Drooling

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Ptyalism
Classification and external resources
ICD-10 K11.7
ICD-9 527.7
DiseasesDB 20764
MedlinePlus 003048
eMedicine ent/629
MeSH D012798

Drooling (also known as driveling, ptyalism, sialorrhea, or slobbering) is when saliva flows outside the mouth. Drooling is generally caused by excess production of saliva, inability to retain saliva within the mouth, or problems with swallowing.

Some people with drooling problems are at increased risk of inhaling saliva, food, or fluids into the lungs. However, this is unlikely to cause harm, unless the body's normal reflex mechanisms (such as gagging and coughing) are also impaired.

Home care

Care for drooling due to teething includes good oral hygiene. Ice pops or other cold objects (e.g., frozen bagels) may be helpful. Care must be taken to avoid choking when a child uses any of these objects.

Drooling is also common in children with neurological disorders and those with undiagnosed developmental delay. The reason for excessive drooling seems to be related to

  1. Lack of awareness of the build-up of saliva in the mouth,
  2. Infrequent swallowing, and
  3. Inefficient swallowing.

Treatment of excessive drooling is related to these causes:

  1. Increased awareness of the mouth and its functions,
  2. Increased frequency of swallowing,
  3. Increased swallowing skill.

Sialorrhea

Sialorrhea is a condition characterized by the secretion of drool in the resting state. It is often the result of open-mouth posture from CNS depressants or sleeping on one's side. In the resting state, saliva may not build at the back of the throat, triggering the normal swallow reflex, thus allowing for the condition.

It may be more common when resting soon after meals.

Treatment

A comprehensive treatment plan incorporates several stages of care: correction of reversible causes, behavior modification, medical treatment, and surgical procedures. Atropine sulfate tablets are indicated to reduce salivation and may be prescribed by doctors in conjunction with behaviour modification strategies. In general, surgical procedures are considered after evaluation of non-invasive treatment options.

An example of a drug that has been used is glycopyrrolate.[1]

See also

References

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External links

de:Hypersalivation

es:Sialorrea fr:Hypersialorrhée nl:Speekselvloed pl:Ślinotok fi:Kuolaaminen

tr:Hipersalivasyon
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