What Can I Do About My Dry Mouth?

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Dear Dr. Cajee,

I'm constantly thirsty, and my mouth feels like cotton, especially at night. I drink plenty of water, but it doesn't seem to help. Is this just part of getting older?

— Parched in Lodi, Ca.

Dear Parched in Lodi,

Your mouth shouldn't feel like Death Valley! Dry mouth, also called xerostomia, happens when your mouth doesn't have enough saliva to stay comfortable.

“Saliva is your mouth's natural defense system. Without enough of it, your risk of cavities and infections can increase.” — Dr. Mas’ood Cajee, DDS, MPH, Manteca dentist

Here's my six-step rescue plan:

1. Sip, don't gulp. Keep water nearby and take small sips throughout the day.

2. Chew sugar-free gum. Look for xylitol, which can help stimulate saliva. Keep xylitol products away from dogs—they're toxic to pets.

3. Check your medications. Allergy pills, antidepressants, and some blood pressure medications can cause dry mouth. Never stop prescribed medication without consulting your doctor.

4. Skip the alcohol-based mouthwash. Choose an alcohol-free rinse designed for dry mouth.

5. Try a saliva substitute. Moisturizing sprays, gels, and rinses can provide temporary relief, especially at bedtime.

6. Protect those pearly whites. Brush twice daily with fluoride toothpaste. Your dentist may recommend prescription-strength fluoride if you're at higher risk for cavities.

When should you worry?

Persistent dry mouth isn't a normal part of aging. It may be related to medications, mouth breathing, diabetes, or Sjögren's disease.

If it continues, see your dentist or physician to investigate the cause.

Bottom line: Water helps, but finding out why your mouth is dry is the real secret to relief.

Keep smiling,

Dr. Mas’ood Cajee

DID YOU KNOW…?

  • Your salivary glands normally produce roughly ½ to 1½ liters of saliva daily!

  • Saliva helps you taste food. Without enough of it, even your favorite meal can seem bland.

Sources and further reading

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