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Signs & Symptoms

Ptyalism

Handling Excessive Saliva During Pregnancy

As with morning sickness, ptyalism seems to be most common early in pregnancy. But, also like morning sickness, that's variable among women. For Dorothy Leland of Davis, Calif., the ptyalism lasted about six weeks. "Then it was gone as suddenly as it had started," she says. "I asked my doctor about it, and he said that it was not uncommon in pregnancy, and had to do with hormones."

However, Arlinda McIntosh found that the excess saliva production occurred 24 hours a day. "[I had] not one hour without a cleverly decorated spittoon at home, a purse full of tissues when I went out, and a towel on my pillow," says the Verona, N.J., resident, who found that the condition lasted six months with her first child, eight months with her second and all nine months with her last.

Can Ptyalism Cause Complications?
Thankfully, ptyalism is a fairly benign symptom when associated with pregnancy. It isn't a sign of a more serious problem, and it isn't likely to cause harm to either the mother or baby.

Ptyalism-Handling Excessive Saliva During Pregnancy"I was worried about it when I first started to notice it," says Amy Oztan of Brooklyn, N.Y. "But thank goodness for the Internet. I looked it up and found that it was very common in pregnant women."

Ozlan mentioned it to her physician, who confirmed what she'd read on the Internet and told her not to worry, though the symptoms were annoying. "I was very aware of it for a few months," she says. "It made me feel like I was going to throw up, even though being pregnant wasn't making me nauseous."

However, depending on the severity, ptyalism can cause a loss of one to two liters of saliva a day. "As much as two quarters of saliva has been collected in a day from one case, making dehydration a possible condition associated with excessive saliva production," Dr. Pando says. "To prevent dehydration women should drink plenty of fluids as well as to swallow as much saliva as possible."

Coping with Ptyalism
It is recommended that you speak to your caregiver about this condition so he or she can try to help you relieve any underlying condition that may be contributing to the problem, like nausea, vomiting or heartburn.


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Anonymous says
4 days, 22 hours ago

This is my first pregnancy I started noticing this symptom around my 6th week, I am now 19 weeks and it has not gone away. some things that do help reduce it are sucking on sugar free candy, and instead of me spitting it all out in a can I carry little snaks and water with me and it helps alot.

Anonymous says
3 weeks, 3 days ago

I am 8 weeks pregnant and its in full force for me. I did not have this with my first son, but got it with my 2nd. Now I am pregnant with my third baby and I have it again!! Nothing works. I chew gum, suck on candy and try to snack but the after taste in my mouth just makes it worse. I almost never want to eat because its so bad. I have VERY hard pregnancies. I lost 25 lbs with my first and 40 with my 2nd! This WILL be my last baby. I could never go through this again. Its hard to explain this to others who just do not understand. I am spitting all the time and it is so gross. Any suggestions to help?

Leepyleeps says
June 17, 2010

Oh girls I have the same thing and I'm going crazy with it. None of the staff at my maternity hospital seem to know anything about it and because it does no harm to baby no-one really cares :-(. My friend had Hyperemisis on her 2 pgs and had this the whole way through. I am now on my 3rd-have been more sick on each one and this has also been worse. Thing is, now I'm not that sick anymore (just a little sensitive to foods overall) but the pytalism is horrible. The inside of my mouth is all oversensitive and slightly raw feeling and I have this constant mucus sitting between my nose and throat and it won't go either direction except to make me gag! Fruits of all kinds and anything sweet drive it mad and it's worse when it's frothy-I feel like a rabid dog. It takes about 30-45 mins to get to sleep each night because I have to keep spitting into my spatoon. My 5 year old now goes around spitting everywhere because of me! The thoughts of it lasting another 5 months is unbearable...

Anonymous says
March 28, 2010

This is my first time having this condition but my sister had it severly with her first two children and she was able to remedy it so that she didn't have to carry a spit cup with her 3rd child. She advised me to rinse my mouth with a baking soda and water solution. She couldn't remember the measurements she used but she said that she only had to do it twice a day and it helped because it changed the ph in her mouth. Then stay away from peppermint and pepperment toothpaste because it stimulated the production of saliva. Instead use a baking soda toothpaste (Arm in Hammer makes one). Finally she said to chew gum because it helps retain some of the saliva so you don't dehydrate and it kills the taste in your mouth (if you have one). She recommended Extra Bubble Gum Flavor (sugar free so your teeth won't rot since you will be chewing a LOT of gum.) Hope this helps. I will be trying it since I just got the advice today. Also, if the ph change in your mouth (from the baking soda solution) bothers your stomach chew tums.

Amber says
March 23, 2010

I am 10 weeks pregnant and I started spitting week number 7 and have not been able to stop. I am so thirsty and appear to be hydrated that the skin on my lips is starting to turn black from spitting so much and whipping. I've been on bed rest for a month already and don't know how I am going to do at work, I do customer service. Any suggestions, other than lemons they make me vomit?

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