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Dr.Fiona
Dr.Fiona, Dog Veterinarian
Category: Dog
Satisfied Customers: 6273
Experience:  16 years experience as a companion animal veterinarian in British Columbia, California and Ontario
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2 year old pug excessive drooling especially while sleeping

Customer Question

2 year old pug excessive drooling especially while sleeping , whole chin wet .. wants to lick more often ... licking his nose and looks like swallowing ...
Submitted: 5 years ago.
Category: Dog
Expert:  Dr.Fiona replied 5 years ago.
Hi there slsmna174,

Welcome to Just Answer! I would like to help you and your Pug with this question, but need a bit more information in order to better assist you.

When did this problem start?

Does your boy have an underbite (where his lower jaw is longer than his upper jaw)?

Fiona
Customer: replied 5 years ago.
Started 2-3 days ago ..no underbite ... took him to the local vet.... examed his mouth , tounge, teeth , smelled for oder didn't see anything ,, SAM the name of my pug ..seems to act like something little is caught in his teeth I think ... I'm going to continue looking and feeling around ..... Just in case the Vet gave him an alergy , antibiotic, and another shot for the drewling ... He said it could be in his throat considering Pugs have small throat openings ..... If it continues he would have to sedate him to look deeper ..... ??
Expert:  Dr.Fiona replied 5 years ago.
Ok, thanks for that information - very helpful!

What you are describing with Sam drooling so profusely is called ptyalism.

There are a number of possibilities for what may be causing this.


1. A foreign body -

Your dog could have something like a grass awn or a sharp sliver of stick or raw hide penetrating the tissues in his mouth. Grass awns are notorious for getting stuck in tissues as they are barbed and tend to migrate upwards. I have often found with chewers that they have a cut or a foreign body in the soft palate at the back of the mouth. I have had to give an anesthetic to find it usually because it is so far back.


2. A tooth root abscess -

Teeth have very long roots that extend close to the nasal sinuses. With a tooth root abscess, the infection can actually get into surrounding muscles and tissues and cause pain and with infection there can be ptyalism.

A tooth root abscess is often caused by a fractured tooth, with a slab fracture of the carnassial (big molar at the back) being the most common one I have seen. If your dog will let you look around in there, you may be able to find it. You have to really lift that top lip up and stretch it back to see all the teeth at the back. This may be best done by a vet as your dog may not be wanting a dental exam at the moment!


3. Masticatory Muscle Myositis (MMM) is another possibility.

With this condition, the muscles in the jaw become very inflamed, making it painful to open the jaw. It is caused by the dog's own immune system attacking the muscles. I think this is unlikely since your vet surely would have noticed it Sam had pain when the vet opened his mouth to look around in there.

Here is more about it:
http://www.petplace.com/dogs/masticatory-muscle-myositis/page1.aspx


4. Ingestion of something irritating.

Dogs that chew on plants containing calcium oxalate crystals will have local irritation and copious drooling. Dieffenbachia species will do this (dumb cane is a house plant in this family, but there are various others). Milk or other calcium containing products (yogurt, ice cream) can help to relieve the symptoms.   Here is more about this plant:
http://en.wikipedia.org/wiki/Dieffenbachia


5. It is possible that Sam got stung by a bee or wasp on his tongue.

This might not be visible, but could still cause drooling. If you are getting some cooler temperatures there this would be even more likely as the bees would be more sluggish and easily licked up by an inquisitive pup.

Here is more: http://www.petplace.com/dogs/allergic-reaction-to-insect-stings-in-dogs/page1.aspx




If your dog came in to my clinic, I would start with checking his temperature and doing a dental examination. Depending on what I found, I would consider starting him on some Benadryl just in case this is an insect sting, and I would offer milk-products (yogurt, ice cream, cottage cheese are less likely to cause diarrhea than straight milk) in case of an irritant like dumb cane.

When I treat them with BENADRYL (diphenhydramine), the dose that I use is 1mg/lb. Is she about 50lbs? It comes as 25 mg tablets, and if she is 50lbs, I would give her TWO TABLETS. This can be repeated every 8 hours for 24-36h.

Here is more about Benadryl:
http://www.peteducation.com/article.cfm?cls=0&cat=1303&articleid=1400
http://www.petplace.com/drug-library/diphenhydramine-benadryl/page1.aspx
You should see improvement within 30 minutes.

If this did not help, I would give anti-inflammatories and anti-biotics in case there was a cut in the back of the throat.


If he still did not improve, my next step would be to give a very light anesthetic in order to do a retropharyngeal exam and take some dental x-rays and take a biopsy of the chewing muscles if I were concerned about MMM.


Here is more about ptyalism:
http://www.petplace.com/dogs/ptyalism-hypersalivation-in-dogs/page1.aspx

So, if he were my patient, for now I would try milk products and Benadryl. If this persists into next week, then I would suggest you make an appointment to see your veterinarian for a re-check.


If you feel that this has been helpful, please hit the "ACCEPT" button and leave feedback.

If you need further information click on reply and I would be happy to provide it.

The above is given for information only. Although I am a licensed veterinarian, I cannot legally prescribe medicines or diagnose your pet's condition without performing a physical exam. If you have concerns about your pet I would strongly advise contacting your regular veterinarian.

Good luck!
Fiona



Dr.Fiona, Dog Veterinarian
Category: Dog
Satisfied Customers: 6273
Experience: 16 years experience as a companion animal veterinarian in British Columbia, California and Ontario
Dr.Fiona and 4 other Dog Specialists are ready to help you
Customer: replied 5 years ago.
Thank you , No bee sting it hasn't been over 32 degrees in a week ... and no grass snow on the ground ..... I'm still going after that he's got something stuck . He chews allot on his doggie chew things .... When he'll tolerate it I'm going to examine his mouth, teeth & gums as much as possible as you suggested .......... and also if it doesn't go away in a couple of days I guess he'll have to be sedated and further examened
Expert:  Dr.Fiona replied 5 years ago.
Try hard to look at the roof of his mouth as it is not uncommon for dogs to get something wedged across the roof between the upper teeth, towards the back of the mouth.

Hope he is back to 100% soon!
Fiona
Customer: replied 5 years ago.
Thank you again I'll let you know how I make out ...
Expert:  Dr.Fiona replied 5 years ago.
I would love to hear! YOu can reply to this thread at any time with an update!
Fiona

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