Talk:Xerostomia

Heroin is a recreational drug?

Since when is heroin a recreational drug? The person using it is developing a physical addiction very quickly until not taking it causes severe withdrawal symptoms. This is not meant by recreational use. — Preceding unsigned comment added by 86.56.107.109 (talk) 09:01, 17 June 2018 (UTC)

Doubtful about aging

I'm in dental school and we were taught that though xerostomia increases in prevalence with aging, it certainly is not a "natural result of aging," meaning it is still pathologic. I'd change it but I'm not sure how to word it. Also, to answer a previous post, I think that drinking fluids can sometimes make your mouth feel dry because it washes away the saliva and replaces it temporarily; saliva is a viscous fluid that sticks to teeth like a film, and isn't easily replaced. Matvx 03:02, 25 October 2007 (UTC)

Merge

I merged the Cotton Mouth page into this page. Almost all the info was duplicate, so there was not much here to change. I think when people type Cotton Mouth they want this page, but there is a kind of candy called cotton mouth, so I added a disambiguation page link as well. Superclear 22:22, 9 November 2005 (UTC)

Are You Sure?

Someone removed a link I made to Cotton Mouth the candy calling it a private joke. Really!! It is a homemade candy popular in the midwest for a few decades. Someone asked me for a recipe recently and I couldn't find much info about it so I added this page. Please don't just delete someone's work without at least a discussion. It is impolite and usually means the remover is not informed. Superclear 15:42, 10 November 2005 (UTC)

I removed the link today because the disambiguation page it's pointing to does not mention the candy at all, which makes it kinda useless. -- Hirudo 20:24, 1 June 2006 (UTC)

Political Correctness

"Notably, a symptom of methamphetamine abuse, meth mouth, is largely caused by xerostomia." The foregoing statement (from the end of the first paragraph of the current revision) stinks of political correctness. Dry mouth is not unique to methamphetamine; it is common to all CNS stimulants. The statement is also almost certainly false. A previous revision read: "Marijuana acts as a particularly strong catalyst in drying out one's throat, mouth, and lips", which seems to have been replaced by the current dogma. This again wreaks of political correctness. If you're going to mention one drug with an associated side-effect of "xerostomia", you might as well list them all, or at least state why the example given is important.

COI edits?

I've just removed this:

There have been a number of studies that have shown that chewing gum increases salivary flow in patients with xerostomia of varying aetiology.1,2,3 In some xerostomic patients, the initial stimulated salivary flow rate while chewing sugarfree gum is seven times greater than the unstimulated flow rate.4 Chewing sugarfree gum has been shown to be one of the most preferred treatments for xerostomia.5

1. Olason H, Axell T (1991) Objective and subjective efficacy of saliva substitutes containing mucin and carboxymethylcellulose. Scand J Dent Res. 99: 316-319
2. Aagaard A, Godiksen G, Teglers PT, Schindt M, Glenert U (1992) Comparison between new saliva stimulants in patients with dry mouth: a placebo-controlled double blind crossover study. J Oral Path and Med. 21: 376-380
3. Risheim H, Arneberg P (1993) Salivary stimulation by chewing gum and lozenges in rheumatic patients with xerostomia. Scand J Dent Res. 181: 40-43
4. Dawes C, Macpherson LMD (1992) Effects of Nine Different Chewing Gums and Lozenges on Salivary Flow Rate and pH. Caries Res. 26: 176-182
5. Bjornstrom M, Axell T, Birkhed D (1990) Comparison between saliva stimulants and saliva substitutes in patients with symptoms related to dry mouth. A multi-centre study. Swed Dent J. 14: 153-161

I believe it was added by an editor on behalf od Wrigley's gum. See Ellielancaster's edit history which seems to consist of adding links to wrigley's "oral health care" site and a few other promotional edits. As such I'm concerned that the above may not be neutral. It is, however, cited so I've moved it here for neutral editors to consider and to add with appropriate weight and counter balance should it merit inclusion. -- Siobhan Hansa 12:48, 17 April 2007 (UTC)

drinking water and dry mouth

Why is it that some times when you drink water it makes you feel like you have even more of a dry mouth after than before? seems kind of counterintuitive. My wife and I were having a discussion about it. I thought it was because the water washes your saliva away which leaves just the water which evaporates more quickly than saliva leaving you with a dry mouth. Is this correct or what is the answer? —Preceding unsigned comment added by 65.188.50.165 (talk) 23:32, August 24, 2007 (UTC)

Removing primary sources before reworking this article

If the text which these refs were supporting can be found in 2o sources I will retain the info in the article.

