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Drooling
Drooling

Drooling

Definition:

Drooling is saliva flowing outside the mouth.



Alternative Names:

Salivation



Considerations:

Drooling is generally caused by too much�saliva production, problems�keeping saliva within the mouth, or problems with swallowing.

Some people with drooling problems are at increased risk of�breathing in�saliva, food, or fluids into the lungs. However, this may cause harm if there is a problem with the�body's normal reflex mechanisms (such as gagging and coughing).



Common Causes:

Occasional drooling in infants and toddlers is normal and is unlikely to be a sign of either disease or problem. It may be associated with teething. Drooling in infants and young children may get worse with�upper respiratory infections and nasal allergies.

Drooling associated with fever or trouble swallowing may be a sign of a more serious disease, including:

  • Retropharyngeal abscess
  • Peritonsillar abscess
  • Tonsilitis
  • Mononucleosis
  • Strep throat

Sudden drooling may indicate poisoning (especially by pesticides) or a reaction to snake or insect venom.

Other things that can cause drooling:

  • Certain medications
  • Neurological problems


Home Care:

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.



Call your health care provider if:

Call your health care provider if:

  • Your child has a fever, difficulty breathing, or holds his or her head in a funny position.
  • There is concern about aspiration.
  • The cause of the drooling has not been diagnosed.



What to expect at your health care provider's office:

The doctor will perform a physical examination and ask questions about the symptoms, including:

  • Is there a history of any other diseases?
  • Has the person had a bite or sting?
  • Has the person had an injury?
  • What medications are being taken?
  • What other symptoms are present ( fever, sore throat, facial droop, or other symptoms)?

The diagnostic tests performed depend on the symptoms that accompany�the drooling.




Review Date: 5/10/2006
Reviewed By: Daniel Rauch, MD, FAAP, Director, Pediatric Hospitalist Program, Associate Professor of Pediatrics, NYU School of Medicine, New York, NY. Review provided by VeriMed Healthcare Network.

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