Dealing With Drooling in Parkinson's and Other Neurological Conditions

Lately, a number of my patients with Parkinson'swant to touch, hug, or otherwise engage with an
have been reporting drooling as one of the thingsadult drooling. So, if this is one of your problems, I will
that is most bothersome to them. Among medicalask you take take a 30 day challenge, and try some
professionals, there seems to be a few differentof the suggestions below. I say 30 days, because a
points of view regarding why this drooling occurs andlesser commitment will simply not be long enough to
what to do about it. Some subscribe to the notionjudge the effect or create a better habit. If you
that the individual is producing too much saliva, andbelong to a support group, you might want to
may recommend Botox injections to reduce salivachallenge other members to "mop it up and drool
production. While this might provide some "cosmetic"less".
improvement, too little saliva can also createDrool Less Challenge
problems (just ask any head and neck cancer1. If you can, chew gum in 15 minute sessions. I
survivor) as saliva is the necessary lubricant thatrecommend bubble gum ( Bazooka is my favorite).
holds our food together and helps to transport itFor that 15 minutes work the gum in your mouth.
efficiently without particles getting misdirected orUse your tongue to move it from side to side, up
sticking in our throat. Some of the early swallowingagainst the roof of your mouth, and push with your
research also told us that saliva is a weak stimulustongue against the resistance of the gum to blow
(messenger) to the sensory receptors that carry thebubbles. Denture wearers, try Freedent. Do this
message to the brain and which in turn gives theseveral times a day, right before or right after a meal
instruction to swallow. Hence, if the sensory-motormight help you remember.
system responsible for swallowing is beginning to2. Use lip gloss (flavored and sticky) are my favorites.
work less efficiently, drooling, along with otherApply regularly and use as a sensory cue to keep lips
swallowing issues might be one of the consequences.closed, press lips and feel the stickiness. Swallow
If I am saying to a patient to "swallow your saliva", ityour saliva and notice the improved pressure when
is because their mouth is open and I am seeing alips are closed.
puddle of liquid ready to drop down on their shirt or3. Tart and sour flavors are a good stimulus. Make
my papers. In other words, if your mouth is hangingyour own mixture of concentrated lemon juice and
open, head and upper body leaning forward, saliva,water and put in a small spray bottle. Keep it with
like other liquids in life, will travel quickly out the pathyou in your pocket or purse and spritz frequently to
of least resistance. So, sitting or standing up straightactivate a swallow of saliva.
and closing your lips, is one of the first things you can4. Finally, a rolled up, soggy handkerchief or tissue
do to manage your saliva.used to mop up your saliva is also a bit yucky. Try a
Face it, a grown man or woman drooling is not aterry cloth wrist band like tennis players use. It's a
pretty site. Particularly in this day and age of handhandy way to "mop" up drool and can easily be
cleansers at every turn, we simply are not inclined tothrown in the wash.