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Excessive salivation with stinky smell on waking up, have good oral hygiene. Remedy?

hi there, i m 29 years old and i have the excessive saliva problem for the past 5, 6 years. I brush and floss every morning and night and rinse my mouth everytime after i eat. when i am awake every morning, the saliva will start to gather in my mouth, it usually has a very stinky smell too. the only way to get rid of it is to get up and brush my teeth . some time if i am really tired, i would try to keep my mouth shut to prevent it dropping onto my pillow, but usually it will eventually builds up and i am forced to get up to brush my teeth. have been trying very hard to look for a solution. thanks in advance.
Asked On : Tue, 30 Oct 2012
Answers:  5 Views:  342
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Dentist 's  Response
siallorhoea or excessive salivation is common in neurological problems. factors which may cause it are hypersecretion of saliva, dental malocclusion and inability to recognise the spill of saliva.
treatment includes anticholinergic medicines such as glycopyrrolate and scopolamine however the side effects of less saliva must be aniticipated.
injection of botulinum toxin a into the parotid and submandibular glands is a good option.
other methods include radiotherapy or surgery.
so the approach is team wise ehre a dentist a neurologist and surgeon work in tandem
Answered: Tue, 30 Oct 2012
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Dentist Dr. Neha Gupta's  Response
Thanks for posting your query.

You might be suffering from post-nasal drip. It is not a medical condition, but it may be a symptom of another medical condition that causes excessive mucus production.

Treatment for postnasal drip depends on the cause of the problem. Bacterial infections are treated with antibiotics.

In order to properly treat post-nasal drip, it's important to have your ears, nose, and throat examined so that your doctor may determine the underlying cause.

Answered: Tue, 30 Oct 2012
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Dentist Dr. Farah Hussain's  Response
Hi and welcome to HCM,
Excessive salivation is caused due to less clearence of saliva and is called sialorhea, Increased salivation can have number of reasons like mouth ulcers,upper respiratory tract infections, tonsillitis , pharyngitis , oral mucosistis, nasal drip and allergies, mercury toxicity, medicines like rabeprazole, neurological disorders of leads to drooling of saliva .
According to the underlying cause and diagnosis, exact treatment can be done.
Fowl smelling saliva indicates infections like retro pharyngeal or tonsillar abscess or accumulation of bacterial plaque and calculus in the mouth. so i suggest you to consult a physician for clinical examination and exact treatment.
Maintain good oral hygiene, atropine sulphate helps in reducing salivation but can be used only under medical supervision. take care.
Answered: Fri, 25 Jan 2013
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Dentist Dr. Khushboo Bhatia's  Response
Excess saliva in mouth is there when you have some artificial thing in the mouth like partial dentures or when oral hygiene is very poor or some decay in tooth. There can be systemic causes also but first you have to rule out the local causes and for this you have to visit a dentist who after doing clinical examination will make treatment plan and do treatment. If it is due to some artificial thing in mouth then this problem will be taken care of itself as your mouth become used to it. If the cause is systemic then you may be precribed antisialogauges and for that you have to go to physician.
Answered: Fri, 25 Jan 2013
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Dentist Dr. Deepthi Reddy's  Response
Thank you for the query.
This could be sialoreaha which is a neuromuscular dysfunction, hyper salivation . It causes physical and psychological complications including perioral chapping, dehyradtion, odor and social stigmatization. Usually caused in adults suffering from pakinson's disease or have had stroke or cerebral palsy.
This can be treated by giving injection of botulinum toxin type A into the parotid and submandibular salivary glands. Anti cholinergics help in reducing saliva flow to some extent. Surgical intervention can be performed salivary gland excision or salivary gland ligation .
Hope this information helps you.
Answered: Thu, 24 Jan 2013
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