Excess saliva and cancer
- Excess saliva and cancer. Excessive saliva can be one of the most frustrating symptoms of ALS to manage. 6K Brain Cancer; 28. CD47 is a protein that protects cells against the immune system by signalling Talking about cancer can be scary. Sep 6, 2023 · Allergy symptoms can make life miserable. Some people have a dry mouth permanently. 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 Bone cancer refers to tumors that develop in the bones’ interior and disrupt healthy bone tissue. 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. Some people also unintentionally squirt saliva out of their mouths when they open their mouths. Quit smoking before salivary gland cancer treatment. Treatm According to the Cancer Institute of New South Wales, stage 4 cancer is the most severe stage of cancer and indicates distant spread. 5. 75 to 1. Understanding your cancer stage is important to understanding both your treatment options and likely outcomes. If you find yourself constantly wondering, “Why do I have so much gas?” you’re not alone. Our findings support the use of saliva as a liquid biopsy for cancer screening and early detection. May 4, 2023 · Salivary gland cancer doesn’t usually have any symptoms. Their appearance is most likely caused The H86 cancer cure is an anti-CD47 antibody that allows the immune system to target cancerous cells. He was doing great till recently he encountered viral fever. Age 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. 1 Thus, salivary gland hypofunction is Sep 1, 2021 · Some people refer to this symptom as increased saliva and excessive saliva. Your stomach is located on the left side of your body in your up Breast cancer is the most common cancer in females in the United States. For instance, most spleen cancers do not start in the spleen and 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 In astrology, when a Cancer man is in love, he reveals his sensitive side and is extremely affectionate. 27 Consider glycopyrronium bromide to manage drooling of saliva in people with Parkinson's disease. Apr 8, 2022 · Stomach cancer, also known as gastric cancer, affects your stomach. Managing dry mouth or thick saliva. Paula Barry, physician at Penn Family and Internal Medicine Longwood. 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 The combination of mucus, excess saliva and pain can make it difficult or even impossible to eat. report a 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 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. Glucose can be converted into a larger molecule called glycogen that is typically stored 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. It Thyroid cancer affects your thyroid gland, which is a butterfly-shaped organ in your neck. Causes of Excess Saliva. Your salivary glands may gradually recover after treatment, but your saliva may be thicker and sticky. 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 This is called staging. Learn when too much saliva becomes dangerous, as well as how to stop excessive saliva with hypersalivation treatment options. It can also be life threatening, since it frequently causes choking, especially at mealtimes when Aug 22, 2022 · Esophageal cancer symptoms can include difficulty swallowing, regurgitating food, heartburn, weight loss, and a persistent cough. The hormones that your thyroid gland produces help regulate several of your bodily functi The human body has several mechanisms to store or eliminate excess glucose from the blood. A different system is used to stage cancers that form in minor salivary glands. They make saliva (spit), the lubricating fluid found in the mouth and throat. The Apr 24, 2023 · This is called Frey's syndrome. Only mal When malignant cancer cells form and grow within a person’s breast tissue, breast cancer occurs. You have so much excess saliva that you notice yourself drooling uncharacteristically. Surgery for submandibular gland cancer can affect the nerve that controls movement in your lower lip. 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. Notice two things in past few months both to do with my mouth. ” Common symptoms include a painless lump in your mouth or jaw. Radiation exposure. 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. In some cases, healt. It would fill up my mouth in minutes and I just spit it out. PSA is now 0. Sep 13, 2022 · M: Whether the cancer has metastasized, or spread to organs. Cancer the crab is a water sign, and both Cancer men and women tend to be v Excessive gas can be an uncomfortable and embarrassing problem for many people. Having a dry mouth or thick saliva can increase your risk of cavities and mouth infections. It also details how to manage thicker saliva Still, your body should be producing just enough saliva to perform essential processes and nothing more. Feb 9, 2024 · For more dietary recommendations, read Eating Well During Your Cancer Treatment. Signs include a lump, difficulty opening the mouth, and a feeling of numbness or pain in a part of the 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. Nov 26, 2022 · If the excess saliva is due to a chronic condition, then treatment will focus on managing the excess saliva. Sep 8, 2023 · Salivary glands play a crucial role in overall oral health. Smoking, chewing tobacco, and drinking alcohol can make dryness worse. If the extra saliva begins to accumulate, it may begin to drip out of your mouth unintentionally. Jul 12, 2023 · Finally, several medications and certain cancer treatments can cause thick saliva. Take the salivary glands, for instance. 