Excess saliva and cancer

Excess saliva and cancer. At first, the pain may be intermittent, but as the cancer progresses, the pain b The National Cancer Institute explains that pain and swelling in the hip are common symptoms of bone cancer. Mouth dryness or thick saliva: Cancer-related side effects. CD47 is a protein that protects cells against the immune system by signalling Having a uterus comes with its own health conditions, and it is important for females to understand this. Bone cancer starts in the bone, and it destroys normal bone tissue. Learn when too much saliva becomes dangerous, as well as how to stop excessive saliva with hypersalivation treatment options. It is relatively rare compared to other cancers. The staging systems most often used for salivary gland cancer are the TNM and number staging systems. People describe heartburn as a burning sensation behind their chest bone. I'm buying lemondae and papaya juice tomorrow! According to a PET scan last week, the cancer has shrunk so maybe we will see a reduction in spit soon. At first, the pain may be intermittent, but it will increase and become more steady Kidney cancer is a serious health condition that starts in the kidneys but can spread to other areas of the body. However, he has excessive saliva and mucus and wretching every day, and his esophagus has not opened, and he is exhausted, tired, and weak. Cancer treatments may cause mouth, throat and dental problems such as changes in taste (dysgeusia), dry mouth (xerostomia), infections, mouth sores, pain or swelling in your mouth (oral mucositis), sensitivity to foods, and swallowing problems. Sep 6, 2023 · Allergy symptoms can make life miserable. Their appearance is most likely caused Excessive gas can be an uncomfortable and embarrassing problem for many people. If you find yourself constantly wondering, “Why do I have so much gas?” you’re not alone. Dogs produce saliva just like humans do, but excessive drooling can be a sign of various underlying health issues. Thanks,-Sandy Feb 23, 2024 · Cancer can start anywhere in your body, even the parts you never really think about. Pain in your mouth, cheek, jaw, ear, or neck that does not go away. 5 to 1. This disease primari According to the Mayo Clinic, excessive bowel movements have many causes, including celiac disease, Crohn’s disease, hyperthyroidism, irritable bowel syndrome, side effects of drug When malignant cancer cells form and grow within a person’s breast tissue, breast cancer occurs. Smoking during chemotherapy treatment can cause more side effects and can cause the chemo drugs to not work as well. Medical conditions such as acid reflux and pregnancy can increase saliva production. Allergies, tumors, Mar 8, 2023 · A watery mouth, also called hypersalivation, sialorrhea, or ptyalism is a condition marked by excess saliva. For instance, most spleen cancers do not start in the spleen and Spider cancer is a term formerly used to describe a cancerous tumor that is edged with thin lines resembling the legs of a spider on X-rays. But he is been coughing up excessive clear phlegm continuously. 5K Breast Cancer; 395 Childhood Cancers; 27. In people with lung cancer, clear or white phlegm is not usually considered a sign of lung cancer or disease progression and is often treated as a common symptom of lung cancer. Located in the upper portion of your abdomen (your gastrointestinal tract, or GI), your stomach digests the food you eat. It can be annoying and embarrassing. So, how is it normally diagnosed? Head and neck surgeon Amy Hessel, M. Who Gets Mucositis? The majority of oral cancer patients receiving chemotherapy in combination with radiation will experience at least some degree of mucositis. Every day, they produce 0. Your doctor can also review the drugs you are taking. 1. Excessive saliva can be one of the most frustrating symptoms of ALS to manage. They make saliva (spit), the lubricating fluid found in the mouth and throat. Take the salivary glands, for instance. If a strict daily oral hygiene regimen is not followed the retention of the food and debris will lead to increased tooth decay and oral infection. Causes of Excess Saliva. Though there are a bevy of OTC options available, rather than trying to self-diagnose and treat, see your doctor, who can develop a more honed allergy treatment plan that will stop allergies before they start and keep you feeling good throughout the season. report a My father (aged 56) was diagnosed with Esophageal cancer 4 months back. The most common symptom of throat cancer is a sore in the mouth that doe According NewScientist, the DNA from a man’s saliva can be detected in the saliva of a woman he kissed up to an hour after the kiss occurred. ” Salivary gland cancer. He was doing great till recently he encountered viral fever. The Sep 8, 2023 · Salivary glands play a crucial role in overall oral health. The way I see it, your body is making excessive salive for a reason & I can't imagine why someone told you to take Claritin. Menstruation can be painful, cysts can form and need surgery, and, unfortu The human body has several mechanisms to store or eliminate excess glucose from the blood. 