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Gastroenterology  (Expert Forum)
 | 
EXCESSIVE SALIVA PRODUCTION
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.

EXCESSIVE SALIVA PRODUCTION

by maw perkins, Feb 01, 2006 12:00AM
OVER THE PAST 4 YEARS MOM'S SALIVA PRODUCTION HAS INCREASE TERRIBLY. SHE HAS GONE THROUGH A GUANTLET OF TEST AND NUMEROUS DOCTORS WHO ALL FAIL TO DIAGNOS OR PROVIDE A RELIEF FOR HER CONDITION. SHE HAS HAD CT, ENDOSCOPY, PH AND MOMOMETRY STUDIES AS WELL AS GI'S CT'S X-RAYS AND SUCH. YOU NAME THE TEST AND WE CAN MOST LIKELY PRODUCE A REPORT FOR IT. VARIOUS DOCTORS HAVE DIAGNOSED HER WITH SINUS PROBLEMS, REFLUX DISEASE, AND THE LATEST NUTCRACKERS ESPOHGUS. NONE OF THE MEDS HAVE HELPED HER CLARITIN, ASTELIN, PRILOSEC, PREVACID, NEXIUM, PROTONICS AND NOW PROCARDIA (A CALCIUM CHANNEL BLOCKER FOR NUT CRACKER ESPHOGAUS)SHE HAS LOST A GREAT DEAL OF WEIGHT, HAS A BAD TASTE IN HER MOUTH AND HAS CHAPPED LIPS CONSTANTLY FROM WIPING THE SALIVA FROM HER MOUTH. WHAT TESTS ARE AVAILABLE FOR DIAGNOSING THIS CONDITION AND WHAT MEDICATIONS ARE OUT TO TREAT SUCH CONDITIONS. I HAVE ASKED TWO PHYSICANS TO INVESTIGATE THE POSSIBILITY OF A SALAVARY GLAND DISORDER AND IF THERE ARE MEDICATIONS OUT TO DECREASE THE PRODUCTION (BOTH GI DOCS.) AND THEY HAAVE STATED NO TEST NO MEDICATIONS.PLEASE ANY DIRECTION OR GUIDANCE YOU CAN GIVE WOULD BE GREATLY APPRECITED. MY HAS THE FOLLOWING MEDICAL CONDITIONS.
TYPE II DIABETIS --NON INSULIN DEPENDENT (ACTOS 45MG)
THYRIOD (SLUGGISH) SYNTHRIOD (75MG)
PROCARDIA HIGH BLOOD PRESSURE & NUTCRACKERS ESPHOGUS 10 MG 4x DAILY.

by Kevin Pho, MD, Feb 02, 2006 12:00AM
Excessive saliva production is relatively rare.  It can occur in conjunction with eating specific foods.  One option would be to keep a "food diary" and note which foods directly leads to increased saliva production.

I am not aware of specific medications that are used to treat increased salivary production.  You can consider a referral to another ENT or oral surgery opinion for this problem.  

Diseases like post-nasal drip and GERD have been comprehensively ruled out with the tests that you have mentioned.  

Another option would be to obtain another opinion at a major academic medical center.

These options can be discussed with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_b
Member Comments (5)

by Biskie2, Feb 01, 2006 12:00AM
Have you thought about contacting a dentist?

by Biskie2, Feb 01, 2006 12:00AM
Also, you many want to check with an Endocrinologist...

by Biskie2, Feb 01, 2006 12:00AM
One more comment -  ask your doc if he would recommend atropine sulfate, by the name Sal-Tropine - Since atropine sulfate slows gastric emptying and gastrointestinal motility, it may interfere with the absorption of other medications. The potential of atropine to cause mouth dryness may be increased if it is given with other drugs that have anticholinergic action (tricyclic antidepressants, antipsychotics, some antihistamines, and antiparkinsonism drugs). The trick is to start with very low doses and be monitored by a doctor frequently.

by NURSELPN, Feb 01, 2006 12:00AM
To: ATTENTION SICK AGAIN !!!!
I posted to you below...on you previous thread.

by NickyIsHere123, Feb 02, 2006 12:00AM
To: Maw
Hi, another option would be to try Benadryl. Try giving her one a night for about a month. Good Luck
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