ABSTRACT
Many of the diseases may not be present as an independent disease but found as an associated symptoms of an underlying health condition. One of such diseases affecting the oral mucosa is xerostomia. In this article we are going to discuss xerostomia, its possible causes, and clinical features, along with the best Ayurvedic treatment for this disease.
INTRODUCTION
Xerostomia is the condition which is characterised by the dry mouth or excessive thirst. Xerostomia in general terms is the subjected feeling of dryness of the oral cavity. The disease is often associated with less functioning of salivary glands. This disease in Ayurvedic texts can be best correlated with the trishna roga, which is arised due to the udaka vaha srotas dushti. (vitiation in the microchannels associated with the transport of water and other intracellular-extracellular fluid of the body). This condition is usually associated with hyposalivation, change in salivary composition, and other psychogenic conditions.
SIGN AND SYMPTOMS
The clinical manifestations of the xerostomia include dry and sticky feeling in the mouth, sores in oral cavity, frequent thirst, sores at the corners of mouth, dry and cracked lips, feeling of dried throat, tingling or burning sensation in the tongue or in the whole mouth, red, tough, dry or raw tongue, problems in speaking, and intraoral halitosis (bad breath). Also xerostomia increases the susceptibility to oropharyngeal candidiasis, tooth decay, loose acrylic dentures, dental caries, acid erosions, suppurative sialadenitis. Further the associated symptoms may include altered sense of smell (dysosmia), metallic or other altered taste sensation (dysgeusia), and trouble chewing or swallowing (dysphagia) etc.
In Ayurveda, the clinical picture of the patients suffered with Trishna roga as given by Acharya Charaka is given by this phrase as
Trishna roga is characterised by mukhshosh (dryness of the mouth), swar bheda (altered voice), bhram (delusion), santaap (fever or burning sensation), pralap (delirium), taalu jihva shosh (dryness of palate and tongue), oshth shosh (dryness of the lips), jihva nirgam (protrusion of the tongue), murcha (episodes of fainting due to prolonged dehydration), aruchi (anorexia), badhirya (gradual deafness), marma peeda (pain in the vital points), sharir saathilya (flaccidness in the body). These all features of trishna roga are clearly visible in the patients with Xerostomia.
CAUSES
The physiological causes of xerostomia include decreased salivary flow during night time, due to mouth breathing, periods of anxiety, dehydration, in old age people as the senile changes in salivary glrnd tissues leads to the reduction in the salivary output. This condition can also be raised as a side effect of many allopathic medicines including atropine, hyoscine, anti-hypertensives, antidepressants, opioids, cytotoxic drugs, antihistamines, protease inhibitors, antireflex drugs such as Proton pump inhibitors (e.g. Omeprazole), diuretics, interleukin-2, benzodiazepines etc. These all medications that cause the condition of xerostomia as a complication is termed as xerogenic. Also, xerostomia is formed as a side effect of certain conditions such as anaemia, diabetes mellitus, HIV/AIDS, Sjoren’s Syndrome, Alzheimer’s disease, Salivary glands atresia or aplasia, Rheumatoid arthritis, stroke, Parkinson’s disease, Mumps, lupus, primary biliary cholangitis, cerebral palsy, Amyloidosis, sarcoidosis, cholinergic dysfunction, hepatitis-C patient, renal failure etc.
TREATMENT
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HERBAL REMEDIES AS SUGGESTED BY PLANET AYURVEDA’S EXPERTS FOR THE TREATMENT OF XEROSTOMIA
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CONCLUSION
As we have already seen in the causes section of this article that the side effects of various allopathic medications are the prime cause of this disease. So it’s best to avoid any further Allopathic medicine for the treatment of this condition. This condition is well treated with Ayurveda with a holistic approach of herbal medications, dietary and lifestyle modifications.