5% water, the proteins, lipids, ions and other biomolecules that compose the remaining 0. 5 liters of saliva, a complex mixture that aids the body in many ways, including: Keeping the mouth moist to make chewing, swallowing and speaking easier; Lubricating food so it can move smoothly through the digestive tract; Protecting against infections Dec 20, 2023 · The excess saliva can combine with stomach acids and cause heartburn. A recent difference between the size and/or shape of the left and right sides of your face or neck. Nov 28, 2022 · Hypersalivation can be a difficult symptom to treat and manage. 1K Lung Cancer Jun 29, 2014 · Excessive saliva is known in medical terms as hypersalivation, excessive salivation may be a symptom of the disease of gastroesophageal reflux or esophageal cancer. 5. Still, your body should be producing just enough saliva to perform essential processes and nothing more. He also has occuring pain in his abdomen. Apr 8, 2022 · Stomach cancer, also known as gastric cancer, affects your stomach. Jul 20, 2021 · Saliva also provides antimicrobial activity preventing oral infections and plays an important part in the upper GI functions including taste perception, formation of food bolus, facilitation of mastication, swallowing and speech, as well as lubrication of oropharyngeal and upper esophageal mucosa. Mar 21, 2023 · Salivary gland cancer can start in any of the glands that make spit (saliva). Frank doesn't have a stent. If you smoke, you should quit. 05. 5% of all cancers diagnosed each year. Although medical advan Symptoms of the last stages of ovarian cancer include severe pain in the abdomen and pelvic area, according to Healthline. Fortunately, current improvements in salivaomics technology have led to a hopeful future for salivary biomarkers in cancer care. Some common treatment options can include: Medications: Some medications, such as anticholinergic medication, can help reduce the production of saliva but care must be taken in order to ensure you do not cause dry mouth. Despite human saliva consisting of approximately 99. 2K Gynecological Cancers (other than ovarian and uterine) 13K Head and Neck Cancer; 6. You have so much excess saliva that you have to spit to clear it. My speech has become noticeably slurred, difficulty with certain sounds, and excess saliva that drips and drools unless I consciously suck it back through my teech and tighten my lips. About 3/4 of the way through my radiation treatment for squamous cell in my throat and tongue, I developed excessive saliva. Mar 9, 2023 · A significant increase in oxidatively modified molecules in saliva suggests the failure of the salivary gland antioxidant barrier to combat excess ROS production. Dry mouth may last for a little while, such as during chemotherapy. 47 Ellies et al. Having a dry mouth or thick saliva can increase your risk of cavities and mouth infections. ” Common symptoms include a painless lump in your mouth or jaw. In the oral cavity saliva also acts as a lubricant. This includes foods with high acid content like citrus fruit. Treatment for an increase in saliva. We are not waiting to see what next steps are-- surgery to remove stents, or perhaps esophagus dialtion. Hypersalivation and drooling can also cause social anxiety and diminished self-esteem. Even if you do your best to live a healthy lifestyle, it’s not always possible to prevent serious health problems as you get older, such as prostate cancer. Nov 1, 2008 · It has been used in patients with head and neck cancer who struggle with excessive saliva due to stenosis of the upper esophageal sphincter, decreased laryngeal sensation (which increases the risk of aspiration pneumonia), and in patients with extended wound healing such as fistulas which occur following laryngectomy. The salivary glands make saliva. It can give you a higher chance of getting an infectio May 15, 2020 · Been on ADT 12 months: 6 on Firmagon, 6 on Enantone. The hormones that your thyroid gland produces help regulate several of your bodily functi According to the Cancer Institute of New South Wales, stage 4 cancer is the most severe stage of cancer and indicates distant spread. In these patients, salivary oxidative stress appeared to be closely connected with autoimmunity-related inflammation, and not with the level of thyroid hormones or TSH. Saliva is an essential byproduct to kickstart the digestion process. Our findings support the use of saliva as a liquid biopsy for cancer screening and early detection. High saliva production has also been linked to sugary foods. Oct 26, 2021 · Does anyone suffer from excessive mucus after eating or drinking. Your prognosis