may be a non-invasive way to detect changes in the gut microbiome and changes in systemic disease. Another example is tertiary syphilis, where changes to teeth can occur. Syphilis infection can be associated with longitudinal furrows of the tongue.

References

  1. thefreedictionar.com > ptyalism Citing:
    • Dorland's Medical Dictionary for Health Consumers. 2007
    • Mosby's Medical Dictionary, 8th edition. 2009
    • Saunders Comprehensive Veterinary Dictionary, 3 ed. 2007
  2. thefreedictionary.com > sialorrhea Citing:
    • The American Heritage Dictionary of the English Language, Fourth Edition, Updated in 2009.
  3. "hypersalivation" . Merriam-Webster's Medical Desk Dictionary. Springfield, Massachusetts: Merriam-Webster. 1986. p. 371 via Internet Archive.
  4. 1 2 3 4 5 6 7 Medscape > Hypersalivation By Erica Brownfield. Posted: 05/19/2004(registration required)
  5. Clark], [edited by Parveen Kumar, Michael (2005). Kumar & Clark clinical medicine (6th ed.). Edinburgh: Elsevier Saunders. p. 266. ISBN   978-0702027635.{{cite book}}: |first= has generic name (help)CS1 maint: multiple names: authors list (link)
  6. Reynolds, Gretchen. "Well". The New York Times.
  7. thefreedictionary.com > water brash Citing: Dorland's Medical Dictionary for Health Consumers. 2007
  8. Rheumatology
  9. Medical Care of the Dying, 4th Edition, 2006, Edited by G.Michael Downing MD and Wendy Wainwright, MEd
  10. Syed, R; Au, K; Cahill, C; Duggan, L; He, Y; Udu, V; Xia, J (16 July 2008). Syed, Rebecca (ed.). "Pharmacological interventions for clozapine-induced hypersalivation". The Cochrane Database of Systematic Reviews (3): CD005579. doi:10.1002/14651858.CD005579.pub2. PMC   4160791 . PMID   18646130.