How Is Reduced Salivary Secretion Treated ?
Thanks for the query.
The prime cause of burning sensation in the oral cavity is reduced salivary secretion. Inadequate salivary production can cause dryness of the mucosal surface leading to irritation, burning sensation as well as frequent infections.
Decreased salivary production could be due to various reasons such as medicines taken for depression, age related atrophy of the salivary glands, Sjogren's syndrome, hormonal changes in menopause, etc.
It would be of great help if you can mention the names of the medicines you are taking for depression, as it can throw some light on the probable cause of your problem.
Also, I would like to advise you to stop antihistaminic as it causes more dryness of the mucosa and worsens your problem of burning sensation in the oral cavity. Drink plenty of water to keep the mucosa hydrated, avoid consuming sweets and fizzy drink.
I will be looking forward for your reply.
Regards
Dr. Naveen Kumar N.
Welcome back
Swelling below the chin and the jaw bones is due to inflammation of the submandibular and sublingual salivary glands. Alteration in the consistency of salivary secretions could be due to the ongoing inflammatory process in the salivary glands.
Pertaining to your condition, the inflammation on the salivary glands could be either due to the drug Lexapro or Sjogren's syndrome.
Sjogren's syndrome is an auto immune condition which affects females above 40 years of age, and is characterized by inflammation of the salivary and lacrimal glands (in the eye) leading to altered or absence of salivary and lacrimal secretions.
The commonest side effects of the drug Lexapro are dizziness, dry mouth, loss of appetite, nausea, tiredness, tightness in the chest etc.
Various tests such as blood test for XXXXXXX antibodies, salivary gland function tests and ultrasound of the salivary glands are required to confirm the diagnosis. Also, consultation of an apt ENT specialist as well as Psychiatrist is required to perform necessary investigations and change of antidepressant medicine.
Hope I have answered your query, if you have any more doubts you are welcome.
Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon
Thanks for the query.
I am sorry, I did not mean to scare you, and it is just a differential diagnosis.
Before making a diagnosis of Sjogren's syndrome other common causes have to be ruled out. Only after a thorough and a complete evaluation the actual diagnosis can be made.
Sjogren's syndrome is an auto-immune disorder which does not have cure, even though it is a rare disorder, with appropriate care and medicines the symptoms can be controlled.
Again, I would like to stress that these are only speculations. I hope that you will recover soon with the right treatment.
Best Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon
You require meeting an ENT specialist and request for the following investigations:
1. Ultrasound of neck
2. Salivary secretion assessment
3. Blood for XXXXXXX antibodies
4. Scrapings from the buccal mucosa
Also you need to consult your psychiatrist and discuss with him regarding the side effects of Lexapro and any modifications with the medicines.
I thank you once again for posting your query on XXXXXXX Wish you good health
Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon
Answered by
Dr. Dr. Naveen Kumar Nanjasetty
Otolaryngologist / ENT Specialist
Practicing since :2001
Answered : 2543 Questions