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What Causes Dry Mouth And Swallowing Difficulty After Tb Treatment?

Posted on Tue, 24 Jun 2014

Question: I was suffering from gastrointestinal Tb and was given a year medicine which was completed on 12 Feb 2014 but during the course of medicine my mouth got dry there was no saliva I could not eat taste or smell but by passing of time I could smell things now taste them but there is still problem in eating because of not proper formation of saliva due to which I have lost a lot of weight I am 20 years and my weight is 23 I want to know how my saliva would become okay again and when I would be able to eat properly

Answered by Dr. T Shobha Deepak (2 hours later)

Brief Answer:
Detailed advice given

Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day
Namasthe
Dear XXXX

Reduced saliva output causes difficulty In swallowing solid foods : This leads to malnutrition: Malnutrition further suppresses saliva output.
I hope there is no swelling at the site of salivary gland (in front of ear and below jaw line).

I would advise you the following which will definitely help you

1. Ensure intake of liquid diet ; Liquid are easy for intake. Juices , Soft wheat porridge (Dalia), rice water , deal water
2. Factors for promoting salivation: 4 drops of lemon juice added to sugar cube. Chewing it 4 to 5 times a day will promote salivation
3. Hematinics and Multivitamin supplement
4 Oral glycerine application
5. Appetite stimulants: Cyprohepatidine will be helpful

Wishing you great health
Do keep me updated about your progress

Take care

Best Regards
Dr T Shobha Deepak
MBBS, MD

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. T Shobha Deepak (52 minutes later)

but what are the main cause behind this and how much time it would take to get alright and able to eat properly again

Answered by Dr. T Shobha Deepak (28 minutes later)

Brief Answer:
Likely to be due to chronic inflammation

Detailed Answer:
Hi
Dear Ms

It may take 1-2 months for good recovery.Cause is likely to be due to chronic inflammation. If it does not improve autoimmune disease affecting salivary gland needs to be investigated.
The important factor is nutrition maintainance.

Take Care

Best Regards
Dr Dr Shobha D K

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. T Shobha Deepak (9 hours later)

sending u my mouth pics this problem is from almost 1.5 years please ensure me with a proper treatment and time period to get properly normal again

Answered by Dr. T Shobha Deepak (1 hour later)

Brief Answer:
Get Complete Blood count

Detailed Answer:
Hi
Namasthe
Dear XXXX

Thanks for the clinical pictures. Your tongue looks bald and glossy with white like layer below the tongue. This is glossitis which occurs due to Iron and Vitamin deficiency. Your oral mucosa is not that dry, if the mucosa was very much dry it would also have caused dental carries.

I would suggest you the following
1. Complete Blood count: To know hemoglobin level
2. Serum Vitamin B 12 assay
3. Peripheral smear

I would suggest the following after the investigation
1. Start with Hematinics: Tablet OROFER XT. Start with twice a day after food.
2. Tablet Albendazole 400 MG one single dose for routine deworming
3. Injection Vitcofol which contains vitamin B 12 . Once a week for 12 weeks
4. Multivitamin supplement containing B 12 and folic acid.

I am sure it will definitely help.

Do keep me updated

Take care
All the best for happy and healthy life

I routinely follow all my patients so please keep me updated

Regards
Dr Shobha Deepak

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Prasad