• ^ Jones RE, Ship JA (February 1995). "Major salivary gland flow rates in young and old, generally healthy African Americans and whites". Journal of the National Medical Association 87 (2): 131–5. PMC 2607773. PMID 7897685. (primary source)
• ^ Jensen JL, Langberg CW (September 1997). "[Temporary radiation-induced hypo-salivation in a child]" (in Norwegian). Tidsskrift for Den Norske Lægeforening 117 (21): 3077–9. PMID 9381440.(primary source)
• ^ Epstein JB, Emerton S, Le ND, Stevenson-Moore P (March 1999). "A double-blind crossover trial of Oral Balance gel and Biotene toothpaste versus placebo in patients with xerostomia following radiation therapy". Oral Oncology 35 (2): 132–7. doi:10.1016/S1368-8375(98)00109-2. PMID 10435146.(primary source)
• ^ Lehane RJ, Murray PA, Deasy MJ (1997). "Effect of an enzymatic rinse on salivary levels of Streptococcus mutans and lactobacilli in periodontally treated patients". Periodontal Clinical Investigations 19 (2): 17–21. PMID 9495936 (primary source)
• ^ Clover G, Bottone E, Masci J (2002). "Fungistatic effects of a lactoferrin-containing mouthwash upon various species of candida". International Conference on AIDS 2002. (link broken, but sounds very primary)
• Support Care Cancer. 2007 Dec;15(12):1429-36. Epub 2007 Jan 18. Efficacy of the BioXtra dry mouth care system in the treatment of radiotherapy-induced xerostomia. Dirix P, Nuyts S, Vander Poorten V, Delaere P, Van den Bogaert W. (primary source)
• ^ M.Ahariz, Ph. Courtois (2005). "Inhibition of Candida Albicans by saliva-mimicking oral care compounds". 7th European Symposium on Saliva. Can't access , so I can't assess it. Lesion (talk) 13:14, 9 February 2013 (UTC)

A note re headers used in this article

I'm going to place a mixture of the recommended headers for WP:MEDMOS#Symptoms or signs and WP:MEDMOS#Diseases or disorders or syndromes. Although xerostomia is a symptom, it is an inextricably linked topic with hyposalivation, which currently just redirects back to this page, and is arguably a disorder rather than a symptom. Lesion (talk) 14:54, 9 February 2013 (UTC)

Unsupported stuff, taking out for now until reliable sources can be found...

Causes of hyposalivation:

• physical trauma to the salivary glands or their ducts or nerves,

management:

• "Drinking water when there is another cause of the xerostomia besides dehydration may bring little to no relief and can even make the dry mouth more uncomfortable."

Lesion (talk) 20:25, 9 February 2013 (UTC)

Saliva stimulants.

Saliva stimulants – organic acids (ascorbic acid, malic acid), chewing gum, parasympathomimetic drugs (choline esters, e.g. pilocarpine hydrochloride, cholinesterase inhibitors), and other substances (sugar-free mints, nicotinamide).

Scientific References? Nicotinamide?

ee1518 (talk) 05:09, 5 August 2014 (UTC)

Nicotinamide reference 6 [1] Cochrane review. 92.40.82.118 (talk) 20:28, 5 August 2014 (UTC)

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Requested move 4 September 2019

The following is a closed discussion of a requested move. Please do not modify it. Subsequent comments should be made in a new section on the talk page. Editors desiring to contest the closing decision should consider a move review after discussing it on the closer's talk page. No further edits should be made to this discussion.

The result of the move request was: not moved. Requestor withdrew RM. (closed by non-admin page mover) Steven Crossin ^{Help resolve disputes!} 07:19, 12 September 2019 (UTC)

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Xerostomia → Salivary gland dysfunction – Salivary gland dysfunction is the umbrella term that would cover both Xerostomia and the redirected Hyposalivation. Salivary gland dysfunction is a much searched page and is used in ref to type 2 diabetes (absent on page at present) Iztwoz (talk) 08:01, 4 September 2019 (UTC)

Would like to withdraw move proposal since Xerostomia not always associated with salivary gland dysfunction.--Iztwoz (talk) 06:29, 12 September 2019 (UTC) and hadn't seen Salivary gland pathology page.--Iztwoz (talk) 06:32, 12 September 2019 (UTC)

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The above discussion is preserved as an archive of a requested move. Please do not modify it. Subsequent comments should be made in a new section on this talk page or in a move review. No further edits should be made to this section.

Reads like WebMD. Article has significant technical problems

This article catalogues signs, symptoms, and causes, often linking them together or using these terms interchangeably. It includes emergent properties of dry mouth, such as increased cavity production, as a symptom. As far as I know, cavities are not a significant "sign or symptom" (these words are synonyms, as far as I know) that a person experiences dry mouth. Also, the causes list is problematic, listing several semi-rare diseases as causes of this very common and almost benign condition. Other wording in the article seems unwarranted, for example: "When associated with halitosis, [xerostomia] is sometimes termed "morning breath." This doesn't make sense. Halitosis is bad breath. Dry mouth is not bad breath, it is dry mouth. I think the user who wrote this incorrectly interpreted this idea from the fact that xerostomia causes halitosis, not the other way around. Maybe we could flag the article for expert review. --IronMaidenRocks (talk) 14:30, 30 August 2021 (UTC)

A sign is something a doctor finds, a symptom is something a patient notices. Signs and symptoms can be causes or effects of the condition. Not always a very helpful distinction and it can be difficult to untangle into tidy, seperated categories sometimes. Holes in the teeth or bad breath could therefore be considered as either signs or symptoms, or effects, depending on the exact situation.

regarding cavities, it would depend on the severity. It is fairly common to see extensive holes in the teeth of, for example, an elderly person with dry mouth secondary to drug induced xerostomia. Furthermore, the cavities do not follow the typical pattern of decay that is seen in persons which normal salivary flow, affecting more the smooth surfaces and cervical areas of the teeth, rather than the pits and fissures.

the line about morning breath, I guess it refers to bad breath present upon waking in the morning... since many people sleep with mouths partially open, dryness is only temporary upon waking and morning breath is almost completely normal, appearing in the absence of any disease. I would guess that bad breath that is persistent through the day would be more of a sign/symptom of dry mouth. Matthew Ferguson (talk) 05:34, 1 September 2021 (UTC)