Excessive Saliva Production: Causes and Solutions for Your Concerns

It seems

Hello Dr.
Chen, I have a bit of a problem...
I have a higher saliva secretion than others; even when I'm not talking to anyone, I can produce about 5cc of saliva in my mouth.
I have visited an ENT specialist, a gastroenterologist, and a psychiatrist, but the medications from the first two were ineffective.
I constantly swallow saliva, and people can hear it, leading them to believe it is related to "sexual" issues.
I had to ask the psychiatrist to prescribe medications that are suspected to either increase or decrease sexual desire, but even after taking them, I still produce a lot of saliva, similar to the amount I need to rinse my mouth in the morning, which I estimate to be about 5cc.
What other issues could cause excessive saliva production? I don't think about sexual matters in my daily life, yet this is happening.
What should I do? Doctor, could you please help me understand what this issue might be? Thank you for your response.

I'm sorry, 20~29 year old female. Ask Date: 2009/03/24

Dr. Chen Qingbin reply Internal Medicine

Your condition may be due to excessive saliva production.
It is advisable to visit a major hospital's otolaryngology department for a thorough examination to identify the cause and provide targeted treatment.
This is likely unrelated to sexual factors.

Reply Date: 2009/03/24

More Info

Excessive saliva production, also known as sialorrhea, can be a distressing condition that affects individuals in various ways. It can lead to social embarrassment, difficulty in speaking, and even challenges in maintaining oral hygiene. Understanding the underlying causes and potential solutions is crucial for managing this condition effectively.

Causes of Excessive Saliva Production
1. Medical Conditions: Several medical conditions can lead to increased saliva production. These include:
- Gastroesophageal Reflux Disease (GERD): Acid reflux can stimulate salivary glands to produce more saliva as a protective mechanism against stomach acid.

- Neurological Disorders: Conditions such as Parkinson's disease, cerebral palsy, or multiple sclerosis can affect the nervous system's control over salivary glands, leading to excessive saliva.

- Infections: Oral infections, such as those caused by bacteria or viruses, can trigger increased saliva production.

- Medications: Certain medications, particularly those that affect the nervous system, can lead to increased salivation as a side effect. This includes some antidepressants, antipsychotics, and medications for anxiety.

2. Psychological Factors: Anxiety and stress can also play a significant role in saliva production. The body's response to stress can lead to increased salivation, which may be exacerbated by the anxiety of being in social situations.

3. Dietary Factors: Consuming certain foods, especially those that are spicy or acidic, can stimulate salivary glands. Additionally, the act of chewing gum or sucking on hard candies can also increase saliva production.

4. Dental Issues: Poor oral hygiene or dental problems can lead to increased saliva production as the body attempts to combat potential infections or irritations in the mouth.

Solutions and Management Strategies
1. Medical Evaluation: Since you have already consulted with specialists in ENT, gastroenterology, and psychiatry, it may be beneficial to seek a comprehensive evaluation from a neurologist or an oral medicine specialist. They can assess for any underlying neurological conditions or other factors that may contribute to excessive saliva production.

2. Medications: If the medications prescribed have not been effective, discussing alternative options with your healthcare provider is essential. Medications such as anticholinergics (e.g., atropine, glycopyrrolate) can reduce saliva production, but they may have side effects that need to be considered.

3. Behavioral Techniques: Cognitive-behavioral therapy (CBT) may help manage anxiety-related saliva production. Techniques to reduce anxiety and stress can be beneficial in controlling excessive salivation.

4. Oral Hygiene Practices: Maintaining good oral hygiene can help minimize the discomfort associated with excessive saliva. Regular dental check-ups and cleanings can prevent infections that may exacerbate the condition.

5. Dietary Adjustments: Avoiding foods that stimulate saliva production, such as sour or spicy foods, may help manage symptoms. Staying hydrated and using sugar-free gum or mints can also be beneficial.

6. Botulinum Toxin Injections: In some cases, botulinum toxin (Botox) injections into the salivary glands can reduce saliva production. This treatment is typically considered when other options have failed.

7. Surgical Options: In severe cases, surgical intervention may be considered to remove the salivary glands or to divert saliva flow.

Conclusion
Excessive saliva production can stem from a variety of causes, including medical, psychological, and dietary factors. A thorough evaluation by healthcare professionals is essential to identify the underlying cause and develop an appropriate treatment plan. If you continue to experience discomfort or embarrassment due to this condition, do not hesitate to seek further medical advice. Open communication with your healthcare providers about your symptoms and concerns is vital for finding effective solutions.

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