Excessive Saliva Production: Is It Related to Gastroesophageal Reflux?

Excessive salivation?

Hello, doctor.
I asked a question last Friday and later started taking Omeprazole 30 mg before breakfast and dinner, and Pantoprazole 5 mg.
I've been on this regimen for two days now, with one day left to complete.
Since last Friday, I have noticed that I have been producing saliva throughout the day, which is slightly more than usual, but not enough to overflow.
Even after swallowing, the saliva production resumes immediately.
Additionally, I have a prickly sensation in my throat, but it is not painful.
Currently, these are the only two symptoms I am experiencing.
I usually do not drink coffee or tea, rarely consume sweets, and maintain a regular diet and lifestyle.

1.
Are these symptoms indicative of gastroesophageal reflux disease (GERD)?
2.
Will these symptoms resolve on their own? If so, how long might that take? Are there any adjustments I should make?
3.
Should I see a gastroenterologist immediately? If I seek medical attention, will I need to undergo an endoscopy or similar procedure?
Thank you for your help! :)

QQ, 30~39 year old female. Ask Date: 2021/11/28

Dr. Chen Shidian reply Gastroenterology and Hepatology

You can observe and see if you can stop the medication.

Reply Date: 2021/11/28

More Info

Excessive saliva production can indeed be related to gastroesophageal reflux disease (GERD). When the stomach acid flows back into the esophagus, it can irritate the lining of the esophagus and throat, leading to various symptoms, including increased salivation. The body may produce more saliva as a protective mechanism to help neutralize the acid and soothe the irritation.
1. Symptoms and GERD Connection: The symptoms you describe—excessive saliva and a prickly sensation in the throat—are not uncommon in individuals with GERD. The increased saliva production is often a response to the irritation caused by acid reflux. While these symptoms alone do not definitively diagnose GERD, they can be indicative of the condition, especially if you have a history of reflux or related gastrointestinal issues.

2. Self-Healing and Duration: Whether these symptoms will resolve on their own can vary from person to person. If the underlying cause of the reflux is addressed—such as dietary changes, weight management, or medication—the symptoms may improve. However, if the reflux persists, the symptoms may continue. The duration for self-resolution can range from a few days to several weeks, depending on individual circumstances and adherence to treatment or lifestyle modifications.

3. Medical Consultation: Given your symptoms, it would be prudent to consult a gastroenterologist, especially since you are experiencing persistent issues. A healthcare professional can provide a thorough evaluation and may recommend diagnostic tests such as an upper endoscopy (esophagogastroduodenoscopy, or EGD) to assess the condition of your esophagus and stomach. This procedure can help identify any inflammation, ulcers, or other abnormalities that may be contributing to your symptoms.

In terms of adjustments you can make, consider the following:
- Dietary Changes: Avoid foods and beverages that can exacerbate reflux, such as spicy foods, fatty foods, chocolate, caffeine, and acidic foods like citrus and tomatoes. Eating smaller, more frequent meals rather than large meals can also help reduce pressure on the lower esophageal sphincter (LES), which can prevent reflux.

- Lifestyle Modifications: Elevating the head of your bed, avoiding lying down immediately after meals, and maintaining a healthy weight can also help manage GERD symptoms. If you smoke, quitting smoking can significantly improve your symptoms as smoking can weaken the LES.

- Medication: Since you are already taking medications like gastric acid suppressants, continue to follow your doctor's advice regarding their use. If symptoms persist, your doctor may consider adjusting your medication regimen or exploring other treatment options.

In summary, excessive saliva production can be related to gastroesophageal reflux, and while it may resolve with appropriate lifestyle changes and treatment, consulting a gastroenterologist is advisable for a comprehensive evaluation and tailored management plan.

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