Dealing with Excessive Salivation: When to See a Neurologist? - Neurology

More Info

---

Excessive salivation, also known as hypersalivation, can be a distressing condition that significantly impacts one's quality of life. It can manifest in various ways, including drooling during sleep or while awake, and may be associated with several underlying medical issues. Given that you have been experiencing this problem for 29 years, it is understandable that you are seeking a resolution.

First and foremost, it is essential to identify the potential causes of excessive salivation. This condition can arise from various factors, including neurological disorders, medications, dental issues, or even anxiety. Neurological conditions such as Parkinson's disease, multiple sclerosis, or stroke can lead to difficulties in swallowing and increased saliva production. Additionally, certain medications, particularly those that affect the nervous system, can also contribute to this issue.
Since you mentioned that your excessive salivation has been a long-standing issue, it would be prudent to consult a neurologist. A neurologist specializes in diagnosing and treating disorders of the nervous system, which includes conditions that may lead to hypersalivation. They can conduct a thorough evaluation, including a detailed medical history, physical examination, and possibly imaging studies, to determine if there is an underlying neurological cause for your symptoms.

Moreover, you noted that your speech has changed after orthodontic treatment, leading to increased drooling. This could be related to changes in oral structure or muscle control following dental work. In this case, it may also be beneficial to consult with an orthodontist or a speech-language pathologist. A speech-language pathologist can assess your speech and swallowing functions and provide strategies to improve oral control and reduce drooling.

In terms of treatment options, addressing excessive salivation often involves a multifaceted approach. If a neurological condition is identified, treating the underlying condition may help alleviate the symptoms. In some cases, medications such as anticholinergics may be prescribed to reduce saliva production. Additionally, behavioral strategies, such as practicing swallowing techniques or using oral motor exercises, may also be beneficial.

For individuals who experience drooling during sleep, certain lifestyle modifications can help. These may include sleeping on your side to allow saliva to drain naturally, using absorbent pillowcases, or employing oral appliances designed to help manage saliva flow.

In conclusion, given the duration and impact of your excessive salivation, it is advisable to seek a comprehensive evaluation from a neurologist to rule out any underlying neurological issues. Additionally, consulting with dental professionals may provide insights into how your orthodontic treatment has affected your oral function. With the right approach and support, it is possible to manage and reduce the symptoms of excessive salivation effectively. Remember, you are not alone in this, and seeking help is the first step toward finding relief.