Medical Case: Dryness of Mouth in an Elderly Male
#MedicalCase

Dryness of Mouth in an Elderly Male (Internal Medicine)

Dr. Arun Kaushik. R., MBBS, MD

 

Medical Case Details:

A 65-year-old male, a director by profession, presented with a complaint of throat dryness. He is a known case of frozen shoulder and has been advised to take anti-inflammatory drugs. He reported no other symptoms. He is not a known case of diabetes mellitus, hypothyroidism, or any other systemic illness. The management approach considered possible drug-induced xerostomia and aimed to identify and minimize contributing factors.

 


    Discussions


    Dr. Sally Attalah
    Dentist

    Physiotherapy could be beneficial

    02.May, 01:51am

    Dr. Sidra Arshad
    Family Physician

    Lozenges and proper hydration might be helpful. Also proper ENT evaluation of mucous membranes and any pathology locally.

    ESR and ANA to rule out autoimmune causes.

    13.May, 08:09pm

    Dr. Sidra Arshad
    Family Physician

    Lozenges and proper hydration might be helpful. Also proper ENT evaluation of mucous membranes and any pathology locally.

    ESR and ANA to rule out autoimmune causes.

    13.May, 08:09pm

    Dr. Fadel Saibou
    Urologist

    Greetings
    The most probable diagnosis is Drug-Induced Xerostomia but other possible situations are:
    1- Age-Related Salivary Gland Hypofunction
    2- Dehydratation
    3- Sjögren's Syndrome
    4- Oral Candidiasis
    5- Gastroesophageal Reflux Disease (GERD)
    6- Chronique Mouth Breathing (due to nasal obstruction)
    7- Medication Side Effets (other than NSAIDs) like Antihistamines, Antidepressants, Diuretics, Anticholinergics.
    Investigations if symptoms persist:
    1- Salivary flow rate ( for Sjögren's Syndrome)
    2- Oral examination(for Candidiasis or mucosal changes)
    3- Autoantibody testing ( ANA, anti-SSI/SSB)
    4- Gastroesophageal Reflux Disease évaluation (if reflux symptoms present)


    ▲ 3
    15.May, 05:08pm



Are you a doctor?

Please Login to comment or ask a question.

New to icliniq? Sign Up Now

 

 

 


Disclaimer: All medical case discussions published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.