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This article was co-written by Erik Kramer, DO, MPH. Dr. Kramer is a primary care physician at the University of Cporado, specializing in weight management, diabetes, and internal medicine. He received his DO degree from Touro University College of Osteopathic Medicine in 2012.
There are 10 references cited in this article that you can view at the bottom of the page.
Drooling (increased salivation) can be a nuisance in daily activities. In severe cases, this condition can greatly affect quality of life. For mild cases, you can treat yourself by avoiding foods and smells that can trigger drooling. Grape juice, tea, sage, and ginger can all help dry out your mouth and reduce saliva production. For hypersalivation that is related to an underlying medical condition, such as an infection of the oral cavity or a motor neuron disorder, you should discuss ways to manage it with your doctor. [1] X Trusted Source American Academy of Family Physicians Go to Source
Steps
Try natural home remedies
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Avoid foods and odors that cause drooling. Limit your intake of citrus fruits as well as sweet and sour foods, which can stimulate the salivary glands to increase activity. Try to stay away from scented foods or hygiene products that can make you drool. [2] X Trusted Source MedlinePlus Go to Source
- Foods that can stimulate saliva production but have a bland, dry taste, such as crackers or toast, can also help absorb excess saliva and provide immediate symptom relief.
- If someone nearby is eating or cooking that you can’t avoid, try to distract yourself. Find something to do, sing a song in your head, write a story or chat on the phone, for example.
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Drink more water, especially if your saliva is thicker than usual. It may sound strange, but staying hydrated will help control overactive salivary glands. You should try to drink about 3.8 liters of water per day. [3] X Research Sources
- If your saliva is thick and contains a lot of mucus, drinking lots of water will dilute it, making it easier to swallow. You should also avoid dairy products when your saliva is thick.
Chew gum or suck on hard candy. This can help stop drooling in mild to moderate cases, especially when you can’t control it. You’ll be less likely to drool when your mouth is busy. Always have gum or hard candy ready in case you need it. [4] X Research Sources
- If you’re concerned about your sugar intake, choose sugar-free gum or hard candy.
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Drink a glass of black currant juice. When the saliva flows a lot, pour yourself a glass of grape juice. The tannic acid in grape juice can help make the mouth feel dry and reduce saliva production. [5] X Research Sources
- Other drinks containing tannic acid include green and black tea, coffee, and red wine.
- Note that these drinks can cause tooth decay and stain enamel. Remember to floss once a day and brush your teeth at least twice a day. As an added benefit, brushing can also temporarily reduce excessive salivation.
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Try using sage or ginger to dry out your mouth. A cup of ginger or sage tea can help dry up overactive salivary glands. Chewing on sage leaves or sipping a piece of ginger can also help. You can also take a tincture of sage once a day by dissolving 15-20 drops of sage extract in a cup of water. [6] X Research Source
- Sage tea is available at grocery stores, health products stores, or online. Alternatively, you can steep 1 tablespoon fresh sage leaves or 1 teaspoon dried sage in 1 cup (240 ml) of hot water for 3-5 minutes to make sage tea.
- Some medical professionals recommend sage and ginger to reduce salivation in patients with conditions such as Parkinson’s disease and amyotrophic lateral sclerosis. However, you should consult your doctor before taking any herbs or supplements, especially if you have a medical condition or are taking medication.
- Avoid taking sage extracts or tinctures if you are pregnant or nursing.
- Dosages in excess of 15 g of sage leaf or 0.5 sage extract oil per kilogram of body weight may lead to increased salivation and other undesirable effects. [7] X Trusted Source Science Direct Go to Source
Controlling potential causes
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Avoid situations that provoke vomiting and cause nausea. Excessive salivation is often accompanied by nausea and vomiting. If you’re drooling from nausea, sit down and try to relax until the nausea goes away. Make a note of situations that make you nauseous and avoid them as much as possible. [8] X Trusted Source MedlinePlus Go to Source
- Strong odors, car rides, roller coasters, bright or flashing lights, and high temperatures are common causes of nausea.
- Bland foods like toast and crackers can help settle the stomach.
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Take an antacid if you have gastroesophageal reflux disease . Excess saliva may also be associated with gastroesophageal reflux disease, when stomach acid backs up in the throat. If you have this condition, avoid acidic and spicy foods and take over-the-counter antacids. [9] X Research Source
- Antacids can affect the absorption of other medications, so you should consult your doctor or pharmacist if you are taking any medications prescribed by your doctor.
