Drooling, also called sialorrhea, is common in babies and toddlers up to about age 4. It can increase when toddlers are teething or when young children have allergies or a cold. But excessive drooling can sometimes be a problem. This can be the case for children who have cerebral palsy or a brain injury caused by another type of brain disorder, stroke or a traumatic brain injury.
There are two main types of drooling:
- Anterior drooling. This is drooling from the front of the mouth. It can cause problems with the skin.
- Posterior drooling. This type of drooling happens in the back of the mouth, and flows down the airway. It can cause choking or lung problems.
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What are the signs and symptoms of drooling?
- Anterior drooling causes saliva to run out the mouth. It can cause wet clothing or a wet bib.
- Posterior drooling may cause choking or coughing.
What causes drooling?
Drooling is usually caused by decreased sensation in the mouth or poor motor control. This most often occurs in children who have a neurological problem, such as cerebral palsy or a brain injury caused by another type of brain disorder, stroke or a traumatic brain injury.
How is drooling treated?
Treatment options for drooling may include:
- Anticholinergic medications may reduce drooling.
- Botulinum toxin (Botox) injections may help reduce the amount of saliva.
- Surgical treatment may target the tonsils, adenoids, or salivary ducts or glands.
Doctors at Connecticut Children’s can determine the right plan if your child requires treatment for drooling.