depends on various factors, including the salivary gland where the cancer starts and whether the cancer’s spread beyond your salivary glands. Your salivary glands may gradually recover after treatment, but your saliva may be thicker and sticky. I was diagnosed with Esophageal Cancer one year ago. The American Cancer Society estimates that over 2 The prognosis for spleen cancer is dependant on what type of spleen cancer a person has, according to Healthgrades. Knowing the stage and grade of the cancer helps the doctors plan the best treatment for you. It would fill up my mouth in minutes and I just spit it out. The salivary glands. Drooling or constantly having to swallow might be a sign that your body is generating too much saliva, making for an embarrassing issue. Anterior sialorrhea is when patients have forward spillage of saliva from their mouths onto their faces and clothes. The fact is, they may not be salivating more, but the saliva is pooling in the mouth because of an inability to swallow it. Age Sialorrhea, also known as hypersalivation or drooling, means excessive saliva flow. If the extra saliva begins to accumulate, it may begin to drip out of your mouth unintentionally. Less common symptoms such as hiccups, pneumonia, or enlarged lymph nodes in the neck and above the collarbone may occur if esophageal cancer has spread. Salivary gland tumors are rare. The cancer occurs in the l Ovarian cancer is one of the lesser-known forms of cancer and can be asymptomatic at first, or present with non-specific symptoms. Your stomach is located on the left side of your body in your up Colon cancer symptoms include a change in bowel habits such as diarrhea or constipation as well as a change in the consistency of an individual’s stool, explains Mayo Clinic. Problems moving the lower lip . Certain foods and beverages can lead to excessive saliva production. 7K Cancer specific; 2. Large ovarian cancer tumors can block the intestine, caus Around 30 percent of patients diagnosed with lung cancer have already reached stage 3, and their prognosis varies according to multiple factors, according to Dr. The many different types of cancer that can happen all over the body can make the subject feel overwhelming. This is called staging. Abnormally thick and sticky The pancreas is a bodily organ that few people think about. 6 months. Only mal Bone cancer refers to tumors that develop in the bones’ interior and disrupt healthy bone tissue. It happens when nerves that control the production of saliva grow and join nerves that control the sweating of the skin. This may happen many months or even years after your operation. Decreased salivation or xerostomia consequent to radiation therapy is the most frequently observed complication resulting in patient discomfort, tooth decay, periodontal disease, and dysphagia. Smoking, chewing tobacco, and drinking alcohol can make dryness worse. Although it is the most commonly diagnosed cancer in American women, breast cancer Skin cancer is one of the most common types of cancer. Quit smoking before salivary gland cancer treatment. This tends to stimulate more saliva flow and can cause cracking of the lips. The first, and most obvious of these, is excess saliva spilling over the bottom lip leading to drooling, external skin irritations and breakdown, rashes, poor quality of life, and social ramifications . At this stage, cancerous cells are able to tra Chronic pain experienced in the ribs can be a sign of bone cancer, according to Healthline. This was revealed by a study that was Common causes for thick and sticky saliva include dehydration, Sjogren’s syndrome, dry mouth syndrome, sarcoidosis, iron poisoning and cystic fibrosis. Compared to other types of head and neck cancers, salivary gland cancers are rare. This means you may not make as much spit (saliva) as before and so your mouth may become dry. The salivary glands are organs on each side of the face. 1 Thus, salivary gland hypofunction is Sep 1, 2021 · Some people refer to this symptom as increased saliva and excessive saliva. Salivary gland cancer can start in any of the glands that make spit (saliva). The good news is that the most common types of testic The earliest symptoms of bone cancer are swelling and pain where the tumor has started to grow. Having too much saliva can be even harder to cope with if you have difficulty swallowing. Jun 22, 2017 · Saliva is one of those silent workers in our body that we don’t give a second thought to – until something goes wrong! Normally, we produce around 0. a change in your saliva after radiotherapy. Prostate cancer occurs Excessive sweating on the head can be hereditary, a side effect of a medication, triggered by a particular type of weather or caused by another condition, according to Healthline. It The H86 cancer cure is an anti-CD47 antibody that allows the immune system to target cancerous cells. A small amount of mucus Thyroid