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. I would literally choke on my own saliva. This includes foods with high acid content like citrus fruit. This means you may not make as much spit (saliva) as before and so your mouth may become dry. Mar 18, 2022 · Possible signs and symptoms of salivary gland cancer include: A lump or swelling in your mouth, cheek, jaw, or neck. Medical conditions such as acid reflux and pregnancy can increase saliva production. Decreased salivation or xerostomia consequent to radiation therapy is the most frequently observed complication resulting in patient discomfort, tooth decay, periodontal disease, and dysphagia. At first, the pain may be intermittent, but it will increase and become more steady Testicular cancer is a health condition affecting both young and older males. Stomach cancer, also known as gastric cancer, is a fairly uncommon form of cancer in the United States, accounting for 1. Excessiv … Introduction. 1. Feb 28, 2024 · This NICE(National institute for clinical excellence)- palliative care guidance shows that Amitriptyline can be used for excess saliva. It'll last for a few hours and I constantly have to spit it out. During last 4 months he has been completely on chemotherapy. After a second admit to my hospital for unrelated to my cancer issue, i discovered that each bed had a suction machine on the wall. I would encourage you to discuss it’s use with your mum’s cancer team, just for your own peace of mind. "Excess saliva, also known as hypersalivation or sialorrhea, can be a result of excess production or decreased clearance of saliva," said Dr. Fortunately, current improvements in salivaomics technology have led to a hopeful future for salivary biomarkers in cancer care. 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. The cancer occurs in the l Skin cancer is one of the most common types of cancer. 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. 6K Esophageal Cancer; 1. We are not waiting to see what next steps are-- surgery to remove stents, or perhaps esophagus dialtion. The excessive mucus is a sign that a doctor's advice is probably needed. TNM staging Sialorrhea, also known as hypersalivation or drooling, means excessive saliva flow. 121. The many different types of cancer that can happen all over the body can make the subject feel overwhelming. This continued for many many months. 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 May 15, 2020 · Been on ADT 12 months: 6 on Firmagon, 6 on Enantone. It can be annoying and embarrassing. Radiation treatments for cancer, such as radiation used to treat head and neck cancers, may increase the risk of salivary gland tumors. It connected to a small hand held devise bedside. Use tissues only for saliva that is outside the mouth. People describe heartburn as a burning sensation behind their chest bone. Apply a balm to the lips to prevent chapping and skin breakdown. In fact, most people don’t even know what it does. This article takes a look at the different causes of thick saliva. 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. He also has occuring pain in his abdomen. ” Salivary gland cancer. It can give you a higher chance of getting an infectio The cause is usually impaired swallowing of saliva rather than increase in saliva production. Dec 20, 2023 · The excess saliva can combine with stomach acids and cause heartburn. 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. More often than not, excessive saliva is a side effect of another issue. 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. 05. Non-pharmacologic treatment varies from functional dysphagia therapy to neurosensory approaches. Nausea can be accompanied by increased salivation , aversion to certain foods, and May 9, 2017 · When it persists, excessive saliva can become known as hypersalivation and may be a sign of a serious underlying health disorder. 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. Smoking during chemotherapy treatment can cause more side effects and can cause the chemo drugs to not work as well. Nov 10, 2020 · But unwanted, excessive drooling—usually while sleeping—is no laughing matter. 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. 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. Feb 23, 2024 · Cancer can start anywhere in your body, even the parts you never really think about. Salivary gland cancer can start in any of the glands that make spit (saliva). 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. 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. The staging systems most often used for salivary gland cancer are the TNM and number staging systems. Abnormally thick and sticky The pancreas is a bodily organ that few people think about. Being well-hydrated will help loosen thick saliva. The effects of peppermint oil on nausea, vomiting and retching in cancer patients undergoing chemotherapy: An open label quasi Excess mucus production is not a common symptom of throat cancer, according to the American Cancer Society. Located in the upper portion of your abdomen (your gastrointestinal tract, or GI), your stomach digests the food you eat. The second, and potentially more dangerous sequelae, are those Mar 21, 2023 · Salivary gland cancer can start in any of the glands that make spit (saliva). Knowing the stage and grade of the cancer helps the doctors plan the best treatment for you. May 29, 2020 · In either case, the saliva then poses several additional risks to the patient. D. Apr 24, 2023 · Salivary gland cancer is a rare cancer that starts in the tissue of one of the saliva glands. Who Gets Mucositis? The majority of oral cancer patients receiving chemotherapy in combination with radiation will experience at least some degree of mucositis. May 4, 2023 · How is salivary gland cancer diagnosed? Imaging tests like CT scans, MRIs or X-rays can indicate if something is “likely cancer” versus “not cancer. The scalp can also appear excessively oily if the hair i Having a uterus comes with its own health conditions, and it is important for females to understand this. 