Dealing with Dry Mouth: Causes and Remedies for Gastrointestinal Issues - Gastroenterology and Hepatology

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Dry mouth and dry tongue?


When I was in Taiwan, I had no issues with my mouth, but since I came to study abroad, possibly due to the weather, I've been eating a lot.
After a few months, my mouth started to feel very dry, and I noticed significant bad breath.
I don't have stomach pain or a feeling of fullness, but my stomach often makes noises.
My tongue is dry, has a coating, and I can hardly produce saliva.
I've also started to experience symptoms of anemia.
Later, I thought it might be an issue with stomach acid, so I limited my meals to only eating until I was 50% full for a month, but there hasn't been any noticeable improvement.
The dryness is most severe when I wake up every day, and this has affected my mood negatively, making me hesitant to speak at school.
Should I consider getting an endoscopy? If I could still see a traditional Chinese medicine practitioner in Taiwan, do you have any recommendations on what to eat or avoid? Please help, doctor.

Huang Junting, 10~19 year old female. Ask Date: 2020/03/31

Dr. Chen Shidian reply Gastroenterology and Hepatology


Drink plenty of water, adjust your mood and diet.
There is no objection to treatment by a qualified traditional Chinese medicine practitioner.
A gastroscopy may not be necessary at this time.

Reply Date: 2020/03/31

More Info


Dealing with dry mouth, especially in the context of gastrointestinal issues, can be quite challenging and may stem from various underlying causes. Your experience of dry mouth, accompanied by symptoms such as bad breath, tongue coating, and even signs of anemia, suggests that there may be multiple factors at play.
Firstly, dry mouth, or xerostomia, can be caused by a variety of factors including dehydration, medication side effects, and certain medical conditions. In your case, the change in environment after moving abroad could have contributed to dehydration, especially if the climate is drier than what you were accustomed to in Taiwan. Additionally, if you have been consuming less water or have altered your diet significantly, this could exacerbate the dryness.

The gastrointestinal symptoms you describe, such as frequent stomach noises and the absence of pain or bloating, may indicate increased gut motility or sensitivity. This could be related to dietary changes or stress, which can significantly affect gastrointestinal function. The fact that you have been eating smaller portions in an attempt to manage potential acid issues is a reasonable approach, but it may not be sufficient to address the underlying causes of your symptoms.

Regarding your question about whether to undergo an endoscopy (gastroscopy), this procedure can be very helpful in diagnosing issues related to the upper gastrointestinal tract, such as gastritis, ulcers, or other abnormalities. If your symptoms persist or worsen, it would be advisable to consult a gastroenterologist for a thorough evaluation. They may recommend an endoscopy to rule out any serious conditions and to provide a clearer picture of your gastrointestinal health.

In terms of dietary recommendations, it may be beneficial to focus on hydration and incorporating foods that can help stimulate saliva production. Here are some suggestions:
1. Stay Hydrated: Ensure you are drinking plenty of water throughout the day. Consider carrying a water bottle with you to remind yourself to drink.

2. Chew Sugar-Free Gum: Chewing gum can stimulate saliva production, which may help alleviate dry mouth.

3. Eat Moist Foods: Incorporate more soups, stews, and moist foods into your diet. Foods that are high in water content, such as fruits and vegetables, can also help.

4. Avoid Dehydrating Foods: Limit your intake of caffeine and alcohol, as these can contribute to dehydration and worsen dry mouth.

5. Consider Herbal Remedies: If you are open to traditional Chinese medicine, certain herbs are believed to help with dryness and digestive health. However, it is essential to consult with a qualified practitioner who can tailor recommendations to your specific needs.

6. Manage Stress: Since stress can exacerbate gastrointestinal symptoms, consider incorporating stress-reducing activities such as yoga, meditation, or regular exercise into your routine.

7. Monitor Your Diet: Keep a food diary to identify any specific foods that may trigger your symptoms or contribute to dryness.
Lastly, if you are experiencing symptoms of anemia, such as fatigue or weakness, it is crucial to address this with a healthcare provider. Anemia can have various causes, including nutritional deficiencies, and may require specific dietary adjustments or supplementation.

In summary, while dry mouth and gastrointestinal issues can be interconnected, addressing hydration, dietary habits, and potential underlying medical conditions is essential. Consulting with a healthcare professional for a comprehensive evaluation and tailored treatment plan will be beneficial in managing your symptoms effectively.

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