Hypersalivation - wikipedia Hypersalivation Hypersalivation Classification and external resources DiseasesDB 20764 MedlinePlus 003048 eMedicine ent / 629 MeSH D012798 ( edit on Wikidata ) Hypersalivation ( also called ptyalism or sialorrhea ) is excessive production of saliva. It has also been defined as increased amount of saliva in the mouth, which may also be caused by decreased clearance of saliva. Hypersalivation can contribute to drooling if there is an inability to keep the mouth closed or difficulty in swallowing the excess saliva ( dysphagia ), which can lead to excessive spitting. Hypersalivation also often precedes emesis ( vomiting ), where it accompanies nausea ( a feeling of needing to vomit ). Contents 1 Causes 1.1 Excessive production 1.2 Decreased clearance 2 Treatment 3 References Causes Excessive production Conditions that can cause saliva overproduction include : Rabies Pellagra ( niacin or Vitamin B3 deficiency ) Gastroesophageal reflux disease, in such cases specifically called a water brash, and is characterized by a sour fluid or almost tasteless saliva in the mouth Gastroparesis ( main symptoms are nausea, vomiting, and reflux ) Pregnancy Excessive starch intake Anxiety ( common sign of separation anxiety in dogs ) Pancreatitis Liver disease Serotonin syndrome Mouth ulcers Oral infections Medications that can cause overproduction of saliva include : aripiprazole clozapine pilocarpine ketamine potassium chlorate risperidone pyridostigmine rabeprazole sodium ( Aciphex ) Substances that can cause hypersalivation include : mercury copper organophosphates ( insecticide ) arsenic nicotine Decreased clearance Causes of decreased clearance of saliva include : Infections such as tonsillitis, retropharyngeal and peritonsillar abscesses, epiglottitis and mumps. Problems with the jaw, e.g., fracture or dislocation Radiation therapy Neurologic disorders such as Amyotrophic lateral sclerosis, myasthenia gravis, Parkinson 's disease, multiple system atrophy, rabies, bulbar paralysis, bilateral facial nerve palsy, and hypoglossal nerve palsy Treatment Hypersalivation is optimally treated by treating or avoiding the underlying cause. Mouthwash and tooth brushing may have drying effects. In the palliative care setting, anticholinergics and similar drugs that would normally reduce the production of saliva causing a dry mouth could be considered for symptom management : scopolamine, atropine, propantheline, hyoscine, amitriptyline, glycopyrrolate. A 2008 systematic review investigated the efficacy of pharmacological interventions for patients who have too much salvia due to clozapine treatment : Astemizole compared to control Summary There is no well - tested treatment for this difficult problem and no data to confidently inform clinical practice. Outcome Findings in words Findings in numbers Quality of evidence Hypersalivation No effect / not cured / not markedly improved Control : propantheline Astemizole probably is probably worse than propantheline - increasing the risk of having ' no effect '. Data are based on moderate quality evidence. RR 2.46 ( 1.63 to 3.72 ) Moderate Change in hypersalivation scores ( high = good ) Control : propantheline On average, people receiving astemizole scored a little lower than people treated with control for clozapine - induced hypersalivation. There was a clear difference between the groups, but, at present the meaning of this in day - to - day care is unclear. MD 0.64 lower ( 1.14 lower to 0.14 lower ) Low Adverse effects Tachycardia Control : doxepin Astemizole may increase the risk of experiencing fast heart rate, but, at present it is not possible to be confident about the difference between the two treatments because data supporting this finding are very limited. RR 5.00 ( 0.25 to 99.16 ) Very low Constipation Control : propantheline Astemizole may reduce constipation but there is no clear difference between people given astemizole and those receiving propanthelinecontrol for clozapine - induced hypersalivation. These findings are based on data of low quality. RR 0.60 ( 0.26 to 1.39 ) Low Missing outcomes No study reported any data on outcomes such as mental state, quality of life and information relating to time in services References Jump up ^ thefreedictionary.com > ptyalism Citing : Dorland 's Medical Dictionary for Health Consumers. 2007 Mosby 's Medical Dictionary, 8th edition. 2009 Saunders Comprehensive Veterinary Dictionary, 3 ed. 2007 Jump up ^ thefreedictionary.com > sialorrhea Citing : The American Heritage Dictionary of the English Language, Fourth Edition, Updated in 2009. ^ Jump up to : Medscape > Hypersalivation By Erica Brownfield. Posted : 05 / 19 / 2004 Jump up ^ Clark ), ( edited by Parveen Kumar, Michael ( 2005 ). Kumar & Clark clinical medicine ( 6th ed. ). Edinburgh : Elsevier Saunders. p. 266. ISBN 0702027634. CS1 maint : Extra text : authors list ( link ) Jump up ^ ( 1 ) Jump up ^ thefreedictionary.com > water brash Citing : Dorland 's Medical Dictionary for Health Consumers. 2007 Jump up ^ Medical Care of the Dying, 4th Edition, 2006, Edited by G. Michael Downing MD and Wendy Wainwright, MEd ^ Jump up to : Syed, R ; Cahill, C ; Duggan, L ( 2008 ). `` Pharmacological interventions for clozapine - induced hypersalivation ''. Cochrane Database of Systematic Reviews. 3 : CD005579. pub2. doi : 10.1002 / 14651858. CD005579. pub2. Retrieved from `` https://en.wikipedia.org/w/index.php?title=Hypersalivation&oldid=836323385 '' Categories : Saliva Salivary gland pathology Hidden categories : CS1 maint : Extra text : authors list Infobox medical condition All articles with unsourced statements Articles with unsourced statements from February 2015 Talk Contents About Wikipedia Deutsch Español Français Հայերեն Italiano Nederlands Polski Português Русский Suomi Türkçe 4 more Edit links This page was last edited on 14 April 2018, at 01 : 47. Text is available under the Creative Commons Attribution - ShareAlike License ; additional terms may apply. By using this site, you agree to the Terms of Use and Privacy Policy. Wikipedia ® is a registered trademark of the Wikimedia Foundation, Inc., a non-profit organization. About Wikipedia

Question: what does it mean when your drooling a lot
Answer: Hypersalivation