I found this article after l bought papaya and it works
SALIVA and ALS
by Kate Bednarz
Occasionally people with ALS report symptoms of thick, mucus-like saliva or excessive production of saliva that results in drooling. The cause is generally due to difficulty swallowing and dehydration. Treatment is important since patients may feel uncomfortable participating is social activities and therefore do not enjoy the time with their friends and family. The following interventions may help patients ease the difficulty of excess saliva:
Mucus:
Increased fluid: Intake-fluids will help dilute the thick saliva so that it is easier to manage. If thin liquids are difficult to swallow, thicker fluids, such as milk shakes or smoothies, can provide necessary hydration needs.
Papain, an enzyme that is found in fruit of the papaya plant, can assist in breaking down the protein element of saliva. Most health food stores sell papain in tablet form. Papain is also found in papaya nectar drinks, such as the Goya juices. These nectars are naturally thicker and more appropriate for those who have difficulty swallowing pills or thin liquids.
To break up thick mucus try rubbing meat tenderizer inside the mouth.
Medication: an easy remedy to try is over the counter Robitussin to help reduce thick saliva. Prescription medications are also used, including guaifenesin or a nebulizer treatment with albuterol.
Drooling:
Medication: glycopyrrolate, amitriptyline, atropine, and scopolamine patch can be used to treat drooling.
Botulinum Toxin: injecting the toxin into the salivary glands can help reduce the production of saliva.
Mechanical Management: a suction machine with a Yankauer tip can be used to clear the mouth of excessive secretions. The machine is ordered through a durable medical equipment (DME) company.
Although research has not shown a direct link between dairy product consumption and increased mucus production; many patients feel that their symptoms worsen when they drink Ensure or milk. In this situation it might be beneficial to switch to a juice-based supplement such as Enlive (Ross product) or Boost Breeze (Novartis product) to increase calories in the diet. For more information please contact the Eleanor and Lou Gehrig MDA/ALS Center’s nutritionist Kate Bednarz at 212- 305-1677