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Drooling can be caused by excess production of saliva, inability to retain saliva within the mouth (incontinence of saliva), or problems with swallowing (dysphagia or odynophagia). There are some frequent and harmless cases of drooling – for instance, a numbed mouth from either benzocaine , or when going to the dentist's office.
Odynophagia is pain when swallowing. [1] [2] The pain may be felt in the mouth or throat and can occur with or without difficulty swallowing. [3] The pain may be described as an ache, burning sensation, or occasionally a stabbing pain that radiates to the back. [4] Odynophagia often results in inadvertent weight loss.
Burning mouth syndrome (BMS) is a burning, tingling or scalding sensation in the mouth, lasting for at least four to six months, with no underlying known dental or medical cause. [ 3 ] [ 7 ] No related signs of disease are found in the mouth. [ 3 ]
It is related to dysphagia which is difficulty swallowing (Greek prefix δυσ, dys, meaning difficult, or defective), and odynophagia, painful swallowing (from ὀδύνη, odyn(o), meaning "pain"). Aphagia may be temporary or long term, depending on the affected organ. It is an extreme, life-threatening case of dysphagia.
Dilation and constriction of the pupil Pupillary response is a physiological response that varies the size of the pupil between 1.5 mm and 8 mm, [ 1 ] via the optic and oculomotor cranial nerve. A constriction response ( miosis ), [ 2 ] is the narrowing of the pupil, which may be caused by scleral buckles or drugs such as opiates / opioids or ...
Head back (extension) – used when movement of the bolus from the front of the mouth to the back is inefficient; this allows gravity to help move the food. Chin down (flexion) – used when there is a delay in initiating the swallow; this allows the valleculae to widen, the airway to narrow, and the epiglottis to be pushed towards the back of ...
The bolus is ready for swallowing when it is held together by saliva (largely mucus), sensed by the lingual nerve of the tongue (VII—chorda tympani and IX—lesser petrosal) (V 3). Any food that is too dry to form a bolus will not be swallowed. 3) Trough formation. A trough is then formed at the back of the tongue by the intrinsic muscles (XII).
At such a stage, upon swallowing food, it entirely remains in the esophagus, building up and stretching it to an extreme size in a phenomenon known as megaesophagus. If enough food builds up, it triggers a need to purge what was swallowed, often described as not being accompanied with nausea per se, but an intense and sometimes uncontrollable ...