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Stop constant spitting for mentally challenged - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Mental Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 36 Questions
User :   how to stop constant spitting for a 24 year old male mentally challenged. Already tried reward system, tactile stimulation to keep hands and mind busy, mouth wash. Parent refuses gum or drops of any kind.
Doctor :   Hi
Doctor :   let me read your query
User :   Hi, any suggestions
Doctor :   Constant spitting in a mentally challenged individual that is not helped by the above methods used could be due to neurological defects
User :   so he should see a neurologist
Doctor :   there might be weakness of the oral cavity or oro-pharyngeal muscles due to which he cannot swallow the saliva
Doctor :   and he needs to spit it out
Doctor :   may i know the cause of mental challenge (medical cause i mean ) ?
User :   So when he is in the community or with peers all day long, spitting , it is causing a health concern. Would a neurologist do anything to strengthen this weakness? Or re-try behavior techniques?
Doctor :   In case of down's syndrome or congenital hypothyroidism, the patients have a large tongue, due to which constant spitting is seen
User :   I'll check medical cause
Doctor :   He would definitely be helped by medications to control them
User :   what med, still looking for cause
Doctor :   he may benefit by medications which reduce secretions like a anticholinergic medications
User :   mental retardation, autism. no problem at birth, still reading case record
Doctor :   ok
Doctor :   medications like glycopyrronium can be used but with prescription
User :   no problem with pregnancy or birth, no other history.
User :   script from neurologist, correct?
Doctor :   yes that is right
User :   Thank you very much!
Doctor :   the neurologist , will be able to diagnose his condition as well
Doctor :   you are most welcome
User :   very helpful, bye!
Doctor :   take care and bye for now
Doctor :   have a good day
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