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Is Excess Saliva Due To Gerd? I Am Not Drooling

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Posted on Mon, 25 May 2020
Question: Is excess saliva due to gerd? I am not drooling but I feel like my mouth is more watery than normal. I do have tightness in my throat for the last 4 months and feel it every time I eat or drink. Small bread crumbs or seeds stick in my throat and then I have to drink water to wash it down. I also have a weird pressure in my cheeks and around ears.

I also have pressure on my cheeks and top of my mouth and around my ears. I also feel my tongue is wet like constantly



I do have reflux. I have done an endoscopy, ph manometry and 24 hr impedence test last year and found little acid but nothing significant.
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Follow up: Dr. Dr. Erion Spaho (0 minute later)
Is excess saliva due to gerd? I am not drooling but I feel like my mouth is more watery than normal. I do have tightness in my throat for the last 4 months and feel it every time I eat or drink. Small bread crumbs or seeds stick in my throat and then I have to drink water to wash it down. I also have a weird pressure in my cheeks and around ears.

I also have pressure on my cheeks and top of my mouth and around my ears. I also feel my tongue is wet like constantly



I do have reflux. I have done an endoscopy, ph manometry and 24 hr impedence test last year and found little acid but nothing significant.
doctor
Answered by Dr. Dr. Erion Spaho (1 hour later)
Brief Answer:
Other possible causes besides GERD to consider.

Detailed Answer:
Hello and welcome to "Ask a Doctor" service.

I have read your query.

GERD may cause only intermittent excess of saliva (after you kay down for example).

A constant excess of saliva accompanied by tightness feeling may indicate an inflammation of the oral cavity, sinuses, etc.

Anxiety, pain, etc. also may cause hypersalivation.

So, in my opinion, the hypersalivation in your case is not caused by GERD.

I think that you should see an ENT Doctor for your issues.

Hope you found the answer helpful.

Let me know if I can assist you further.


Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Dr. Erion Spaho (0 minute later)
Brief Answer:
Other possible causes besides GERD to consider.

Detailed Answer:
Hello and welcome to "Ask a Doctor" service.

I have read your query.

GERD may cause only intermittent excess of saliva (after you kay down for example).

A constant excess of saliva accompanied by tightness feeling may indicate an inflammation of the oral cavity, sinuses, etc.

Anxiety, pain, etc. also may cause hypersalivation.

So, in my opinion, the hypersalivation in your case is not caused by GERD.

I think that you should see an ENT Doctor for your issues.

Hope you found the answer helpful.

Let me know if I can assist you further.


Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Dr. Erion Spaho (11 hours later)
Do you think this is a neurological issue? Or any auto immune disease?

I also have a constant tightness in my throat for the last 4 months and it spreads to my roof of the mouth and cheeks.

The stiffness makes my speech sometimes weird as it does not move as expected.
I am afraid if this is due to MS or some other neurological stuff.

When I am saying i have excess saliva, what i mean is that I am not drooling, its just a sensation of having excess saliva and I feel its due to the pressure/tightness in my throat and mouth.

Is this a sign of muscle weakness in my mouth and throat? I have not lost any weight, rather i am gaining weight.
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Follow up: Dr. Dr. Erion Spaho (0 minute later)
Do you think this is a neurological issue? Or any auto immune disease?

I also have a constant tightness in my throat for the last 4 months and it spreads to my roof of the mouth and cheeks.

The stiffness makes my speech sometimes weird as it does not move as expected.
I am afraid if this is due to MS or some other neurological stuff.

When I am saying i have excess saliva, what i mean is that I am not drooling, its just a sensation of having excess saliva and I feel its due to the pressure/tightness in my throat and mouth.

Is this a sign of muscle weakness in my mouth and throat? I have not lost any weight, rather i am gaining weight.
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Follow up: Dr. Dr. Erion Spaho (4 minutes later)
I did go an ent and dentist and they did not find anything apart from mild inflammation of my lingual tonsils.

Thats why I am really worried, i am trying to get into see another ENT for sinus but I dont have other sinus symptoms apart from facial pressure.

Thats why I am worried if this is due to some neurological stuff.
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Follow up: Dr. Dr. Erion Spaho (0 minute later)
I did go an ent and dentist and they did not find anything apart from mild inflammation of my lingual tonsils.

