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In Humanitas Castelli Bergamo, the medical area of ​​reference for acid regurgitation is the Gastroenterology and digestive endoscopy service.

Intense salivation occurs when the salivary glands produce saliva in large quantities; this clinical condition is called sialorrhea. The effect of excessive salivation can also be caused by deficits in the facial muscles that do not allow normal control of saliva in the mouth or by a decreased ability to swallow.

Intense salivation may depend on some pathologies, which can include: gastroesophageal reflux, amyotrophic lateral sclerosis (ALS), multiple sclerosis, sinusitis, stomatitis, tonsillitis, tuberculosis, mouth tumors, allergies, dementia, hiatus hernia, stroke, Parkinson’s disease, myasthenia gravis, pancreatitis, cerebral palsy.

To adequately treat intense salivation it is necessary to identify the underlying cause and proceed with the appropriate pharmacological therapies.

Intense salivation should be checked by a specialist doctor if it occurs in an excessive and persistent way.

Muscle spasms are involuntary contractions that can affect one or more muscles and that are caused by problems concerning the mechanisms that generate muscle contraction.

Muscle cramps are often associated with spasms which can cause intense pain and even be debilitating for a period of time.

At the base of episodes of muscle spasms there may be trauma, prolonged and intense physical activity, a lack of minerals or dehydration. The spasms can also be consequent to poisoning of the nervous system (as, for example, in the case of inhalation of insecticides or strychnine). They can also be caused by various diseases, among which can be included: neurodegenerative diseases, myotonia congenita, spinal problems, anal fissures, gastroesophageal reflux, multiple sclerosis, angina pectoris, myotonic dystrophy, esophageal diverticula, stroke, inflammation of the trigeminal nerve .

In most cases, muscle spasms can be resolved by doing some stretching or by undergoing massages. If the spasms are caused by dehydration, it will be necessary to compensate for the losses through the intake of water and mineral salts, in the most serious cases even intravenously. In case of prolonged spasms or caused by metabolic or neurological problems, specific medicines may be used that have been prescribed by the attending physician.

If the muscle spasms are particularly intense, occur frequently and last for a long time, it is advisable to contact your doctor.

Tracheitis can be an inflammation of the trachea or its infection by bacteria. In most cases, the bacterial disease is caused by Staphylococcus aureus and often follows a viral infection of the upper respiratory tract. Staphylococcal infection mainly affects children and is associated with breathing difficulties, high fever, cough and the production of a grinding noise while breathing.

Among the pathologies that can be associated with tracheitis are gastroesophageal reflux and hiatal hernia.

The most suitable remedy for tracheitis depends on the cause that triggered it. Bacterial infections are treated with antibiotics and intubation may be required in case of severe breathing difficulties. Administration of oxygen may also be required. Gastroesophageal reflux and hiatal hernia may also require drug therapy. For example, taking antacids could be useful, but the most suitable treatment must only be established by a doctor.

Bacterial tracheitis is a medical emergency. In the event that a child recovering from an upper respiratory tract infection suddenly develops a cough that tends to get worse, fever or respiratory problems, it is good to take him to the emergency room.

Tooth wear consists of a phenomenon associated with a loss of enamel or dentin independent of trauma or caries. In addition to aging, its possible causes are erosion from acidic chemicals of food or gastric origin (brought into the mouth, for example, by frequent episodes of vomiting or gastroesophageal reflux) and the loss of hard tissue in the necks (the so-called “abfraction”, the causes of which are not yet fully understood), the friction and abrasion generated by bruxism, some foods or incorrect use of the toothbrush. The consequences are pain and significantly shorter teeth, their yellowing, increased sensitivity to heat and cold.

Among the pathologies that can be associated with tooth wear are the following: gastroesophageal reflux, bruxism, nail biting. Please note that this is not an exhaustive list and that it would always be better to consult your doctor in case of persistent symptoms.

The best remedy for tooth wear depends on the cause of the loss of enamel and dentin. In the case of bruxism, a bite can be used, while if the problem is nutrition, appropriate measures will be required. Other times you will need to change the way you brush your teeth. The goal is always to avoid further damage to the tissues as much as possible. Secondly, treatments can be carried out in order to improve the appearance of already worn teeth. In addition to the use of traditional crowns, today it is also possible to proceed by gluing composite or ceramic materials.

In the event that you notice that you have worn teeth or that you suffer from a disorder such as bruxism or gastroesophageal reflux that could lead to dental wear, it is advisable to contact your doctor or dentist to find the most suitable remedy.

Humanitas Castelli is a private hospital accredited with the National Health Service in the center of Bergamo.

Registered office: Via Mauro Gavazzeni, 21 24125 – Bergamo | Headquarters: via Giuseppe Mazzini, 11 24128 – Bergamo

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