LARYNGECTOMY FAQ'S

WHAT TO DO FOR DRY MOUTH - (XEROSTOMIA)
 (Laurie R. Sabol - Speech Pathologist)

In response to requests for recommendations for help for xerostomia, after effects of radiation therapy can be temporary or permanent. Many medications can cause xerostomia, as well.
Remedies include the following:
1. Sip water frequently. Use a humidifier regularly to moisten air. These will both help to decrease thickness of salivary secretions.
2. Stimulate flow from salivary glands by using sugarless candy and gum or chewing fibrous foods (celery, carrots) between meals if tolerated.
3. Alternate solids and liquids during meals. Use sauces or gravies to add moisture to dry foods. Take small bites and chew well.
4. Saliva substitutes are available in sprays,liquids and, I believe, in gums, and gels. Ask your pharmacist to recommend products (i.e. Salivart, MouthKote). Be aware that saliva substitutes are a temporary solution and many patients consider them ineffective.
5. If xerostomia is severe, consider the use of medications, such as Pilocarpine and Bethanechol (Urecholine), which stimulate salivary production. Talk to your physician to determine if these are appropriate in your individual circumstances.
6. Prevent dental decay that may be associated with xerostomia by visiting the dentist more frequently and not eating sugar between meals.
Good luck. From my own personal experience, many of the patients that I have worked with have just learned to live with it.