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What Causes Dry Mouth When Suffering From Parkinson's Disease?

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Posted on Thu, 30 Oct 2014
Question: I have parkinsons , not on medicstion at present. I have a very dry mouth and nasty tongue at the back, some days worse . Worse in mornings. The tongue causes severe nausea but not actually been sick, still have appetite.
Drinking water not caffeine, eat grapes, help Salivs if I chew slowly! Also cut out fatty meat and salt.
Is there anything else to help please ?
XXXX

doctor
Answered by Dr. Dhananjay Chavan (26 minutes later)
Brief Answer:
Proper hydration and promoting salivation

Detailed Answer:
Hello,
I am Dr Dhananjay Chavan, MD. I am a geriatric (old age) psychiatrist.
There are several reasons for dry mouth. Often there is more than one reason.
1. Drugs is a common reason. You are not taking medication for Parkinson's, but is there any other medication that you are taking? Medications such as anticholinergic drugs can cause extreme dry mouth. Antidepressants, antihistamines, diuretic antihypertensive medications can cause dryness of mouth.
2. Often inadequate hydration, not drinking enough water causes dry mouth. You may suck on ice cubes which will help hydration as well as keeping mouth moist. Frequent small sips of cold water will also help.
3. There are certain artificial saliva preparations available (Biotène Oralbalance® gel, Xerotin® oral spray) which help in keeping mouth moist.
4. Sugarless candy will promote salivation. This is effective if salivary glands has some function.
5. A medication called Pilocarpine is sometimes used but is usually reserved for most serious cases such as Sjogren's syndrome or dryness as a side effect of radiation therapy. Adequate water intake is essential when taking pilocarpine.
6. For lips, you may use petroleum jelly.
7. Anxiety may cause dryness of mouth.
8. Overall health also has an effect on salivation. Ensure adequate nutrition. Eat food that is to your liking to avoid discomfort.
I hope I have answered your question. If you have any further queries, I will be happy to help.
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Dhananjay Chavan (1 hour later)
Thanks for your promot reply. I am not anxious, in fact was looking forward to going out today when I felt really sick , had to sit down. Cancel trip out.
Can catarrh also cause this problem ? I do suffer with it .
Some days are worse than others, good day yesterdsy , bad sat. Dsmp weather makes parkinsond worse,mouth too.
Not on medication except one ferrous sulphate .
XXXX
doctor
Answered by Dr. Dhananjay Chavan (2 hours later)
Brief Answer:
Try stopping Ferrous sulphate for a few days

Detailed Answer:
It is good that you are not anxious.

Catarrh may be caused by allergy. Same allergic condition may also cause problems in mouth and tongue such as swelling.

Ferrous sulphate may cause allergic reaction that includes swelling of tongue and catarrh. You may try stopping ferrous sulphate for a few days and see how it affects you.

You should also continue simple measures suggested earlier.

If you do not have any clarifications, you may close the discussion and rate the answer. Wishing you good health. Take care.
Note: Get a consultation booked to know more about aging related medical issues. Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Dhananjay Chavan

Psychiatrist

Practicing since :1987

Answered : 172 Questions

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What Causes Dry Mouth When Suffering From Parkinson's Disease?

Brief Answer: Proper hydration and promoting salivation Detailed Answer: Hello, I am Dr Dhananjay Chavan, MD. I am a geriatric (old age) psychiatrist. There are several reasons for dry mouth. Often there is more than one reason. 1. Drugs is a common reason. You are not taking medication for Parkinson's, but is there any other medication that you are taking? Medications such as anticholinergic drugs can cause extreme dry mouth. Antidepressants, antihistamines, diuretic antihypertensive medications can cause dryness of mouth. 2. Often inadequate hydration, not drinking enough water causes dry mouth. You may suck on ice cubes which will help hydration as well as keeping mouth moist. Frequent small sips of cold water will also help. 3. There are certain artificial saliva preparations available (Biotène Oralbalance® gel, Xerotin® oral spray) which help in keeping mouth moist. 4. Sugarless candy will promote salivation. This is effective if salivary glands has some function. 5. A medication called Pilocarpine is sometimes used but is usually reserved for most serious cases such as Sjogren's syndrome or dryness as a side effect of radiation therapy. Adequate water intake is essential when taking pilocarpine. 6. For lips, you may use petroleum jelly. 7. Anxiety may cause dryness of mouth. 8. Overall health also has an effect on salivation. Ensure adequate nutrition. Eat food that is to your liking to avoid discomfort. I hope I have answered your question. If you have any further queries, I will be happy to help.