Thats why I am really worried, i am trying to get into see another ENT for sinus but I dont have other sinus symptoms apart from facial pressure.

Thats why I am worried if this is due to some neurological stuff.
doctor
Answered by Dr. Dr. Erion Spaho (1 hour later)
Brief Answer:
I would explain as follows.

Detailed Answer:
Welcome back.

It seems to be no muscle weakness in your case, there are no true swallowing problems.

The inflammation of the tonsils may explain your problems, so, the neurological origin seems unlikely.

Hope this helps.

Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Dr. Erion Spaho (0 minute later)
Brief Answer:
I would explain as follows.

Detailed Answer:
Welcome back.

It seems to be no muscle weakness in your case, there are no true swallowing problems.

The inflammation of the tonsils may explain your problems, so, the neurological origin seems unlikely.

Hope this helps.

Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Dr. Erion Spaho (16 minutes later)
If it had to be muscle weakness will it be constant or like come and go?

Also can an infection be the cause without me having a fever and it to go undetected for 4 months?
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Follow up: Dr. Dr. Erion Spaho (0 minute later)
If it had to be muscle weakness will it be constant or like come and go?

Also can an infection be the cause without me having a fever and it to go undetected for 4 months?
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Follow up: Dr. Dr. Erion Spaho (0 minute later)
I also read that ms could cause such symptoms and that’s why I am afraid
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Follow up: Dr. Dr. Erion Spaho (0 minute later)
I also read that ms could cause such symptoms and that’s why I am afraid
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Follow up: Dr. Dr. Erion Spaho (3 hours later)
Without sounding like an idiot, could this be like a sign of some neuro-degenerative disease like ALS/Parkinson or something even worse?

What are the signs of muscle weakness in throat and mouth?

Thank you answering my questions.
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Follow up: Dr. Dr. Erion Spaho (0 minute later)
Without sounding like an idiot, could this be like a sign of some neuro-degenerative disease like ALS/Parkinson or something even worse?

What are the signs of muscle weakness in throat and mouth?

Thank you answering my questions.
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Follow up: Dr. Dr. Erion Spaho (53 minutes later)
Will a swallow study (MBS) rule out all weakness of the throat and the oro-pharyngeal phase and also rule out weakness in terms of swallowing?
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Follow up: Dr. Dr. Erion Spaho (0 minute later)
Will a swallow study (MBS) rule out all weakness of the throat and the oro-pharyngeal phase and also rule out weakness in terms of swallowing?
doctor
Answered by Dr. Dr. Erion Spaho (4 hours later)
Brief Answer:
A neurodegenerative disorder seems unlikely.

Detailed Answer:
Hello again.

Excess of saliva in the mouth is not a typical symptom for any degenerative neurological disorder including MS, ALS, Parkinson's, etc.

Inflammation of salivary glands does not cause fever and may increase saliva production for example.

A wallow study may give more information about weakness, however, true weakness, in general, is accompanied by dysphagia and is progressive.

Hope this helps.

Greetings.
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Dr. Erion Spaho (0 minute later)
Brief Answer:
A neurodegenerative disorder seems unlikely.

Detailed Answer:
Hello again.

Excess of saliva in the mouth is not a typical symptom for any degenerative neurological disorder including MS, ALS, Parkinson's, etc.

Inflammation of salivary glands does not cause fever and may increase saliva production for example.

A wallow study may give more information about weakness, however, true weakness, in general, is accompanied by dysphagia and is progressive.

Hope this helps.

Greetings.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Dr. Erion Spaho (45 minutes later)
So what I am explaining is that dysphagia, when I am saying this "I do have tightness in my throat for the last 4 months and feel it every time I eat or drink. Small bread crumbs or seeds stick in my throat and then I have to drink water to wash it down. I also have a weird pressure in my cheeks and around ears. "

Also the pressure in my throat and cheeks/mouth, are these indication of muscle weakness?

Also, what should I get a modified barium swallow or a FEES study?
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Follow up: Dr. Dr. Erion Spaho (0 minute later)
So what I am explaining is that dysphagia, when I am saying this "I do have tightness in my throat for the last 4 months and feel it every time I eat or drink. Small bread crumbs or seeds stick in my throat and then I have to drink water to wash it down. I also have a weird pressure in my cheeks and around ears. "

Also the pressure in my throat and cheeks/mouth, are these indication of muscle weakness?

