Managing Excessive Salivation and Coughing After Pneumonia Treatment - Pulmonology

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Pneumonia


Hello, I have pneumonia and have been experiencing excessive salivation with bubbles.
What should I do? I was hospitalized from April 14 to April 19, and since then I have been taking medication but still have a cough, phlegm, and shortness of breath.
After taking medication on the night of the 25th, I started to salivate excessively with bubbles, occasionally coughing up phlegm.
What should I do to stop this excessive salivation, as it is very uncomfortable? Could this be a side effect of the medication? I am concerned that I won't be able to work.
Thank you, doctor, for taking the time to respond.

Ms. Chen, 30~39 year old female. Ask Date: 2016/04/26

Dr. Zhou Ziguang reply Pulmonology


Hello, it may be due to medication side effects or changes in your condition.
Please schedule a follow-up appointment for treatment.
Wishing you good health, Dr.
Chou Tzu-Kuang.

Reply Date: 2016/04/26

More Info


Excessive salivation, especially following pneumonia treatment, can be distressing and may arise from various causes, including medication side effects, underlying conditions, or the body's response to infection. In your case, it appears that you have been experiencing excessive salivation and coughing after being hospitalized for pneumonia, which can be quite uncomfortable.


Understanding Excessive Salivation
Excessive salivation, or sialorrhea, can occur for several reasons:
1. Medication Side Effects: Certain medications, particularly those used to treat respiratory conditions or infections, can lead to increased saliva production. Common culprits include antibiotics, antipsychotics, and medications that affect the nervous system.

2. Post-Infection Response: After a respiratory infection like pneumonia, your body may still be in a state of recovery. Increased salivation can be a part of the healing process as your body works to clear mucus and other secretions from the respiratory tract.

3. Gastroesophageal Reflux Disease (GERD): If you have been experiencing coughing and a sensation of mucus in your throat, it could be related to acid reflux, which can stimulate saliva production.

4. Neurological Factors: In some cases, neurological conditions can affect the control of saliva production, leading to excessive drooling.


Management Strategies
Here are some strategies to manage excessive salivation and associated symptoms:
1. Medication Review: Consult your healthcare provider about the medications you are currently taking. If you suspect that a particular medication is causing excessive salivation, your doctor may adjust your dosage or switch you to an alternative medication.

2. Hydration: Staying well-hydrated can help thin mucus secretions, making it easier to manage coughing and phlegm. However, be cautious not to overhydrate, as this can exacerbate salivation.

3. Saliva-Reducing Medications: Your doctor may prescribe medications that help reduce saliva production. These can include anticholinergic drugs, which block the action of acetylcholine, a neurotransmitter involved in saliva production.

4. Oral Hygiene: Maintaining good oral hygiene can help manage the discomfort associated with excessive salivation. Rinsing your mouth with saltwater or using mouthwash may provide temporary relief.

5. Dietary Adjustments: Avoiding spicy, acidic, or irritating foods can help reduce salivation. Eating smaller, more frequent meals may also be beneficial.

6. Breathing Techniques: Practicing controlled breathing techniques can help manage coughing and may reduce the urge to cough, which can sometimes stimulate salivation.

7. Follow-Up Care: Since you have been experiencing these symptoms after pneumonia treatment, it is essential to follow up with your healthcare provider. They may want to conduct further evaluations to rule out any underlying issues or complications.


When to Seek Help
If your symptoms persist or worsen, or if you experience additional symptoms such as difficulty swallowing, severe pain, or signs of dehydration, it is crucial to seek medical attention promptly. Your healthcare provider can perform a thorough evaluation and determine the best course of action tailored to your specific situation.

In summary, excessive salivation after pneumonia treatment can be managed through medication review, hydration, oral hygiene, and dietary adjustments. It is essential to communicate openly with your healthcare provider about your symptoms to ensure appropriate management and relief.

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