Dry Mouth(Xerostomia): Causes And Home Remedies

Written by Medicover Team and Medically Reviewed by Dr Vutala Prathyusha

Xerostomia, commonly known as dry mouth, occurs when the salivary glands do not produce enough saliva. This condition can range from mild discomfort to more severe issues that impact your oral health and quality of life.

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Dry Mouth Symptoms

  • Sticky or Cotton-like feeling in the mouth
  • Difficulty swallowing, speaking, or chewing
  • Thirst
  • Sore tongueor Hoarseness
  • Cracked orChapped lips
  • Bad breath
  • Changes in taste
  • Difficulty wearing dentures (dental cavity)
  • Mouth sores or Infections

Dry Mouth(Xerostomia) Causes

Aging

  • Although dry mouth is not a natural part of aging, elderly individuals often take more medications, many of which can contribute to dry mouth.

Cancer treatment

  • Radiation therapy to the head and neck can damage salivary glands, leading to reduced saliva production. Additionally,chemotherapycan affect the nature and quantity of saliva produced.

Injury or Surgery

  • Dry mouth can result from nerve damage to the head and neck caused by injury or surgery.

Stress and Anxiety

  • Stress or anxiety can sometimes lead to temporary dry mouth due to the body's fight-or-flight response.

Tobacco Use

Dehydration

  • Insufficient fluid intake can lead todehydration, which in turn can cause dry mouth.

Mouth Breathing

  • Breathing through the mouth, especially during sleep or due to nasal congestion, can dry out the mouth.

Exercise or Heat Exposure

  • Salivary glands may become dry due to fluid concentration in other parts of the body during exercise or exposure to heat.

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Conditions Causing Dry Mouth

Here are some health-related conditions that can cause dry mouth (xerostomia)

  • Diabetes:High blood sugar levels can reduce saliva production.
  • Sjögren's Syndrome:An autoimmune disease that attacks the salivary and tear glands.
  • HIV/AIDS:It can lead to salivary gland inflammation and dry mouth.
  • Parkinson's Disease:Can reduce saliva flow due to nerve dysfunction.
  • Depression and Anxiety:Often linked with dry mouth, either directly or due to medications.
  • Stroke:May reduce sensation in the mouth, leading to a dry feeling.
  • Rheumatoid Arthritis:Can be associated with secondary Sjögren's syndrome.
  • Dehydration from Illness:Conditions causing fever, vomiting, or diarrhea can lead to temporary dry mouth.

When to See a Doctor?

  • When you experience difficulty speaking, chewing, swallowing, or a burning sensation in the mouth.
  • If you notice frequent tooth decay, gum disease, bad breath, or mouth sores.

Persistent dry mouth can signal an underlying health issue like diabetes, Sjögren's syndrome, or side effects of medications. A healthcare provider can help diagnose the cause and recommend proper treatment.

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Diagnosis of Dry Mouth

If you have persistent dry mouth, your doctor will examine your mouth for signs of low saliva, mouth sores, or tooth decay.

Suggests Simple Tests (If Needed);

  • Saliva Flow Test– Measures how much saliva you produce.

  • Blood Tests– Checks for diabetes, infections, or autoimmune diseases.

  • Imaging (Rarely)– Scans to see if salivary glands are blocked or damaged.

Treatment Options for Dry Mouth

Treating dry mouth focuses on relieving symptoms, restoring moisture, and addressing the underlying cause. Effective management can improve comfort and oral health.

  • Saliva substitutes, over-the-counter sprays, rinses, or gels that mimic saliva.
  • Prescribe medications that can boost saliva production, such aspilocarpineor cevimeline, for severe cases of dry mouth.
  • Offer fluoride trays to prevent cavities, which can be filled with fluoride and worn overnight.
  • Advise incorporating a weekly chlorhexidine rinse into theoral hygieneroutine to manage cavities.

Ifdry mouth at nightpersists, talk to your healthcare provider to rule out underlying conditions or adjust medications.

Prevention and Lifestyle Changes of Dry Mouth

Here are key prevention tips and lifestyle changes to help manage and reduce dry mouth

  • Stay Hydrated: Sip water regularly throughout the day to keep your mouth moist.
  • Avoid Caffeine and Alcohol: These dehydrate the body and reduce saliva production.
  • Limit Sugary and Acidic Foods: Protects teeth from decay due to low saliva.
  • Use a Humidifier: Helps keep the air moist, especially while sleeping.
  • Maintain Good Oral Hygiene: Brush and floss daily to prevent dental issues.
  • Quit Smoking: Smoking reduces saliva flow and irritates oral tissues.
  • Chew Sugar-Free Gum or Lozenges: Helps stimulate natural saliva flow.

Home Remedies for Dry Mouth

  • Rinse with Salt Water: A natural remedy that can help reduce bacteria and moisturize the mouth.
  • Aloe Vera Juice: Sipping a small amount may help soothe dry tissues and boost moisture.
  • Herbal Teas (Caffeine-Free): Chamomile or ginger tea can be hydrating and soothing.
  • Coconut or Olive Oil Pulling: Swishing oils may help reduce bacteria and protect oral tissues.
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Frequently Asked Questions

There are many reasons why your mouth might feel dry, such as medication side effects, getting older, undergoing cancer treatment, getting injured or having surgery, smoking, not drinking enough water, or having certain health issues or habits.

Anxiety has the potential to induce dryness in the mouth. In times of anxiety or stress, the body may generate less saliva, resulting in a parched sensation in the mouth. This occurs due to the activation of the 'fight or flight' response by anxiety, which can impact the production of saliva. Furthermore, anxiety can also lead to mouth breathing, exacerbating the issue of dryness.

Dry mouth is a common symptom of type 1 and type 2 diabetes. While the exact reasons are not fully understood, high blood sugar levels could contribute to dry mouth in people with diabetes. Certain medications used to treat diabetes may also cause dry mouth.

Sipping water frequently and chewing sugar-free gum or sucking on lozenges can offer quick, temporary relief.

Vitamin deficiencies, especially vitamin B12 and iron, may contribute to dry mouth.

It can be a symptom of dehydration, medication side effects, or medical conditions like diabetes or Sjogren's syndrome.

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