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[Dysphagia] Dysphagia Digest, Vol 46, Issue 4
I looke dover the Ark products. Is it the tongue scraper that you are referring to?
----- Original Message -----
From: dysphagia-request at dysphagia.com<mailto:dysphagia-request at dysphagia.com>
To: dysphagia at dysphagia.com<mailto:dysphagia at dysphagia.com>
Sent: Tuesday, September 04, 2007 2:00 PM
Subject: Dysphagia Digest, Vol 46, Issue 4
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Today's Topics:
1. Drooling (Bob LeJeune)
2. Re: Drooling (Bill Connors)
3. Re: Xerostomia (Speech Julie)
4. Re: Drooling (Jenny McGlothlin)
----------------------------------------------------------------------
Message: 1
Date: Mon, 3 Sep 2007 15:39:08 -0500
From: Bob LeJeune <blejeune at enduracare.com<mailto:blejeune at enduracare.com>>
Subject: [Dysphagia] Drooling
To: "'dysphagia at dysphagia.com'<mailto:'dysphagia at dysphagia.com'>" <dysphagia at dysphagia.com<mailto:dysphagia at dysphagia.com>>
Message-ID:
<BDD0A3312F9C094E89A0F3E976B7F3B90212FFABB5 at fgo-exch.enduracaretherapymanagement.lan<mailto:BDD0A3312F9C094E89A0F3E976B7F3B90212FFABB5 at fgo-exch.enduracaretherapymanagement.lan>>
Content-Type: text/plain; charset="utf-8"
Any ideas on treatment of drooling?
------------------------------
Message: 2
Date: Mon, 3 Sep 2007 21:10:26 -0400
From: "Bill Connors" <bill at aphasiatoolbox.com<mailto:bill at aphasiatoolbox.com>>
Subject: Re: [Dysphagia] Drooling
To: "'Bob LeJeune'" <blejeune at enduracare.com<mailto:blejeune at enduracare.com>>,
<dysphagia at dysphagia.com<mailto:dysphagia at dysphagia.com>>
Message-ID: <200709040110.l841AMZ9013716 at boa.b9.com<mailto:200709040110.l841AMZ9013716 at boa.b9.com>>
Content-Type: text/plain; charset="US-ASCII"
Hi Bob. ARK Therapeutic www.arktherapeutic.com<http://www.arktherapeutic.com/> has some information/tools
for children who drool. I have no personal experience with using it.
Bill Connors
Aphasia Center of Innovative Treatment
10592 Perry Highway, 222
Wexford, Pa 15090
724.494.2534
bill at aphasiatoolbox.com<mailto:bill at aphasiatoolbox.com>
-----Original Message-----
From: dysphagia-bounces at dysphagia.com<mailto:dysphagia-bounces at dysphagia.com>
[mailto:dysphagia-bounces at dysphagia.com] On Behalf Of Bob LeJeune
Sent: Monday, September 03, 2007 4:39 PM
To: 'dysphagia at dysphagia.com'<mailto:'dysphagia at dysphagia.com'>
Subject: [Dysphagia] Drooling
Any ideas on treatment of drooling?
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------------------------------
Message: 3
Date: Mon, 3 Sep 2007 22:02:47 -0400
From: "Speech Julie" <speechhuffman at nc.rr.com<mailto:speechhuffman at nc.rr.com>>
Subject: Re: [Dysphagia] Xerostomia
To: <dysphagia at b9.com<mailto:dysphagia at b9.com>>
Message-ID: <000c01c7ee97$b1f90d70$b201a8c0 at JulieWork<mailto:000c01c7ee97$b1f90d70$b201a8c0 at JulieWork>>
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reply-type=original
Here's a few more suggestions for symptomatic management if that's all he is
able to do-
- humidifier in room at night
- I have had people like a personal steamer (like I would use for voice
patients)
- sucking on sugarfree hard candy, non-mint (sugarfree because of the
increased risk of cavities with xerostomia, non-mint not to irritate or
exaccerbate reflux)
- spray water bottle with 2 tsp glycerin (has to be compounded and meant for
oral consumption since there has been problems with general glycerin)
- avoiding products with sodium lauryl sulfate (the foaming agent in
toothpastes, mouth rinses) that can be irriatating (change to Biotene
products)
- moist food preparation, alternating with liquids
- gum chewing (if he has some saliva-otherwise it just falls apart)
If he may still have ability to produce saliva (not completely gone from
XRT) he may benefit from prescription meds such as saligen or evoxac.
