Dry Mouth: Causes and Solutions for Throat Issues - Otolaryngology

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Thirst and dry mouth?


I previously experienced a period of dry mouth and dry tongue (about three months ago), which occurred intermittently.
Six months ago, I had a health check-up, and my blood sugar levels were normal, sitting right in the middle of the fasting range.
Two months ago, I participated in a military service experience, and the report did not indicate any blood sugar issues or diabetes.
I suspect that the dry mouth led me to drink more water, resulting in increased urination.
After that, I did not experience this issue for over a month, but it seems to have returned slightly now.
There is no history of autoimmune diseases in my family, and I tend to stay up late (around 2-3 AM).
Recently, I have been feeling down.
What could this situation indicate?

Nìmíng, 10~19 year old female. Ask Date: 2018/05/09

Dr. Zheng Jueyi reply Otolaryngology


Hello: There are many causes of dry mouth.
It is recommended to drink more water.
If the discomfort persists, it is advisable to visit a clinic or hospital for further examination.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2018/05/09

More Info


Understanding dry mouth, or xerostomia, is crucial as it can significantly impact one's quality of life. Dry mouth can be caused by various factors, including medications, medical conditions, lifestyle choices, and psychological stress. In your case, it seems that you have experienced intermittent dry mouth symptoms over the past few months, which can be concerning and uncomfortable.

Firstly, it's important to note that certain medications can lead to dry mouth as a side effect. For instance, medications such as antihistamines, antidepressants (like imipramine), and blood pressure medications can reduce saliva production. Since you mentioned taking Lorazepam and Imipramine, it is possible that these medications could be contributing to your dry mouth symptoms. If you suspect that your medication is the culprit, it would be wise to discuss this with your prescribing physician. They may be able to adjust your dosage or switch you to an alternative medication that has a lower risk of causing dry mouth.

Additionally, lifestyle factors such as late-night sleeping habits and stress can exacerbate dry mouth. Staying up late can disrupt your body's natural rhythms and may lead to dehydration, especially if you are not drinking enough fluids throughout the day. Stress and anxiety can also affect your body's ability to produce saliva, leading to a dry mouth sensation. Engaging in relaxation techniques, such as mindfulness, meditation, or gentle exercise, may help alleviate some of the stress you are experiencing.

Another potential cause of your symptoms could be related to your oral health. Conditions such as gum disease or tooth decay can also lead to dry mouth. It is essential to maintain good oral hygiene and visit your dentist regularly to ensure that your mouth is healthy. If you have not had a dental check-up recently, it may be beneficial to schedule one.

In terms of solutions, there are several strategies you can employ to manage dry mouth. Staying hydrated is crucial, so make sure you are drinking plenty of water throughout the day. Chewing sugar-free gum or sucking on sugar-free candies can stimulate saliva production, providing temporary relief. Additionally, using a humidifier in your bedroom while you sleep can help keep your mouth moist.

If your dry mouth persists, it may be worth consulting with a healthcare professional who specializes in oral health or a dentist familiar with xerostomia. They can provide tailored advice and may recommend saliva substitutes or medications that can help stimulate saliva production.

Lastly, since you mentioned that your family does not have a history of autoimmune diseases, it may be less likely that your dry mouth is due to conditions like Sjögren's syndrome. However, if your symptoms continue or worsen, it may be prudent to undergo further evaluation to rule out any underlying conditions.

In summary, dry mouth can stem from various factors, including medications, lifestyle choices, and stress. By addressing these potential causes and implementing some of the suggested strategies, you may find relief from your symptoms. Always consult with a healthcare professional for personalized advice and treatment options tailored to your specific situation.

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