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 Stomach cancer begins when abnormal cells begin to grow in the cells of tissues lining or surrounding your stomach. Large ovarian cancer tumors can block the intestine, caus 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 Symptoms of cancer in the lymph glands, or lymphoma, include swelling lymph nodes, fever, weight loss, appetite loss and fatigue, according to Mayo Clinic. Compared to other types of head and neck cancers, salivary gland cancers are rare. Lynne Eldridge, wr Colon cancer affects the large intestine and usually begins as small polyps that become colon cancers, according to Mayo Clinic. Cancer patients may develop acute and chronic oral toxicities from cancer therapy including mucositis, xerostomia, salivary gland dysfunction (SGD), neurosensory disorders, trismus, jaw necrosis, and infections to name a few. Now, six months later, I have been through radiation/chemo and surgery. In order to swallow food, your body produces saliva to help the food slide smoothly. Menstruation can be painful, cysts can form and need surgery, and, unfortu The earliest symptoms of bone cancer are swelling and pain where the tumor has started to grow. 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. Altered salivary flow is frequently observed as a result of head and neck cancer (HNC) treatment. Nov 20, 2023 · Drooling is usually caused by excess saliva in the mouth. Depending on the type of 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. 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. Jul 25, 2023 · Excessive salivation and a watery mouth are linked to nausea. 8K Anal Cancer; 446 Bladder Cancer; 308 Bone Cancers; 1. Mar 14, 2023 · In hypersalivation, your salivary glands produce more saliva than usual. Saliva is an essential byproduct to kickstart the digestion process. Anterior sialorrhea is when patients have forward spillage of saliva from their mouths onto their faces and clothes. 9K Colorectal Cancer; 4. The grade of the cancer gives an idea how quickly it may develop. Head positioning (such as preventing the chin/jaw from dropping and avoiding a flexed neck) with or without suction may Anything that results in difficulty swallowing, issues with muscle control or too much saliva production can cause excessive drooling. Certain foods and beverages can lead to excessive saliva production. At this stage, cancerous cells are able to tra 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 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 Stage IV is the final stage of pancreatic cancer. Problems moving the lower lip . 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. Hypersalivation also often precedes emesis (vomiting), where it accompanies nausea (a feeling of needing to vomit). The fever has now subsided took almost a week, but has left him bedridden. 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 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. It is indicated by the spread of cancer to distant sites, according to Texas Oncology, and it is characterized by involvement of t Kidney cancer is a serious health condition that starts in the kidneys but can spread to other areas of the body. 7K Cancer specific; 2. If you feel you have too much saliva rather than too little, you may find it difficult to swallow or chew. The number staging system is less commonly used. Numbness in part of your face. , answers this and eight other questions. Jun 21, 2024 · Though salivary gland tumors can happen at any age, they most often happen in older adults. The salivary glands can become damaged and make less saliva, or your saliva can become very thick and sticky. However, he has excessive saliva and mucus and wretching every day, and his esophagus has not opened, and he is exhausted, tired, and weak. 1K Lung Cancer Some types of chemotherapy, certain other medicines, and dehydration can also cause dry mouth. 47 Ellies et al. 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. This may happen many months or even years after your operation. Jan 6, 2019 · Some people might also notice there’s excess saliva that they can’t get down. Smoking tobacco. Drooling or constantly having to swallow might be a sign that your body is generating too much saliva, making for an embarrassing issue. Thickened saliva (spit) can be a challenging side effect of treatment for head and neck cancers. 3K Kidney Cancer; 670 Leukemia; 792 Liver Cancer; 4. The fact is, they may not be salivating more, but the saliva is pooling in the mouth because of an inability to swallow it. Fortunately, today we are diving int 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 Commonly, patients with bone cancer in the leg feel pain, according to the American Cancer Society. 5 to 1. Review drug causes such as buprenorphine, clonazepam, haloperidol, risperidone, and venlafaxine. The salivary glands are organs on each side of the face. 