Also, what should I get a modified barium swallow or a FEES study?
doctor
Answered by Dr. Dr. Erion Spaho (12 hours later)
Brief Answer:
I would explain as follows.

Detailed Answer:
Welcome back.

Symptoms of dysphagia include:

-problems swallowing certain foods or liquids.

-coughing or choking when eating or drinking,

-bringing food back up,

-the sensation that food is stuck in your throat or chest,

-persistent drooling of saliva.

Pressure or tightness in the throat, cheeks, ears, is more likely linked with sinusitis, so, I think yours is not typical dysphagia.

FEES is a very good alternative to the modified barium swallowing test.

Hope this helps.

Take care.
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Dr. Erion Spaho (0 minute later)
Brief Answer:
I would explain as follows.

Detailed Answer:
Welcome back.

Symptoms of dysphagia include:

-problems swallowing certain foods or liquids.

-coughing or choking when eating or drinking,

-bringing food back up,

-the sensation that food is stuck in your throat or chest,

-persistent drooling of saliva.

Pressure or tightness in the throat, cheeks, ears, is more likely linked with sinusitis, so, I think yours is not typical dysphagia.

FEES is a very good alternative to the modified barium swallowing test.

Hope this helps.

Take care.
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Dr. Erion Spaho (2 hours later)
Do you think I have dysphagia and I should get one for the sake of it?

Is the radiation with MBS bad for health?

And do you think I need one ?
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Follow up: Dr. Dr. Erion Spaho (0 minute later)
Do you think I have dysphagia and I should get one for the sake of it?

Is the radiation with MBS bad for health?

And do you think I need one ?
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Follow up: Dr. Dr. Erion Spaho (27 minutes later)
Do you have any slightest of doubts that this could be some neurological issue?

Also, can a sinus or some other infection be the cause of my issues even if I don’t have a fever?

Also, could this be due to arthritis or some autoimmune condition?
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Follow up: Dr. Dr. Erion Spaho (0 minute later)
Do you have any slightest of doubts that this could be some neurological issue?

Also, can a sinus or some other infection be the cause of my issues even if I don’t have a fever?

Also, could this be due to arthritis or some autoimmune condition?
doctor
Answered by Dr. Dr. Erion Spaho (8 hours later)
Brief Answer:
Your new questions answered below.

Detailed Answer:
Hello again.

Your symptoms do not resemble dysphagia, however, if in doubt about esophageal dysfunction, you can get examined further.

It is true that there is an amount of radiation associated with the MBS test, but today these radiation-associated risks are minimized.

In my opinion, your issues are more inflammatory in origin than neurological.

Chronic sinusitis, for example, may cause no fever.

Since the inflammatory origin is suspected, autoimmune conditions cannot be excluded entirely (I think this is a very small possibility).

Hope this helps.

Greetings.


Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Dr. Erion Spaho (0 minute later)
Brief Answer:
Your new questions answered below.

Detailed Answer:
Hello again.

Your symptoms do not resemble dysphagia, however, if in doubt about esophageal dysfunction, you can get examined further.

It is true that there is an amount of radiation associated with the MBS test, but today these radiation-associated risks are minimized.

In my opinion, your issues are more inflammatory in origin than neurological.

Chronic sinusitis, for example, may cause no fever.

Since the inflammatory origin is suspected, autoimmune conditions cannot be excluded entirely (I think this is a very small possibility).

Hope this helps.

Greetings.


Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
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Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4493 Questions

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Is Excess Saliva Due To Gerd? I Am Not Drooling

Is excess saliva due to gerd? I am not drooling but I feel like my mouth is more watery than normal. I do have tightness in my throat for the last 4 months and feel it every time I eat or drink. Small bread crumbs or seeds stick in my throat and then I have to drink water to wash it down. I also have a weird pressure in my cheeks and around ears. I also have pressure on my cheeks and top of my mouth and around my ears. I also feel my tongue is wet like constantly I do have reflux. I have done an endoscopy, ph manometry and 24 hr impedence test last year and found little acid but nothing significant.