DROOLING

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 (incontinence of saliva), or problems with swallowing (dysphagia or odynophagia).

 

Drooling:-

 

 Synonymus-driveling, dribbling, slobbering,sialorrhea

 

There are some frequent and harmless cases of drooling. For instance, a numbed mouth from either Orajel, or when going to the dentist office.

 

Isolated drooling in healthy infants and toddlers is normal and may be associated with teething. It is unlikely to be a sign of disease or complications. Drooling in infants and young children may be exacerbated by upperrespiratory infections and nasal allergies.

 

Some people with drooling problems are at increased risk of inhaling saliva, food, or fluids into the lungs, especially if drooling is secondary to a neurological problem. However, if the body's normal reflex mechanisms (such as gagging and coughing) are not impaired, this is not life-threatening.

 

Drooling or sialorrhea can occur during sleep. It is often the result of open-mouth posture from CNS depressants intake or sleeping on one's side. Sometimes while sleeping, saliva does not build up at the back of the throat and does not trigger the normal swallow reflex, leading to the condition. Freud conjectured that drooling occurs during deep sleep, and within the first few hours of falling asleep, since those who are affected by the symptom suffer the most severe harm while napping, rather than during overnight sleep.

 

A sudden onset of drooling may indicate poisoning – especially by pesticides ormercury – or reaction to snake or insect venom. Excess capsaicin can cause drooling as well, an example being the ingestion of particularly high Scoville Unit chili peppers. Some neurological problems cause drooling. Medication can cause drooling, either due to primary action or side-effects; for example the pain-relief medication Orajel can numb the mucosa.

 

 

 

Causes include:

 

exercise, especially cardiovascular exercise

 

stroke and other neurological pathologies 

intellectual disability

 

adenoid hypertrophy

 

cerebral palsy

 

amyo trophic lateral sclerosis

 

tumors of the upper aerodigestive tract

 

Parkinson's disease

 

rabbies

 

esmercury poisoning

 

Drooling associated with fever or trouble swallowing may be a sign of an infectious disease including:

 

retropharyngeal abscess

 

peritonsillar abscess

 

tonsilitis

 

mononucleosis

 

strep throat

 

obstructive diseases (tumors, stenosis)

 

Inability to swallow due to neurodegenerative diseases (amyotrophic lateral sclerosis)

 

Treatment:-

 

A comprehensive treatment plan depends on the cause and incorporates several stages of care: Correction of reversible causes, behavior modification, medical treatment, and surgical procedures.

 

Atropine sulfate tablets are used in some circumstances to reduce salivation. The same for anticholinergic drugs which can be also a benefit because they decrease the activity of the acetylcholine muscarinic receptors and can result in decreased salivation. They may be prescribed by doctors in conjunction with behavior modification strategies. Other drugs used are glycopyrrolate and botulinum toxin A – botox injection in salivary glands to diminish saliva production.

 

In general, surgical procedures are considered after clear diagnosis of the cause and evaluation of non-invasive treatment options. Severe cases can be sometimes be treated by surgical intervention – salivary duct relocalization, or in extreme casesresection of salivary glands.

 

Take 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 or undiagnosed developmental delay.

 

Excessive drooling seems to be due to:

 

lack of awareness of the build-up of saliva in the mouth

infrequent swallowing

inefficient swallowing

Treatment of excessive drooling addresses its cause:

 

cultivating awareness of the mouth and its functions

increased frequency of swallowing

cultivating swallowing skill

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About Author

MRS. BUSHRA JAMAL D/O- MD. JAMALUDDIN EDUCATION--Graduation(English Hons). HIGH SCHOOL EDUCATION-- WITH SCIENCE This is Bushra Jamal,she was born in the district of Patna she has studied in English school, she has done intermediate in science and she has done her graduation (IGNOU) in English honors. She is from simple middle class family with younger brother and sister. She was married in 2016. Since 2017 she wrote English poems and short stories also. She is the mother of a child. In 2021, she published, her first book -6year girl abused,which is written in english. She worked as a co - author in many book. 1--अन्नदाता( किसान व उनकी परेशानी)in which she has written very good poetry is in hindi. 2-सपनों की सीरी- (तैयारी जीत की) In this book also he has given a very beautiful poem is in hindi 3-पिता-(एक आसमान)In this book, he has given a poem which is in English. 4)पिता- in this book she wrote a beautiful poem for her father. 5)शब्दों का जादू - she wrote a poem on gullak. She appears a lot of Shayari,Poem, Short Stories. She Writes in both languages ​​English and Hindi. They like to write, it has become their passion in writing. "Pen for me is like weapon, I can describe my emotions, which modify written