cancer affects your thyroid gland, which is a butterfly-shaped organ in your neck. Treatm Individuals with bone cancer typically feel deep, aching pain in the bones of the pelvis, back, arms, legs or ribs that often starts off gradually and becomes more persistent as th Testicular cancer is a health condition affecting both young and older males. In fact, most people don’t even know what it does. Glucose can be converted into a larger molecule called glycogen that is typically stored An excessively oily scalp is usually caused by overactive sebaceous glands, a hormonal imbalance, disease or over-brushing. Being well-hydrated will help loosen thick saliva. Despite this, pancreatic cancer is among the deadliest types of cance Around 20 percent of adults with primary liver cancer live for at least one year after diagnosis, and one in 20 people live for five years or more, according to statistics from Can Breast cancer is the most common cancer in females in the United States. **7 Interesting Trends Related to Excessive Dog Saliva** 1. Some people also unintentionally squirt saliva out of their mouths when they open their mouths. Tips for ExcesiveThin Saliva • Avoid putting tissues (kleenex) inside the mouth for drying up saliva. It'll last for a few hours and I constantly have to spit it out. 3K Kidney Cancer; 670 Leukemia; 792 Liver Cancer; 4. Try these suggestions if dry mouth or thick saliva is a problem for you: Drink 8 to 10 (8-ounce) cups of liquids a day. The hepatic flexure is part of the colon between th Cancer is one of the leading causes of death worldwide, and billions of dollars each year are spent on researching cures for these deadly groups of diseases. I am still stage 4 though. The fever has now subsided took almost a week, but has left him bedridden. I started off with chemo, which did nothing and was switched to Keytruda every 3 weeks which has worked wonders. Head and neck cancer; Cancer treatments, such as radiation therapy or surgery to the mouth, jaw, throat, or esophagus; Mouth sores; Infection in the mouth or esophagus; Swelling or narrowing of the esophagus from the cancer or treatment; Dry mouth and not having enough saliva (spit) Hiccups; Heartburn and indigestion management for drooling of saliva in people with Parkinson's disease if non-pharmacological management (for example, speech and language therapy) is not available or has not been effective. The number staging system is less commonly used. Your doctor might refer you to a speech and language therapist if you have swallowing difficulties. It’s important to know that clear or white phlegm is the healthiest type of phlegm. Stage four brain cancer cons Most cases of colon cancer do not show symptoms, but symptoms such as abdominal pain, weight loss, diarrhea, narrow stools, weakness and rectal bleeding may indicate the presence o Colon cancer affects the large intestine and usually begins as small polyps that become colon cancers, according to Mayo Clinic. May 9, 2017 · When it persists, excessive saliva can become known as hypersalivation and may be a sign of a serious underlying health disorder. Apply a balm to the lips to prevent chapping and skin breakdown. Cancer the crab is a water sign, and both Cancer men and women tend to be v Benign pancreatic tumors are tumors that are found in the pancreas and do not metastasize or spread to distant sites in the body, according to the Center for Pancreatic and Biliary According to the National Cancer Institute, the primary difference between benign and malignant tumors is that malignant tumors are cancerous, while benign tumors are not. Jun 1, 2024 · Many cancer indicators reported in saliva have been discussed in this article. "Excess saliva, also known as hypersalivation or sialorrhea, can be a result of excess production or decreased clearance of saliva," said Dr. It is indicated by the spread of cancer to distant sites, according to Texas Oncology, and it is characterized by involvement of t Some melanomas in their earliest stages may resemble blood blisters and reveal themselves as such if they continue to grow rather than disappearing in a reasonable time frame, stat It’s a diagnosis that many of us fear for our friends and family as well as ourselves, but the sad fact is that an estimated one in three people will get cancer at some stage in li As of 2014, the American Brain Tumor Association states that the prognosis for stage four brain cancer is a survival rate of approximately 14. Also, I've been burping a lot and my mom told me it was stomach acid and had me take Tums and pepsid. The scalp can also appear excessively oily if the hair i Excess mucus draining down the back of the throat may be caused by a cold, the flu, allergies, a sinus infection or certain medications, according to WebMD. Altered salivary flow is frequently observed as a result of head and neck cancer (HNC) treatment. Use tissues only for saliva that is outside the mouth. , answers this and eight other questions. 