Excessive Nighttime Salivation: Causes and Concerns for Your Health - Otolaryngology

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Drooling


Hello Dr.
Hu: My husband is 30 years old, but he drools a lot while sleeping at night, and it has a strong odor.
Could this indicate a health issue? Is it similar to teeth grinding at night, suggesting there might be a problem in some way?

Yiwenda Furen, 20~29 year old female. Ask Date: 2005/03/14

Dr. Hu Kexin reply Otolaryngology


Hello: Regarding this troubling issue, it is still necessary for your husband to visit a hospital for an examination to determine if there is nasal obstruction or other conditions that may be causing him to breathe through his mouth while sleeping, resulting in drooling.
Best regards, Hook Sin.

Reply Date: 2005/03/14

More Info


Excessive nighttime salivation, or sialorrhea, can be a concerning issue for many individuals, and it can stem from various causes. In your husband's case, at the age of 30, experiencing this condition during sleep may indicate an underlying health issue, but it is essential to consider multiple factors before jumping to conclusions.

Firstly, excessive salivation can be caused by several factors, including medications, oral health issues, or even certain medical conditions. For instance, some medications, particularly those that affect the nervous system, can lead to increased saliva production. If your husband is taking any medications, it would be prudent to review them with a healthcare provider to determine if they might be contributing to this issue.

Secondly, oral health problems, such as gum disease or dental infections, can also lead to increased salivation. If your husband has not had a recent dental check-up, it might be beneficial for him to see a dentist to rule out any oral health issues. Additionally, conditions like gastroesophageal reflux disease (GERD) can cause excessive salivation as the body attempts to neutralize stomach acid that may be regurgitated into the esophagus.

Another potential cause of nighttime salivation is sleep-related disorders. Conditions such as sleep apnea can lead to mouth breathing during sleep, which may cause the body to produce more saliva. If your husband snores or experiences interrupted breathing during sleep, it would be advisable to consult a sleep specialist for further evaluation.

Moreover, anxiety and stress can also contribute to excessive salivation. If your husband has been experiencing heightened stress levels or anxiety, this could manifest in various physical symptoms, including increased saliva production. Addressing stress through relaxation techniques, therapy, or lifestyle changes may help alleviate the symptoms.

In terms of the unpleasant odor associated with the saliva, this could indicate an issue with oral hygiene or an underlying infection. It is crucial to maintain good oral hygiene by brushing and flossing regularly and possibly using an antibacterial mouthwash to help reduce any odor.

If the problem persists or worsens, it is essential to consult a healthcare professional for a thorough evaluation. They may recommend tests or examinations to identify any underlying conditions that could be contributing to the excessive salivation. In some cases, treatment may involve addressing the underlying cause, whether it be adjusting medications, improving oral health, or managing any sleep disorders.

In summary, while excessive nighttime salivation can be concerning, it is often manageable with the right approach. Encouraging your husband to maintain good oral hygiene, review any medications with a healthcare provider, and consider potential stressors in his life can be beneficial steps. If necessary, seeking professional medical advice will provide clarity and help address any underlying health concerns.

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