Otolaryngology Book

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Dry Mouth

Aka: Dry Mouth, Xerostomia, Salivary Hypofunction, Decreased Saliva Secretion
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  1. See Also
    1. Medication Causes of Dry Eyes
  2. Definition
    1. Decreased Saliva production
  3. Physiology: Saliva plays vital role in Dental Health
    1. Re-mineralizes enamel
    2. Buffers cariogenic acids
    3. Removes food residue
    4. Inhibits bacterial growth
  4. Causes
    1. See Medication Causes of Dry Eyes
    2. Radiation Therapy to head and neck
    3. Salivary Gland surgery
    4. Sjogren's Syndrome
    5. Amyloidosis
    6. Human Immunodeficiency Virus (HIV Infection)
    7. Hepatitis C
    8. Diabetes Mellitus
    9. Major Depression
    10. Mouth breathing (e.g. obstructed nares)
    11. Granulomatous Disease
      1. Sarcoidosis
      2. Tuberculosis
      3. Leprosy
  5. Management
    1. Consider stopping offending medication
    2. Commercial Saliva substitute (typically carboxymethylcellulose, mucin or Glycerine)
    3. Directly apply fluoride to teeth and in Toothpaste
      1. Use 1.1% Fluoride gel daily
      2. Fluoride toothpaste
      3. Fluoride rinses
    4. Scrupulous dental care is essential
      1. See Dentist regularly
    5. Saliva stimulation
      1. Sugar-free chewing gum (esp. Xylitol containing gums)
      2. Lemon lozenges
    6. Consider Muscarinic Agonists in severe refractory Xerostomia of Sjogren's Syndrome
      1. Pilocarpine (Salagen)
      2. Cevimeline (Evoxac)
  6. References
    1. Daniels in Goldman (2000) Cecil Medicine, p. 2245

Xerostomia (C0043352)

