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Causes

By Mayo Clinic staff

Dry mouth has numerous causes, including:

  • Medications. Hundreds of medications, including some over-the-counter drugs, produce dry mouth as a side effect. Among the more likely types to cause problems are some of the drugs used to treat depression and anxiety, antihistamines, decongestants, high blood pressure medications, anti-diarrheals, muscle relaxants, drugs for urinary incontinence, and Parkinson's disease medications.
  • Aging. Getting older isn't a risk factor for dry mouth on its own; however, older people are more likely to be taking medications that may cause dry mouth. Also, older people are more likely to have other health conditions that may cause dry mouth.
  • Cancer therapy. Chemotherapy drugs can change the nature of saliva and the amount produced. Radiation treatments to your head and neck can damage salivary glands, causing a marked decrease in saliva production.
  • Nerve damage. An injury or surgery that causes nerve damage to your head and neck area also can result in xerostomia.
  • Other health conditions. Dry mouth can be a consequence of certain health conditions — or their treatments — including the autoimmune disease Sjogren's syndrome, diabetes, Parkinson's disease, HIV/AIDS, anxiety disorders and depression. Stroke and Alzheimer's disease may cause a perception of dry mouth, even though the salivary glands are functioning normally. Snoring and breathing with your mouth open also can contribute to the problem.
  • Tobacco use. Smoking or chewing tobacco can increase dry mouth symptoms.
References
  1. Dry mouth. National Institute of Dental and Craniofacial Research. http://www.nidcr.nih.gov/OralHealth/Topics/DryMouth/DryMouth.htm. Accessed Dec. 21, 2010.
  2. Xerostomia. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merckmanuals.com/professional/sec08/ch094/ch094f.html?qt=Xerostomia&alt=sh. Accessed Dec. 21, 2010.
  3. Negrin RS, et al. Oral toxicity associated with chemotherapy. http://www.uptodate.com/home/index.html. Accessed Dec. 13, 2010
  4. Glore RJ, et al. A patient with dry mouth. Clinical Otolaryngology. 2009;34:358.
  5. Napenas JJ, et al. Diagnosis and treatment of xerostomia (dry mouth). Odontology. 2009;97:76.
  6. Blom M, et al. Long-term follow-up of patients treated with acupuncture for xerostomia and the influence of additional treatment. Oral Diseases. 2000;6:15.
  7. Acupuncture in treating dry mouth caused by radiation therapy in patients with head and neck cancer. National Institutes of Health. http://clinicaltrialsfeeds.org/clinical-trials/show/NCT01141231. Accessed Dec. 21, 2010.
HA00034 April 7, 2011

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