Sialorrhea or hypersalivation literally means excessive saliva flow.
Hypersalivation is not a disease but usually a symptom of another underlying condition. These other factors can range from easily treated and common causes to rare diseases.
Saliva is a clear liquid produced by the salivary glands in the mouth. It moistens food and aids swallowing. It also contains enzymes that help with digestion.
Saliva can help to heal wounds and remove germs from the mouth, as well as prevent dryness and act as a barrier against irritants and toxins.
Anterior sialorrhea is when patients have excessive anterior or forward spillage of saliva from their mouths, commonly called drooling, onto their faces and clothes causing difficulty with cleanliness, skin care, and socialization.
Posterior sialorrhea is when patients have excessive posterior spillage of saliva from their mouths down their airways (tracheas) rather than being swallowed normally. This results in chronic lung irritation called aspiration which can sometimes progress to pneumonia. Often patients have a mixture of both of these types of sialorrhea.
- gastroesophageal reflux
- certain tranquilizers and anticonvulsant drugs
- exposure to toxins, such as mercury
In these cases, hypersalivation typically goes away after treating the underlying condition.
Women who are pregnant typically see a decrease in symptoms after childbirth
Constant hypersalivation is usually caused by chronic health conditions that affect muscle control. When there is impaired muscle control, it can affect ability to swallow, leading to saliva buildup. This can result from:
- enlarged tongue
- intellectual disability
- cerebral palsy
- facial nerve palsy
- Parkinson’s disease
- amyotrophic lateral sclerosis (ALS)
When the cause is chronic, symptom management is key. If left untreated, hypersalivation can affect your ability to speak clearly or swallow food and drink without choking.
After going over on medical history, doctor may examine the inside of mouth to look for other symptoms. These include:
- foul odor
Merc Sol – Top Grade Medicine
Merc Sol is a top listed medicine to manage cases of excessive salivation. Firstly it is indicated when there is copious salivation in case of mouth ulcers. The ulcers (which cause a burning sensation) are irregular in shape with undefined edges and may appear on the tongue, gums, throat, inside of cheek.
Second indication for its use is profuse salivation from stomatitis (inflamed mouth) with marked redness of the whole mucous membrane of mouth.
Lyssin – Another Leading Medicine
Lyssin is another prominent medicine for managing cases of increased salivation. Persons needing it have a constant desire to spit from plenty of saliva in the mouth. The saliva may be thick, frothy, slimy and sticky in nature. They may have difficulty in swallowing liquids with excessive flow of saliva. It is well-indicated when there is an increased amount of thick saliva with inflamed throat. Pain in the throat along with great heat is present in these cases.
Baryta Carb – For Inflamed Throat, Tonsils, Salivary Glands
Baryta Carb a very beneficial medicine for profuse salivation in case of sore throat and swollen, painful tonsils. It is also valuable for treating cases of increased saliva in case of peritonsillar abscess (quinsy). In cases needing it, the saliva runs out of mouth during sleep. There may be attending bad odour coming from mouth. Other than this, it is an important medicine for cases of swollen salivary glands including parotid and sub mandibular glands attended with much salivation.
Silicea – For Excessive Salivation during Teething
It works well in children having excessive salivation (drooling) teething. They may have difficult dentition and sometimes are delayed in the teething process. They may be sensitive to cold and have bad smelling sweat on the body along with this.
Borax – For Copious Saliva with Mouth Ulcers
This medicine is prominently indicated for excessive salivation with ulcers in the mouth and on tongue. In cases requiring it the mucus membrane of the mouth is very red with ulcers. Most times these ulcers have a tendency to bleed easily. Marked heated sensation in the mouth and great thirst for water may accompany above symptoms.
Kali Iodatum – For Increased Saliva with Irregular White Ulcers
Kali Iodatum is also an excellent medicine to treat cases of profuse saliva with irregular mouth ulcers which have white surface. They look white as if covered with milk. Sometimes vesicles (fluid – filled bumps / blisters) may be present in the mouth with marked burning sensation. With the above features, a very offensive odour from mouth is often noticed.
Iodum – For Inflamed Throat and Tonsils
Iodum is beneficial medicine when there is excessive saliva in the mouth with inflamed throat and tonsils. Saliva is fetid with offensive odour from mouth. Along with this there is a thick, greyish white deposit in the throat and on the tonsils. Burning pain is present in the throat. Swallowing is difficult with this. Sometimes ulcers are present in the throat.
Merc Cor – For Sore Throat
Merc Cor is also a significant medicine for managing increased salivation in cases of sore throat. There is stinging, smarting pain in the throat and there may be offensive-smelling pus spots in the throat. The saliva is highly increased that sometimes runs out of the mouth at night. The saliva may have a salty taste. Sore, inflamed mouth with much salivation is also a guiding feature to use this medicine.