Dry mouth is an unpleasant sensation that can be a symptom of serious illnesses. If dry mouth occurs constantly or frequently, it is necessary to understand the cause that is causing it and, if necessary, begin treatment. Elimination of dry mouth, as a rule, is achieved only as a result of treating the underlying disease, which should be the true goal. In any case, the feeling of dry mouth is another reason to pay attention to your health.
Dry mouth is caused by insufficient hydration of the oral mucosa, mostly due to insufficient saliva production. In medicine, dry mouth caused by a cessation or decrease in saliva production is called xerostomia.
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Quite often, dry mouth occurs in the morning or at night (that is, after sleep).
Symptoms associated with dry mouth
Dry mouth in most cases manifests itself as a complex of symptoms described as:
- "viscosity" or "stickiness" in the mouth;
- thirst;
- irritation of the oral mucosa (burning and itching), the appearance of a bright border of the lips, cracks on the lips and in the corners of the mouth;
- dry tongue. The tongue turns red and becomes rough. It becomes more difficult to speak, chew and swallow. Decreased taste perception;
- dry throat. The voice becomes hoarse and more hoarse;
- there is an unpleasant odor from the mouth.
Diseases of the respiratory system.
Diseases of the respiratory system are a large group of diseases and conditions that can cause dry throat and require mandatory treatment under the supervision of an ENT doctor. Typically, such diseases are accompanied not only by dryness, but also by other symptoms: runny nose, frequent pain, cough and sore throat. If these symptoms appear, you should definitely contact an ENT doctor for an examination.
What diseases of the respiratory system cause dry throat?
- Acute respiratory viral infections, flu, colds. In addition to a dry throat, the patient has the following symptoms of colds and acute respiratory viral infections: fever, cough, nasal congestion, pain in muscles and joints, weakness, loss of appetite. Treatment is symptomatic: lowering the temperature, eliminating cough and runny nose with medications, as well as drinking plenty of warm fluids.
- Pharyngitis is an inflammation of the mucous membrane of the pharynx. Pharyngitis can be acute or chronic. Based on the nature of the changes in the mucous membrane, catarrhal pharyngitis is distinguished, when swelling of the tissues is observed, hypertrophic, when the mucous membrane thickens, and atrophic pharyngitis, when the mucous membrane, on the contrary, becomes thinner. Attacks of dry cough, red throat, discomfort during swallowing, sore throat - all these symptoms are signs of pharyngitis. Pharyngitis can simultaneously be paired with tonsillitis (inflammation of the tonsils) or laryngitis (inflammation of the larynx). In this case, the patient is diagnosed with tonsillopharyngitis and laryngopharyngitis. The patient is prescribed anti-inflammatory, antibacterial drugs, gargling, irrigation with antiseptics and physiotherapy (to consolidate the positive results from the action of the drugs and speed up the recovery process).
- Tonsillitis. The acute form of tonsillitis is called tonsillitis. If a sore throat is not treated in time, the disease will become chronic, with exacerbations occurring up to several times a year. Unlike pharyngitis, tonsillitis affects not the pharyngeal mucosa, but the palatine tonsils (tonsils). A sore throat occurs with acute pain in the throat, high body temperature, and a white coating or purulent accumulations appear on the tonsils. An effective means of combating sore throat is high-quality antibiotic therapy prescribed by an ENT doctor and physiotherapy performed in an ENT clinic. Chronic tonsillitis is not as severe as a sore throat, but its symptoms also cause the patient considerable discomfort: elevated body temperature, bad breath, sore throat. On the tonsils, purulent plugs are noticeable - accumulations of compressed streptococcus. Plugs support inflammation in the tonsils, so it is imperative to get rid of them. Effective therapy for chronic tonsillitis should be comprehensive and include treatment with medications, rinsing the tonsils from plugs and physiotherapy. In the absence of proper treatment, tonsillitis causes complications in the heart, kidneys and joints.
- Laryngitis is an inflammation of the larynx, which is accompanied not only by dryness, but also by severe itching, barking cough, hoarseness in the voice and itching in the throat, as if the throat is being “teared” from the inside. The treatment regimen for laryngitis includes taking antibacterial or antiviral agents, antiseptic drugs, antitussives, and physiotherapeutic procedures. Also, during treatment it is necessary to give up alcohol, smoking and avoid overstraining the vocal cords. Moisturizing and softening the throat is achieved by drinking plenty of fluids (herbal teas, fruit drinks, compotes, etc. are suitable)
- Pharyngomycosis (or fungal pharyngitis) is an inflammation of the pharyngeal mucosa, the causative agent of which is a fungal infection. Often the disease occurs due to uncontrolled use of antibiotics. The disease occurs with dryness, severe burning, discomfort and pain in the throat. A cheesy coating is noticeable on the mucous membrane of the throat. Therapy consists of taking antifungal, anti-inflammatory drugs, gargling and irrigating the throat with antiseptic drugs. Physiotherapy is an excellent addition to drug therapy.