9K Colorectal Cancer; 4. Jan 6, 2019 · Some people might also notice there’s excess saliva that they can’t get down. Saliva aids in digestion, keeps the mouth moist and supports healthy teeth. The combination of mucus, excess saliva and pain can make it difficult or even impossible to eat. Lynne Eldridge, wr. Excessiv … Nov 26, 2022 · If the excess saliva is due to a chronic condition, then treatment will focus on managing the excess saliva. This is becoming really Once the salivary glands have been radiated, there is less saliva flowing from the glands to aid in the cleansing of the oral cavity. Fortunately, today we are diving int Commonly, patients with bone cancer in the leg feel pain, according to the American Cancer Society. Hypersalivation can contribute to drooling if there is an inability to keep the mouth closed or difficulty in swallowing (dysphagia) the excess saliva, which can lead to excessive spitting. Apr 24, 2023 · This is called Frey's syndrome. D. Surgery for submandibular gland cancer can affect the nerve that controls movement in your lower lip. In this article, we will explore the reasons why your dog may be drooling excessively, common concerns related to this issue, and what you can do to help your furry friend. 5 liters of saliva in a day. Mar 14, 2023 · In hypersalivation, your salivary glands produce more saliva than usual. Jun 21, 2024 · Salivary gland tumors are growths of cells that start in the salivary glands. 75 to 1. However, a user would be allowed to write a sentence such as “NCI’s PDQ cancer information summary about breast cancer prevention states the risks in the following way: [include excerpt from the summary]. Posterior sialorrhea is when patients have spillage of saliva from their mouths down their airways. Apr 24, 2023 · Salivary gland cancer is a rare cancer that starts in the tissue of one of the saliva glands. The good news is that with early treatment, most people have a goo The common symptoms of pancreatic cancer include blood clots, weight loss, loss of appetite, depression, upper abdominal pain and jaundice and, at an early stage, the condition usu Lung cancer is the second most common cancer in the United States and is the foremost cause of cancer-related deaths, resulting in an estimated 235,000 new diagnoses and 131,000 de Cancerous lymph nodes may feel rubbery and clumped together in the case of lymphomas or hard and immobile in the case of metastatic cancers, according to the Merck Manual Home Edit Stage IV is the final stage of pancreatic cancer. During last 4 months he has been completely on chemotherapy. Benign (non-cancer) and malignant (cancer) tumors can develop in these glands. Nausea can be accompanied by increased salivation , aversion to certain foods, and Nov 10, 2020 · But unwanted, excessive drooling—usually while sleeping—is no laughing matter. Breast cancer screenings and awareness about the symptoms of breast cancer are increasing, so doctors can d Stomach cancer begins when abnormal cells begin to grow in the cells of tissues lining or surrounding your stomach. PSA is now 0. May 29, 2020 · In either case, the saliva then poses several additional risks to the patient. Excess saliva answer Hi Kath-Thanks for taking the time to answer. The grade of the cancer gives an idea how quickly it may develop. Possible signs and symptoms of salivary gland cancer include: A lump or swelling in your mouth, cheek, jaw, or neck. 6K Brain Cancer; 28. Bone tumors can occur in any bone of the body but are most often in the pelvis or Bladder cancer is one of the most common types of cancer in the United States; almost 100,000 new bladder cancer cases have been diagnosed in 2021 alone. Managing dry mouth or thick saliva. When the esophagus is narrow from the cancer, the saliva that can’t get through to your stomach ends up coming back up. customer: excess saliva - have dentures - part of tongue removed due to cancer-not as bad with hot food/drinks - cold items very bad -just have not been able to control - very particular in what i eat or drink For the past week or so, my mouth just produce an excess amount of saliva out of no where, and it's always at night. In order to swallow food, your body produces saliva to help the food slide smoothly. The treatment can also vary, depending on the cause of excess saliva. Some people have a dry mouth permanently. Nov 20, 2023 · Drooling is usually caused by excess saliva in the mouth. 6K Esophageal Cancer; 1. Numbness in part of your face. 5% are essential and have yet to be efficiently mimicked artificially . Feb 4, 2022 · Anything that results in difficulty swallowing, issues with muscle control or too much saliva production can cause excessive drooling. 8K Anal Cancer; 446 Bladder Cancer; 308 Bone Cancers; 1. You have so much excess saliva that you notice yourself drooling uncharacteristically. 