Hope that helps! Julie
----- Original Message -----
From: "Langdon, Claire" <Claire.Langdon at health.wa.gov.au<mailto:Claire.Langdon at health.wa.gov.au>>
To: "Irene Campbell-Taylor" <eripley at yahoo.com<mailto:eripley at yahoo.com>>; <dysphagia at b9.com<mailto:dysphagia at b9.com>>
Sent: Sunday, September 02, 2007 8:28 PM
Subject: Re: [Dysphagia] Xerostomia
> There are studies that show a benefit for some head and neck cancer
> patients from acupuncture, though the jury is still out that it is
> efficacious for everyone
>
> http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=ShowDetailView&TermToSearch=11920486&ordinalpos=19&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum<http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=ShowDetailView&TermToSearch=11920486&ordinalpos=19&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum>
>
> cheers
>
> Claire Langdon
> Senior Speech Pathologist
> Sir Charles Gairdner Hospital
> Hospital Avenue Nedlands
> West Australia
>
> Phone: 61-8-9346-2044
> email: Claire.Langdon at health.wa.gov.au<mailto:Claire.Langdon at health.wa.gov.au>
>
>
> -----Original Message-----
> From: dysphagia-bounces at dysphagia.com<mailto:dysphagia-bounces at dysphagia.com>
> [mailto:dysphagia-bounces at dysphagia.com]On Behalf Of Irene
> Campbell-Taylor
> Sent: Sunday, 2 September 2007 21:35
> To: dysphagia at b9.com<mailto:dysphagia at b9.com>
> Subject: [Dysphagia] Xerostomia
>
>
> It depends on the reason for the xerostomia. The most common is medication
> side effect. In that case, unless the meds can be changed, d/c or reduced
> in dosage, very little, if anything can be done. The second is
> dehydration. Even though he drinks water throughout the day, he may still
> not be getting enough. This is particularly likely if he has thick, ropy
> saliva, a sure signs of dehydration. The major risk associated is
> increased GER with increased risk of aspiration pneumonitis. A dry mouth
> also breeds bacteria, fungi, dental caries and other undesirables. Some
> diseases also cause xerostomia. In my experience, once the above have all
> been examined and eliminated, the only relief comes from constantly
> sucking crushed ice or something similar. People with Sjogren's still have
> found no relief from the dry mouth and dry eyes associated with the
> disease and report that having something wet in the mouth is the only
> relief. There is an excellent article for dentists at:
> http://www.oralcancerfoundation.org/dental/xerostomia.htm<http://www.oralcancerfoundation.org/dental/xerostomia.htm>
> In spite of the title, it's not only for cancer patients.
>
>
> Dr I Campbell-Taylor
> Clinical Neuroscientist
> Exclusive Distributor:
> www.interactivetherapy.com<http://www.interactivetherapy.com/>
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>
> _______________________________________________
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------------------------------
Message: 4
Date: Tue, 4 Sep 2007 10:32:04 -0700 (PDT)
From: Jenny McGlothlin <jennymcglothlin at yahoo.com<mailto:jennymcglothlin at yahoo.com>>
Subject: Re: [Dysphagia] Drooling
To: Bill Connors <bill at aphasiatoolbox.com<mailto:bill at aphasiatoolbox.com>>, "'Bob LeJeune'"
<blejeune at enduracare.com<mailto:blejeune at enduracare.com>>, dysphagia at dysphagia.com<mailto:dysphagia at dysphagia.com>
Message-ID: <524400.8983.qm at web56910.mail.re3.yahoo.com<mailto:524400.8983.qm at web56910.mail.re3.yahoo.com>>
Content-Type: text/plain; charset=iso-8859-1
There is usually a sensory and motor component; the
patient typically is hyposensitive to saliva pooling
at the front of the mouth and also has reduced lip and
cheek strength, which impacts oral resting posture.
Thus, you need to work on increasing awareness of the
saliva (in the mouth as well as when their chin is
wet) and also on increasing the strength of the lips
and cheeks.
--- Bill Connors <bill at aphasiatoolbox.com<mailto:bill at aphasiatoolbox.com>> wrote:
> Hi Bob. ARK Therapeutic www.arktherapeutic.com<http://www.arktherapeutic.com/> has
> some information/tools
> for children who drool. I have no personal
> experience with using it.
>
> Bill Connors
> Aphasia Center of Innovative Treatment
> 10592 Perry Highway, 222
> Wexford, Pa 15090
> 724.494.2534
> bill at aphasiatoolbox.com<mailto:bill at aphasiatoolbox.com>
>
>
> -----Original Message-----
> From: dysphagia-bounces at dysphagia.com<mailto:dysphagia-bounces at dysphagia.com>
> [mailto:dysphagia-bounces at dysphagia.com] On Behalf
> Of Bob LeJeune
> Sent: Monday, September 03, 2007 4:39 PM
> To: 'dysphagia at dysphagia.com'<mailto:'dysphagia at dysphagia.com'>
> Subject: [Dysphagia] Drooling
>
> Any ideas on treatment of drooling?
>
> _______________________________________________
> Dysphagia mail list: Normal and disordered
> swallowing information
> Dysphagia at dysphagia.com<mailto:Dysphagia at dysphagia.com>
> Manage subscription:
> http://lists.b9.com/mailman/listinfo/dysphagia<http://lists.b9.com/mailman/listinfo/dysphagia>
> Visit the new Dysphagia Web Forum:
> http://dysphagia.com/forum<http://dysphagia.com/forum>
>
> _______________________________________________
> Dysphagia mail list: Normal and disordered
> swallowing information
> Dysphagia at dysphagia.com<mailto:Dysphagia at dysphagia.com>
> Manage subscription:
> http://lists.b9.com/mailman/listinfo/dysphagia<http://lists.b9.com/mailman/listinfo/dysphagia>
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>
Jenny Hyatt McGlothlin
972-392-1597 hm
214-769-1591 cell
214-905-3014 wk
____________________________________________________________________________________
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End of Dysphagia Digest, Vol 46, Issue 4
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