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. 1994 Sep;86(9):704–708.

Evaluation and management of sialorrhea of pregnancy with concomitant hyperemesis.

J J Freeman 1, R H Altieri 1, H J Baptiste 1, T Kuo 1, S Crittenden 1, K Fogarty 1, M Moultrie 1, E Coney 1, K Kanegis 1
PMCID: PMC2607586  PMID: 7966435

Abstract

This article describes two gravid patients who presented with first-trimester sialorrhea and hyperemesis. Although excessive salivation, especially when accompanied by protracted nausea and vomiting, is an unusual occurrence, it can have serious consequences for both the mother and fetus when left untreated. Initially, phenothiazine was prescribed and later belladonna alkaloid was added separately to the two treatment regimens. In order to successfully treat the excessive salivation, it was necessary to control the nausea and vomiting. Eradication of sialorrhea and hyperemesis were effected 10 days posttreatment. For both patients, pregnancy, delivery, and postpartum intervals proceeded uneventfully. Mothers and infants remain in good health 2 years posttreatment.

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Selected References

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  1. Bailey C. M., Wadsworth P. V. Treatment of the drooling child by submandibular duct transposition. J Laryngol Otol. 1985 Nov;99(11):1111–1117. doi: 10.1017/s0022215100098273. [DOI] [PubMed] [Google Scholar]
  2. Belik J., Tishler C., McClung J. Elevated amylase levels as a result of self-induced hypersalivation. Pediatrics. 1983 Apr;71(4):585–587. [PubMed] [Google Scholar]
  3. Bergin P. S., Harvey P. Wernicke's encephalopathy and central pontine myelinolysis associated with hyperemesis gravidarum. BMJ. 1992 Aug 29;305(6852):517–518. doi: 10.1136/bmj.305.6852.517. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Blumberg N., McMican A., Heal J. Rh sensitization. Obstet Gynecol. 1983 Jul;62(1):135–136. [PubMed] [Google Scholar]
  5. Crump W. J., Aten L. A. Hyperemesis, hyperthyroidism, or both? J Fam Pract. 1992 Oct;35(4):450, 453-6. [PubMed] [Google Scholar]
  6. Depue R. H., Bernstein L., Ross R. K., Judd H. L., Henderson B. E. Hyperemesis gravidarum in relation to estradiol levels, pregnancy outcome, and other maternal factors: a seroepidemiologic study. Am J Obstet Gynecol. 1987 May;156(5):1137–1141. doi: 10.1016/0002-9378(87)90126-8. [DOI] [PubMed] [Google Scholar]
  7. Galloway P. J. Wernicke's encephalopathy and hyperemesis gravidarum. BMJ. 1992 Oct 31;305(6861):1096–1096. doi: 10.1136/bmj.305.6861.1096-a. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Goodwin T. M., Montoro M., Mestman J. H. Transient hyperthyroidism and hyperemesis gravidarum: clinical aspects. Am J Obstet Gynecol. 1992 Sep;167(3):648–652. doi: 10.1016/s0002-9378(11)91565-8. [DOI] [PubMed] [Google Scholar]
  9. Jarnfelt-Samsioe A. Nausea and vomiting in pregnancy: a review. Obstet Gynecol Surv. 1987 Jul;42(7):422–427. doi: 10.1097/00006254-198707000-00003. [DOI] [PubMed] [Google Scholar]
  10. Lew K. M., Younis R. T., Lazar R. H. The current management of sialorrhea. Ear Nose Throat J. 1991 Feb;70(2):99–105. [PubMed] [Google Scholar]
  11. Lieblich S. Episodic supersalivation (idiopathic paroxysmal sialorrhea): description of a new clinical syndrome. Oral Surg Oral Med Oral Pathol. 1989 Aug;68(2):159–161. doi: 10.1016/0030-4220(89)90185-0. [DOI] [PubMed] [Google Scholar]
  12. Myer C. M., 3rd Sialorrhea. Pediatr Clin North Am. 1989 Dec;36(6):1495–1500. doi: 10.1016/s0031-3955(16)36802-x. [DOI] [PubMed] [Google Scholar]
  13. O'Brien B., Naber S. Nausea and vomiting during pregnancy: effects on the quality of women's lives. Birth. 1992 Sep;19(3):138–143. doi: 10.1111/j.1523-536x.1992.tb00671.x. [DOI] [PubMed] [Google Scholar]
  14. Rosen A., Komisar A., Ophir D., Marshak G. Experience with the Wilkie procedure for sialorrhea. Ann Otol Rhinol Laryngol. 1990 Sep;99(9 Pt 1):730–732. doi: 10.1177/000348949009900912. [DOI] [PubMed] [Google Scholar]
  15. Schubert M. M., Izutsu K. T. Iatrogenic causes of salivary gland dysfunction. J Dent Res. 1987 Feb;66(Spec No):680–688. doi: 10.1177/00220345870660S213. [DOI] [PubMed] [Google Scholar]
  16. Shott S. R., Myer C. M., 3rd, Cotton R. T. Surgical management of sialorrhea. Otolaryngol Head Neck Surg. 1989 Jul;101(1):47–50. doi: 10.1177/019459988910100109. [DOI] [PubMed] [Google Scholar]
  17. Stuchell R. N., Mandel I. D. Salivary gland dysfunction and swallowing disorders. Otolaryngol Clin North Am. 1988 Nov;21(4):649–661. [PubMed] [Google Scholar]
  18. Wood P., Murray A., Sinha B., Godley M., Goldsmith H. J. Wernicke's encephalopathy induced by hyperemesis gravidarum. Case reports. Br J Obstet Gynaecol. 1983 Jun;90(6):583–586. doi: 10.1111/j.1471-0528.1983.tb08974.x. [DOI] [PubMed] [Google Scholar]

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