Causes of dry mouth that are not pathological
In some cases, dry mouth is not associated with a medical condition. For example:
- Dry mouth can occur in the morning and at night due to intoxication. This is a typical situation after drinking too much the night before.
- When nasal breathing is impaired, a person breathes through his mouth during sleep. The mouth is slightly open, and the oral mucosa dries out faster. Nasal breathing can be impaired due to a runny nose, nasal polyps, or a deviated nasal septum. A similar situation occurs with snoring. The cause of snoring in most cases is a decrease in the tone of the soft palate. Muscle weakening develops with age. This is why older people snore more often, and their oral mucosa becomes dry. This reason explains dry mouth in the morning in the elderly in most cases.
- If you don't drink enough fluids in hot weather, you shouldn't be surprised by dry mouth. A similar effect can be caused by eating highly salted foods.
- Many medications can cause dry mouth.
- Smoking is another common cause of dry mouth.
- Dry mouth can be one of the symptoms of menopause.
Diseases that may cause dry mouth
Dry mouth can be caused by high fever and intoxication due to various infectious diseases (flu, sore throat, etc.). Diseases associated with large loss of fluid as a result of vomiting or diarrhea (cholera, dysentery) can also cause dry mouth. In such cases, dry mouth is one of many symptoms and does not attract special attention.
If dry mouth is combined with diarrhea, flatulence, belching, nausea and pain in the left side of the abdomen, then this may indicate pancreatitis.
Dry mouth in combination with a bitter taste, heartburn, white or yellow coating on the tongue can indicate diseases of the gastrointestinal tract such as gastritis, duodenitis, cholecystitis.
Dry mouth can also occur with:
- diseases of the salivary glands;
- endocrine diseases (diabetes mellitus, thyrotoxicosis);
- neoplasms of the oral cavity (benign and malignant);
- damage to nerve endings that contribute to the functioning of the salivary glands;
- anemia;
- vitamin A deficiency;
- systemic diseases (scleroderma, Sjogren's disease, cystic fibrosis).
How to make artificial saliva at home
Simultaneously with treatment, the condition of a person for whom a lack of saliva causes inconvenience and worsens health should be alleviated. To minimize oral dryness, doctors recommend using saliva substitutes in gel or aerosol format [3]. However, you can prepare artificial saliva yourself.
An important component of the replacement fluid is sea salt. The fact is that its aqueous solution with a concentration of 1.5–2% is pH neutral and is similar in ionic composition to blood plasma. The required amount of salt per glass of water is half a teaspoon (3-4 grams). One egg white is also added to the solution and mixed thoroughly. Rinse the mouth and throat with the resulting mixture at least 4 times a day or more often if drying occurs faster. To achieve sustainable results, the course must last at least a month [2].
Eliminate dry mouth
If dry mouth is caused by drinking alcohol and smoking, then it can only be eliminated by getting rid of the bad habit. It is recommended to reduce the consumption of salty and sweet foods. Pay attention to how you breathe - through your nose or mouth. If nasal breathing is difficult, the cause must be diagnosed and nasal breathing restored. To do this, you will have to see a doctor. It is also important to monitor the humidity in the room.
Dry mouth can be the first symptom of many diseases. Therefore, if you often experience a feeling of dry mouth, it is necessary to understand its nature, determine the cause and, if necessary, consult a doctor and begin treatment for the disease that caused this symptom.
Preventing discomfort during sex
- Regular preventive visits to the gynecologist. It is necessary to visit a specialized specialist at least once a year!
- High-quality hygiene of the intimate area using products with suitable composition and pH.
- Wearing comfortable, breathable underwear.
- Trusting relationship with a partner.
- Psychological confidence in your appearance.
- Sufficient duration of foreplay (to release lubrication).
- Using professional lubricants that can be bought in sex shops.
Which doctor should I contact for dry mouth?
If you complain of dry mouth, you can contact your dentist or general practitioner (GP or family doctor). After identifying the cause that caused the feeling of dryness, you may be redirected to an endocrinologist, gastroenterologist or rheumatologist.
Most likely, you will need to undergo various tests (general blood count, general urinalysis, blood test for thyroid hormones, biochemical blood test, serological test), and, if necessary, undergo some instrumental studies (ultrasound, radiography, computed tomography).
Diagnosis of the disease
When a patient visits a doctor, the second one performs the following actions:
- Gets acquainted with his complaints, establishes from his words whether there were illnesses that could lead to this problem;
- Applies techniques to determine the amount of saliva produced;
- If necessary, urine and blood tests and ultrasound of the salivary glands can be performed.
To accurately determine the diagnosis and reasons for dry mouth, you may need not only the help of a dentist, but also a psychologist, neurologist, therapist, and rheumatologist. When developing a line to combat the problem, the participation of doctors of several specializations may also be required.