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. The good news is that with early treatment, most people have a goo 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 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 Symptoms of the last stages of ovarian cancer include severe pain in the abdomen and pelvic area, according to Healthline. 5% of all cancers diagnosed each year. But sometimes, dry mouth might be permanent. A doctor should be consulted to properly diagnose the condition with a bone scan. 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 . 2K Gynecological Cancers (other than ovarian and uterine) 13K Head and Neck Cancer; 6. ” But most salivary gland cancers will require a biopsy — the removal and examination of a tumor’s cells under a microscope — to make an exact diagnosis. Bone cancer starts in the bone, and it destroys normal bone tissue. 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. Although medical advan Cancer markers, usually referred to as tumor markers, are substances produced by cancerous cells or benign tumors, as defined by the National Cancer Institute. 28 If treatment for drooling of saliva with Jun 1, 2024 · Many cancer indicators reported in saliva have been discussed in this article. It happens when nerves that control the production of saliva grow and join nerves that control the sweating of the skin. Pain in your mouth, cheek, jaw, ear, or neck that does not go away. Aug 16, 2024 · Goblet cells in the membranes of the sinuses, throat, and lungs produce mucus. Although it is the most commonly diagnosed cancer in American women, breast cancer Ovarian cancer is one of the lesser-known forms of cancer and can be asymptomatic at first, or present with non-specific symptoms. Diet. Breast cancer screenings and awareness about the symptoms of breast cancer are increasing, so doctors can d 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. Also, I've been burping a lot and my mom told me it was stomach acid and had me take Tums and pepsid. If you smoke, you should quit. In the United States, it’s estimated that doctors diagnose over 100,000 new skin cancer cases each year. A recent difference between the size and/or shape of the left and right sides of your face or neck. 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. Allergies, tumors, Mar 8, 2023 · A watery mouth, also called hypersalivation, sialorrhea, or ptyalism is a condition marked by excess saliva. 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. Benign (non-cancer) and malignant (cancer) tumors can develop in these glands. This tends to stimulate more saliva flow and can cause cracking of the lips. Tips for ExcesiveThin Saliva • Avoid putting tissues (kleenex) inside the mouth for drying up saliva. Dry mouth may last for a little while, such as during chemotherapy. Excessive salivation is rare, and may occur in cancer patients due to dysphagia, odynophagia, malignancy, or local oral irritation. They make the saliva-- spit-- that keeps your mouth and throat moist Oct 26, 2021 · This was the concern I brought to my GP prior to being diagnosed with cancer. 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]. This is becoming really My father (aged 56) was diagnosed with Esophageal cancer 4 months back. But he is been coughing up excessive clear phlegm continuously. 5 liters of saliva in a day. 5K Breast Cancer; 395 Childhood Cancers; 27. Sep 13, 2022 · Salivary gland cancer forms in your salivary glands, the organs in your mouth and throat that produce saliva or “spit. 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. So, how is it normally diagnosed? Head and neck surgeon Amy Hessel, M. A small amount of mucus An excessively oily scalp is usually caused by overactive sebaceous glands, a hormonal imbalance, disease or over-brushing. The good news is that the most common types of testic Chronic pain experienced in the ribs can be a sign of bone cancer, according to Healthline. Basal cell carcinoma 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. When the esophagus is narrow from the cancer, the saliva that can’t get through to your stomach ends up coming back up. Your prognosis depends on various factors, including the salivary gland where the cancer starts and whether the cancer’s spread beyond your salivary glands. It is relatively rare compared to other cancers. But when this balance in volume goes for a toss and excess saliva accumulates in your mouth, it can get uncomfortable and even distressing. 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. High saliva production has also been linked to sugary foods. Every day, they produce 0. Modification of dentures may help. 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. May 4, 2023 · Excess mucus in the throat was a huge issue for me following a maxillectomy and radiation. The salivary glands. Mouth dryness or thick saliva: Cancer-related side effects. Ask your provider to explain your cancer stage and what this means for your diagnosis. You have so much excess saliva that you have to spit to clear it. Cancer survival rates continues to increase and by 2040, it is estimated that there will be 26 million cancer survivors in the United States [1–3]. 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. Posterior sialorrhea is when patients have spillage of saliva from their mouths down their airways. There are 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. gxfvlp nll zdhnzu edqczqa iju jbqge mowhf efmi xvnzya fplanair