What Causes Sialorrhea?

Gastroesophageal Reflux Disease

Gastroesophageal reflux disease is a chronic condition that affects the digestive system. The condition causes the acid in the stomach to flow back into the esophagus regularly, irritating the esophageal lining. Patients who have gastroesophageal reflux disease frequently report symptoms such as chest pain, swallowing difficulties, and a burning sensation in the chest that typically occurs after eating. The patient may feel as though they have a lump in the throat, and regurgitation of food or sour liquid might occur. Individuals who have reflux at night could notice a chronic cough, and they may have sleep disruptions or laryngitis as well. Doctors may be able to diagnose gastroesophageal reflux disease with a health history and a physical examination. Tests such as an upper endoscopy and ambulatory acid probe test are sometimes used to confirm the diagnosis. Over-the-counter antacids, proton pump inhibitors, and H-2 receptor blockers are recommended along with dietary changes as the first line of treatment. Prescription-strength proton pump inhibitors and medicines to strengthen the lower esophageal sphincter may be considered if the first line of treatment is ineffective. A LINX device or fundoplication procedure may be used if the patient wants to avoid long-term medication use or if medications do not help in managing the patient's symptoms.

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