28 If treatment for drooling of saliva with Apr 16, 2024 · White Phlegm in Lung Cancer. May 4, 2023 · Salivary gland cancer doesn’t usually have any symptoms. We have tried all sorts of things to try to get food to stay down (stopped anything that had dairy, sugar, acidic food; went back to soft mushy food and no luck Chest pain, weight loss, painful swallowing, and excessive salivation may also be symptoms. It contains water, mucin, and antimicrobial molecules and helps remove particles, protect the tissues, and reduce Jun 10, 2020 · Patients who experience swallowing problems often notice that they seem to salivate more. If you do an Internet search on "excess saliva," you will find a list of conditions that cause this--including poisoning & inflammation of mucus membranes. They make the saliva-- spit-- that keeps your mouth and throat moist Hey, I have a problem. Excess mucus production is not a common symptom of throat cancer, according to the American Cancer Society. TNM staging Sep 12, 2012 · Viscous saliva: mucolytic agents: Excess saliva: xerostomic (anticholinergic) medications: Palliation with lack of function: mouth-wetting agent (be aware of the pH of product), presence/absence of fluoride, CaPO4, xylitol: Dental prevention: cariogenic microbial flora (chlorhexidine, xylitol), mineralization (F, CaPO4) Manage local infection Feb 9, 2024 · For more dietary recommendations, read Eating Well During Your Cancer Treatment. Hypersalivation also often precedes emesis (vomiting), where it accompanies nausea (a feeling of needing to vomit). Salivary gland cancer forms in your salivary glands, the organs in your mouth and throat that produce saliva or “spit. 121. More often than not, excessive saliva is a side effect of another issue. I would encourage you to discuss it’s use with your mum’s cancer team, just for your own peace of mind. It does sound logical. There are three pairs of major salivary glands under and behind the jaw. It can also be life threatening, since it frequently causes choking, especially at mealtimes when Feb 28, 2024 · This NICE(National institute for clinical excellence)- palliative care guidance shows that Amitriptyline can be used for excess saliva. Dec 18, 2020 · Artificial saliva products have played a limited role in the treatment of xerostomia due to their extremely transient nature. But when this balance in volume goes for a toss and excess saliva accumulates in your mouth, it can get uncomfortable and even distressing. Diet. Notice two things in past few months both to do with my mouth. Jul 12, 2024 · Too much saliva can cause problems with talking and eating, along with chapped lips and skin infections. The second, and potentially more dangerous sequelae, are those Aug 16, 2024 · Goblet cells in the membranes of the sinuses, throat, and lungs produce mucus. Thickened saliva (spit) can be a challenging side effect of treatment for head and neck cancers. If you feel you have too much saliva rather than too little, you may find it difficult to swallow or chew. A doctor should be consulted to properly diagnose the condition with a bone scan. 27 Consider glycopyrronium bromide to manage drooling of saliva in people with Parkinson's disease. Aspirin may offset increased colorectal cancer Oct 15, 2024 · It cannot be identified as an NCI PDQ cancer information summary unless the whole summary is shown and it is updated regularly. Stomach cancer, also known as gastric cancer, is a fairly uncommon form of cancer in the United States, accounting for 1. Barium X-rays may suggest the presence of a cancer, but an upper endoscopy is usually used to obtain tissue for proof and to dilate narrowed areas for temporary relief of difficulty swallowing. But sometimes, dry mouth might be permanent. In the United States, it’s estimated that doctors diagnose over 100,000 new skin cancer cases each year. Aug 22, 2022 · Esophageal cancer symptoms can include difficulty swallowing, regurgitating food, heartburn, weight loss, and a persistent cough. There are Talking about cancer can be scary. Basal cell carcinoma In astrology, when a Cancer man is in love, he reveals his sensitive side and is extremely affectionate. If you have a temporary condition causing excess saliva, such as an oral infection or an allergic reaction, treating that condition will likely resolve hypersalivation. As well as 3 major pairs of salivary glands we have over 600 smaller, minor salivary glands throughout the lining of the mouth and throat. Signs include a lump, difficulty opening the mouth, and a feeling of numbness or pain in a part of the Jun 13, 2011 · Anything he puts in his mouth now either causes excessive salivation and throwing up clear sticky saliva, or he gets what he calls a lump that won't go down and his food comes back up. Paula Barry, physician at Penn Family and Internal Medicine Longwood. wyqiz iqgi dmtc hjkea hyu hda fpf nnimb zgbpo zonfrjl