What do you mean by drooling?
Saliva is flowing outside the mouth known as drooling. It is generally
caused by excessive production of saliva, inability to retain or
It can be defined as salivary incontinence or the spillage
of saliva over the lower lip. It reflects a disturbance of the
oral phase of deglutition which is associated with inefficient,
uncoordinated swallowing and poorly synchronized lip closure. It
is frequently associated with an abnormal increase in tone of the
muscles that open the mouth. Drooling patients have difficulty
managing normal salivary flow; sialorrhea, increase in salivary
flow which can lead to drooling. Drooling itself is a symptom not
Saliva is the watery and usually a frothy substance produced in
mouth; which is secreted by salivary gland. It is stimulated by
both sympathetic and parasympathetic nervous system. Approximately
700ml/ day saliva produced. It contains 98% water and electrolyte,
mucus, antibacterial compounds and various enzymes. The functions
of saliva include lubrication and moistening of food in order to
facilitate mastication, protection of the mucosa from desiccation,
prevention of dental caries, and a medium by which lysozyme, secretary
IgA and salivary peroxidase are delivered to the oral cavity.
What causes drooling?
§ In infants and toddlers it may be normal and is unlikely
to be a sign of either disease or any complications, it may be associated
§ It may be exacerbated by upper respiratory infections
and nasal allergies
§ If it is associate with fever or trouble in swallowing
may be sign of retropharyngeal abscess, peritonsillar abcesses,
tonsillitis, Mononucleosis, sore throat, parkinson’s disease.
§ Sudden onset of drooling indicates poisoning, reaction
to snake or insect venom.
where saliva secretion is increased; Stomatitis, Chronic gastritis,
Pregnancy, Maniacs, Hydrophobia, Drugs -mercury, iodide, bitters,
Sinemet, Sinemet CR, Lodosyn, Levodopa, Dopar, etc.
capsaicin can cause drooling.
- Drooling may be one symptoms of following disease; Alzheimer's Disease,
Ataxia Telangiectasia, Bell's Palsy, Cyclic vomiting syndrome,
Epiglotitis, Epiglottis diseases, Grand mal seizures, Homocystinuria,
Motion sickness, Rabies, Schwartz-Jampel Syndrome, Sjogren's
Syndrome, Wilson's Disease, etc.
How diagnosis of drooling has to be done?
History, physical examination and Medical cause must investigate.
§ Ask about amount of salivation, associated sign and symptoms,
§ Check for paralysis, edema of throat and tonsils, swelling
of mouth and neck, Note foul breath odor. Examine the tongue for
trident tongue, gag reflex.
§ Assess cranial nerves II through VII, IX, and X, patient’s
speech, check pupillary size and response to light.
§ Palpate muscle for tenderness or atrophy, for lymphadenopath,
hyperreflexia, and a positive Babinski's reflexand assess sensory
function for paresthesia.
§ Investigation for mental changes, vision, hearing, and
sense of taste
§ Drug history.
§ Ask about anorexia, weight loss, fatigue, nausea, vomiting,
and altered bowel or bladder habits, suffering from cold recently
or other infection or bitten by an animal or exposed to pesticides.
Conventional Treatment for Drooling:
Treatment of drooling must be according to the medical cause; generally
Atropine sulfate is given for drooling.
Homeopathy Treatment & Homeopathic Remedies
Homeopathy treats the person
as a whole. It means that homeopathic treatment focuses on the patient
as a person, as well as his pathological condition. The homeopathic
medicines are selected after a full individualizing examination
and case-analysis, which includes the medical history of the patient,
physical and mental constitution etc. The medicines given below
indicate the therapeutic affinity but this is not a complete and
definite guide to the treatment of this condition. None of these
medicines should be taken without professional advice.
[Kent] MOUTH, Salivation
[Murphy] MOUTH, Salivation;
Pregnancy, Salivation, during, ptyalism
[Boericke] Mouth, Ptyalism-Saliva, increased.
[Boenninghausen’s] Mouth, Saliva, mucus, increased (water
Homeopathic medicines are selected on the basis of symptoms, cause,
family history and constitution of the person affected. Considering
all these factors any of the below listed (or some other) homeopathic
medicine may be indicated and helpful in this condition.
Kreosotum, Mercurius Solubilis, Natrum muriaticum, Ipecacuanha,
Pulsatilla pratensis, Sulphuricum acidum, Kali Bichromicum,
Cross, willful and obstinate patient. Salivation during pregnancy.
Vomiting: of pregnancy, sweetish water with ptyalism; during
painful dentition. Fetid breath.
Ptyalism; tenacious, soapy, stringy, profuse, fetid, coppery,
metallic-tasting saliva. Fetid odor from the mouth. Inflammation and suppuration of
throat. Constant inclination to swallow. Sticking pain in throat
and tonsils when swallowing. Inability to speak. Hoarse, husky voice.
Salivation. Taste Lost. Burning
blisters in mouth and on tongue. Chronic sore throat, with sensation
of being compelled to swallow over a lump. Inflamed throat with
sticking pains. Difficulty speech from heaviness of tongue. Sense
of a hair on tongue.
Profuse salivation with burning in oesophagus.
Affections of the mucous membranes of
mouth, throat - discharge of a tough, stringy mucus which
adheres to the parts and can be drawn into long strings. Rope like
Mouth biting in, also tongue. Difficult
swallowing.. Bleeding from. Inflamed throat. Taste: Sweetish,
bloody, in mouth.
Putrid odor from mouth, especially in
morning. Dark redness or varicose swelling of throat. Tenacious
mucus in throat early in morning. Increased flow of sweetish
saliva. Tongue covered with mucus.
Salivation with sore gums and mouth. Also
during pregnancy. Wets the pillow in sleep. Sweetish metallic taste
in the mouth. Salivary secretions greatly increased; bloody
and viscid. Saliva fetid, coppery. Sore pain on touch and from
chewing. Whole mouth moist. Fetid odor from mouth, can smell it
all over room. Great thirst, with moist mouth.
Obstinate salivation with ulcers
on the tongue, angles of lips and inner walls of the mouth with
a constant and copious discharge of limpid saliva. Loss of
taste. Immoderate thirst.
Burning water-brash and profuse salivation,
day and night. Increased Salivation from the gastric complaints.
Intense burning thirst. Cold drinks distress.
Care for drooling
Care for drooling due to teething includes
good oral hygiene. Popsicles or other cold objects (such as frozen
bagels) may be helpful. Care must be taken to avoid choking when
a child uses any of these objects.