Definition (NCI) An oral condition in which salivary flow is reduced.
Definition (NCI) A disorder characterized by reduced salivary flow in the oral cavity.
Definition (CSP) dryness of the mouth due to salivary gland secretion dysfunction.
Definition (MSH) Decreased salivary flow.
Definition (NCI) Dry mouth. It occurs when the body is not able to make enough saliva.
Concepts Disease or Syndrome (T047)
MSH D014987
ICD10 K11.7
SnomedCT 266425004, 196513007, 249425009, 139281004, 162014002, 87715008, 56893005
English Salivary secretion, decreased, Asialia, Asialias, Hyposalivation, Hyposalivations, Mouth Dryness, Xerostomia, Xerostomias, APTYALISM, DRY MOUTH, DRYNESS ORAL, Dryness, Mouth, MOUTH DRY, MOUTH DRYNESS, ORAL DRYNESS, SALIVA DECREASED, Salivary secretion, absent, XEROSTOMIA, Dry Mouth, dry mouth, mouth dryness (symptom), mouth dryness (xerostomia), mouth dryness, xerostomia (physical finding), xerostomia, Salivary hyposecretion (disorder), (Dry mouth) or (salivary hyposecretion) (disorder), Dry mouth (finding), salivary secretion disturbance: xerostomia, xerostomia (diagnosis), xerostomia was observed, Mouth became dry, Saliva decreased, Mouth dry, Dryness oral, Oral dryness, Xerostomia [Disease/Finding], decreased saliva, dryness mouth, Dry;mouth, drying mouth, hyposalivation, mouth dry, Dry mouth, Aptyalism, Absent salivary secretion, Aptyalia, Hyposecretion of salivary gland, Salivary hyposecretion, Clinical xerostomia, Hypoactive salivary flow, Hyposecretion of salivary gland (disorder), Inadequate salivary flow, Aptyalism (disorder), asialia, aptyalism, hyposecretion; salivary gland, mouth; dry, salivary gland; hyposecretion, Salivary hyposecretion [Ambiguous], (Dry mouth) or (salivary hyposecretion)
French XEROSTOMIE, Hyposécrétion salivaire, Bouche devenue sèche, Sécherese orale, Salive diminuée, APTYALISME, HYPO-SIALORRHEE, SECHERESSE BUCCALE, SECHERESSE DE LA BOUCHE, Bouche sèche, Xérostomie, Aptyalisme, Asialie, Hypoptyalisme, Sècheresse de la bouche, Sécheresse buccale
Portuguese XEROSTOMIA, SECURA DA BOCA, Secura da boca, Hipossecreção salivar, Boca ressequida, Saliva diminuída, APTIALISMO, DIMINUICAO DA SALIVA, SECURA ORAL, Aptialismo, Boca seca, Assialia, Hiposalivação, Secura da Boca, Xerostomia
Spanish XEROSTOMIA, Sequedad de boca, Saliva disminuida, Ptialina, Hiposecreción salival, Xerostomia, (Dry mouth) or (salivary hyposecretion), Salivary hyposecretion [Ambiguous], Salivary hyposecretion, Dry mouth, APTIALISMO, BOCA SECA, SALIVA DISMINUIDA, SEQUEDAD DE BOCA, aptialismo, asialia, boca seca, flujo salival hipoactivo, flujo salival inadecuado, hiposalivación, hiposecreción de la glándula salival (trastorno), hiposecreción de la glándula salival, secreción salival ausente, xerostomía (trastorno), xerostomía, Aptialismo, Boca seca, Asialia, Boca Seca, Hiposalivación, Sequedad Bucal, Xerostomía, Hiposalivacion
German XEROSTOMIE, Trockenheit des Mundes, orale Trockenheit, Mund wurde trocken, Speichel vermindert, Mund trocken, verminderte Speichelsekretion, APTYALISMUS, MUNDTROCKENHEIT, SPEICHEL VERMINDERT, TROCKENHEIT MUND, Aptyalismus, Asialie, Hyposalivation, Mundtrockenheit, Xerostomie
Italian Aptialismo, Bocca secca, Secchezza della bocca, Secchezza orale, Aptialia, Bocca diventata secca, Iposecrezione salivare, Saliva diminuita, Bocca asciutta, Asialia, Iposalivazione, Xerostomia
Dutch mond die droog wordt, orale droogheid, xerostomie, asialie, speeksel gedaald, speeksel hyposecretie, hyposecretie; speekselklier, mond; droog, speekselklier; hyposecretie, aptyalisme, droge mond, Asialia, Droge mond, Hyposalivatie, Mond, droge, Xerostomie
Japanese 唾液減少, 唾液欠乏, 口腔乾燥, 唾液分泌低下, ﾀﾞｴｷｹﾂﾎﾞｳ, ﾀﾞｴｷｹﾞﾝｼｮｳ, ｺｳﾅｲｶﾝｿｳ, ﾀﾞｴｷﾌﾞﾝﾋﾟﾃｲｶ, ｺｳｺｳｶﾝｿｳ, ﾀﾞｴｷﾌﾞﾝﾋﾟﾂﾃｲｶ, ｺｳｸｳｶﾝｿｳ, 口腔乾燥症, 口内乾燥症, 口渇(口内乾燥症), 口内乾燥, 唾液分泌不全症(ダエキブンピツフゼンショウ), 唾液分泌欠如, 唾液減少症, 唾液分泌不全症
Swedish Muntorrhet
Czech xerostomie, Vyschlá ústa, Snížení produkce slin, Xerostomie, Suchá ústa, Suchost úst, Aptyalismus, Hyposekrece slin
Finnish Suun kuivuus
Russian GIPOSIALIIA, KSEROSTOMIIA, GIPOSALIVATSIIA, APTIALIZM, ASIALIIA, OLIGOPTIALIZM, АПТИАЛИЗМ, АСИАЛИЯ, ГИПОСАЛИВАЦИЯ, ГИПОСИАЛИЯ, КСЕРОСТОМИЯ, ОЛИГОПТИАЛИЗМ
Croatian KSEROSTOMIJA
Polish Kserostomia, Suchość jamy ustnej
Hungarian Xerostomia, Nyálhiány, Szájkiszáradás, Szájszárazság, Asialia, Száraz száj, Nyál csökkenés, Száj szárazság, Nyál hyposecretio, Aptialismus, Oralis szárazság
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Reduced salivation (C0576990)

Concepts Finding (T033)
SnomedCT 300268000
English Reduced salivation, Reduced salivation (finding)
Spanish salivación reducida (hallazgo), salivación reducida
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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