SIALORRHEA AND GASTROESOPHAGEAL REFLUX

It is not unusual for patients who are pregnant or have a hiatal herni a to develop gastroesophageal reflux with the resultant symptoms of he artburn. This article reviews the role reflux plays in causing episode s of increased salivation. Stimulation of the esophagus by gastric aci ds excites an esophagosalivary reflex. A marked increase in salivary f low ensues, neutralizing the acid content of the esophagus. The dental practitioner is in a strategic position to be consulted about or reco gnize the existence of the esophagosalivary reflex and the consequent bouts of sialorrhea. Recognition mandates medical consultation.