Hypersalivation

Description:

Hypersalivation (ptyalism, hypersalivation) is an increase in secretion of sialadens. As the physiological phenomenon is observed at 3-6 monthly children. At more advanced age this esthetic defect is a disease which brings the mass of concerns and unpleasant feelings. Most often hypersalivation is connected not with true hyperproduction of saliva, and with disturbance of a reflex of swallowing.

Hypersalivation symptoms:

Psychogenic hypersalivation. It is observed seldom. Arises for no apparent reason, at the same time signs of organic lesion of a nervous system are absent. Salivation sometimes has serious character; the patient is forced to carry with himself to bank for collecting saliva. The psychoanamnesis, lines demonstrative in presentation of a symptom, its combination to other functional and neurologic manifestations or stigmata matter.
Medicinal hypersalivation. The majority of the medicines influencing salivation causes a xerostomia easy and moderately severe. At the same time reception of some drugs can be followed by side effect in the form of hypersalivation. The similar effect is described
at reception of lithium, nitrazepam. In the latter case hypersalivation develops as a result of disturbance of reflex swallowing. Cancellation or reduction of a dose of drug usually eliminate medicinal hypersalivation.
Hypersalivation at a bulbar and pseudobulbar syndrome. At a bulbar and pseudobulbar syndrome of various etiology (tumors, a syringobulbia, poliomyelitis, vascular pathology, degenerative diseases) hypersalivation which extent depends on weight of bulbar frustration can be observed. Hypersalivation can be plentiful (to 600 — 900 ml/days); saliva dense. Patients are forced to hold a scarf or a towel at a mouth. Most of authors explain a sialorrhea with disturbance of the reflex act of swallowing therefore saliva collects in an oral cavity though also the irritation of the bulbar center of salivation is possible.
Hypersalivation at patients with cerebral palsy. It is connected with a diskoordination of oral muscles and difficulty of a proglatyvaniye of saliva; quite often it considerably complicates life of patients.
Hypersalivation at somatic pathology. Hypersecretion of saliva is observed at a stomacace, a helminthic invasion, toxicosis of pregnant women, after radiation of sialadens at radiation therapy of tumors of the head.

Hypersalivation reasons:

Usually hypersalivation is followed by the following diseases:

    * cerebral palsy;
    * Parkinson's disease;
    * side mamniotrofichesky sclerosis;
    * epidemic encephalitis.

Hypersalivation is manifestation of a number of diseases of a nervous system, and also a consequence of the acute inflammatory processes proceeding on a mucous membrane of a mouth. Irritations of a mucous membrane are followed by unconditional and reflex increase in salivation that is defense reaction of an organism. Such hypersalivation does not need treatment. Treatment at hypersalivation of other etiology has to be directed to elimination of the basic disease which caused this state.

Treatment of Hypersalivation:

At treatment of hypersalivation drugs with cholinolytic effect are used. Thanks to them salivation decreases, but there are other side effects. Also surgical treatment and radiation is applied, but these methods threaten with serious complications: asymmetry of the person, caries etc. Such methods of treatment as it is BAREFOOT - therapy, exercises for muscles of this area are insufficiently effective to cope with a problem.