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Ask your prescribing doctor if any of them cause increased salivation. Anticonvulsants, tranquilizers, antipsychotics, and antichpinergic drugs can directly and indirectly cause increased salivation. . [10] X Trusted Source PubMed Central Go to the source If you regularly take these medications, search online or ask your doctor about potential side effects. [11] X Trusted Source American Academy of Family Physicians Go to Source
- Examples of medications that can cause increased salivation are clozapine, potassium chlorate, risperidone, and pilocarpine.
- Your doctor may recommend alternative medicines that have fewer side effects. If not available, they may prescribe medication to control salivation.
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Do exercises to improve swallowing. For young children or patients with dysphagia, exercising the muscles involved in swallowing can help keep saliva from accumulating. These exercises include sucking liquid through a straw and using a straw to suck up peas or raisins. [12] X Research Source
- If your child is drooling a lot, these exercises can help him learn to control the muscles used to swallow. If needed, a speech therapist can also help a child learn to control these muscles in the mouth and throat.
- A visit to a speech therapist may also be necessary for patients with neuromotor disorders, muscular disorders, acute nerve damage, Parkinson’s disease, or other disorders that lead to difficulty swallowing. .
Seek medical treatment
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Ask your doctor about treatment for inflammatory diseases of the oral cavity, if necessary. From toothaches to tonsillitis, many oral health problems can lead to excessive salivation. See your doctor or dentist if you can’t control your salivation on your own, or if you have symptoms of an infection such as pain, swelling, or discharge. [13] X Research Source
- Besides inflammation, other dental problems such as structural defects can also cause saliva to accumulate. You can use braces, braces, and other devices to correct defects in your mouth, neck, or jaw that make swallowing difficult.
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Ask your doctor about medications that can control drooling. Anti-chpinergic drugs block the nerve signals that tell the salivary glands to produce saliva. The drug is available in the form of tablets of 0.5 g or as a patch behind the ear. The usual dosage is 1-3 tablets per day or 1 patch to be changed daily.
- Side effects may include constipation, dry mouth, decreased urine output, irritability, dizziness, drowsiness, confusion, vomiting, flushing, headache, and blurred vision. [14] X Source of Study In patch form, the drug may cause irritation or itching at the application site. [15] X Trusted Source American Academy of Family Physicians Go to the source You should talk to your doctor about all the risks and benefits of a medication before taking it.
- Scoppamine patches can also help reduce saliva, but its side effects are similar to those of anti-chpinergic drugs. [16] X Research Source
Ask your doctor about 1% atropine eye drops. Medicines may be placed under the tongue to dry the spot. Atropine is an anti-chpinergic drug but is used in low doses by mouth, so side effects are much less common. [17] X Research Source
- Similar drugs include oral hyoscyamine, oral amitriptyline, and sublingual ipratropium bromide.
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Discuss with your doctor about Botox injections in the case of severe hypersalivation. If other treatments aren’t successful, your doctor may recommend botulinum injections (Botox). Under ultrasound guidance, the doctor injects a toxin into the salivary glands to temporarily block them. [18] X Research Sources
- Botox needs to be injected every 5-6 months to control hypersalivation.
- Be sure to find an experienced otolaryngologist when you choose this treatment,
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Consider surgery as a last resort. Surgical removal of the salivary glands is rarely performed and is recommended only when hypersalivation significantly affects quality of life. For example, salivary choking can be life-threatening in patients with motor neuron disorders, so surgery may be the best solution. [19] X Trusted Source American Academy of Family Physicians Go to Source
- There are many types of surgery that you can choose from. Your doctor or medical team will help you determine the right option.
- Usually, salivary gland surgery is a quick and simple procedure. In some cases, only local anesthesia is needed, which means that the area to be operated on will be numbed, and you will remain awake during the surgery.
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This article was co-written by Erik Kramer, DO, MPH. Dr. Kramer is a primary care physician at the University of Cporado, specializing in weight management, diabetes, and internal medicine. He received his DO degree from Touro University College of Osteopathic Medicine in 2012.
There are 10 references cited in this article that you can view at the bottom of the page.
Drooling (increased salivation) can be a nuisance in daily activities. In severe cases, this condition can greatly affect quality of life. For mild cases, you can treat yourself by avoiding foods and smells that can trigger drooling. Grape juice, tea, sage, and ginger can all help dry out your mouth and reduce saliva production. For hypersalivation that is related to an underlying medical condition, such as an infection of the oral cavity or a motor neuron disorder, you should discuss ways to manage it with your doctor. [1] X Trusted Source American Academy of Family Physicians Go to Source
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