Drooling

Drooling is characterized by saliva coming out of the mouth unintentionally. Drooling may be caused by the overproduction of saliva in the mouth or by underdeveloped or weak muscles of the jaw. Drooling can also be caused by underlying neurological conditions. At CARE Hospital, Drooling can be corrected through appropriate treatment and motor therapy, with the help of our highly experienced interdisciplinary medical specialists, including physiotherapists and neurology specialists.

What is Drooling?

Drooling is a condition in which saliva comes out of the mouth, usually not as a reflex, and there may not be motor muscle control over the Drooling of saliva. Drooling in babies up to two years old is normal due to incomplete muscle development. Drooling while sleeping may also be seen in adults. Sometimes, Drooling when awake may be a sign of an underlying health condition, such as cerebral palsy or Parkinson's disease.

What causes Drooling?

Drooling may be caused by a number of factors that may not be anything serious, such as while sleeping. Some of the common causes of Drooling may include:

• Diet: Certain foods and drinks may cause excessive Drooling. Foods with a high acid or sugar concentration have been linked to symptoms of Drooling. 
• Age: Newborns and babies aged less than two years may show symptoms of Drooling. 
• Infections: Sometimes, throat infections, including sinus infections, may show symptoms of excessive Drooling. 
• Sleeping position: People who sleep on their sides or on their belly may experience saliva while sleeping. 
• Anatomical abnormalities of the mouth, head, or neck. 
• Sleep apnea

Drooling may also be an underlying reason for some neurological or other medical conditions. Neurological conditions that affect the muscles of the mouth and can cause drooling may include:

• Cerebral palsy Stroke 
• Parkinson's disease 
• Multiple sclerosis (MS) 
• Down Syndrome 
• Amyotrophic lateral sclerosis (ALS)

People with autism may also drool while awake. Drooling may also be a sign of pregnancy. Other medical conditions that can cause Drooling symptom in people may include:

• Allergies 
• Pesticide poisoning 
• GERD (chronic acid reflux) 
• Certain medications 
• Being bitten by poisonous insects or snakes

Symptoms of Drooling

Symptoms of drooling can include:

• Excessive saliva production leads to an overflow of saliva from the mouth.
• Wet or soaked clothing and facial skin due to the constant dribbling of saliva.
• Chapped or irritated skin around the mouth and chin.
• Difficulty in swallowing, which can contribute to increased drooling.
• Frequent coughing or choking, especially when eating or drinking.
• Foul odor or bad breath, often caused by the accumulation of saliva in the mouth.
• It's important to note that persistent or sudden onset of drooling, especially in adults, may warrant a medical evaluation to determine the underlying cause.

Sudden Onset of Drooling in Adults

Sudden drooling in adults can be concerning and may indicate an underlying issue. Here are some potential causes:

• Neurological Conditions: Conditions such as stroke, Parkinson's disease, or multiple sclerosis can affect muscle control and lead to drooling.
• Medications: Certain medications, especially antipsychotics or those for Alzheimer's, can cause increased saliva production.
• Infections: Infections of the throat, mouth, or sinuses can lead to inflammation and increased drooling.
• Allergies: Allergic reactions can cause nasal congestion, prompting mouth breathing and drooling.
• Gastroesophageal Reflux Disease (GERD): GERD can create a sensation of a lump in the throat, leading to drooling.
• Dental Issues: Problems such as tooth decay or gum disease can stimulate saliva production.
• Alcohol or Drug Use: Intoxication or withdrawal from certain substances can result in increased salivation.

Why do I get excessive saliva while sleeping?

Excessive saliva while sleeping can be caused by several factors:

• Mouth Breathing: Breathing through the mouth during sleep can lead to increased saliva production.
• Sleep Position: Lying on your side may cause saliva to pool in the mouth.
• Acid Reflux: Stomach acid can irritate the esophagus and increase saliva production.
• Medications: Some medications can cause dry mouth, leading to a reflex increase in saliva.
• Dental Issues: Conditions like tooth decay or gum disease can stimulate saliva production.
• Allergies or Sinus Issues: Congestion can cause you to breathe through your mouth, resulting in more saliva.
• Neurological Conditions: Certain conditions may affect muscle control and swallowing, leading to drooling.

How is Drooling treated?

Treatment for Drooling may not be required, especially if it is caused by certain foods or drinks. However, for other causes of Drooling during sleep, treatment may be recommended based on the cause, severity, and immediate treatment requirements.

Some of the common forms of treatment for mouth Drooling may include:

• Medications: For conditions like acid reflux, allergies, or Drooling from poisoning, the doctor may prescribe certain medications to reduce or reverse the symptoms. 
• Injections: Certain types of substances given in the form of injections may also help reduce saliva flow into the mouth. 
• Oral Device: Specially designed oral devices may be placed in the mouth to assist the patient with swallowing, helping to close the lips while eating and thus reducing Drooling during meals. 
• Motor Therapy: Therapy and facial exercises may help build strength and mobility of the muscles in and around the mouth. Patients may be assisted by therapists who can help manage symptoms of Drooling caused by weak jaw muscles. 
• Surgery: Surgery may be considered as a treatment option for Drooling when other forms of treatment have failed to curb Drooling or reduce its intensity.
• Radiation Therapy: In some cases, radiation therapy may be used to target the salivary glands and reduce saliva production.
• Botox Injections: Botulinum toxin injections can help decrease saliva production by targeting specific salivary glands.
• Surgical Treatment: Surgical options may include procedures to remove salivary glands or reroute saliva flow, aimed at controlling drooling.

How do I stop Drooling?

People who suffer from Drooling when sleeping may benefit from switching positions when going to bed. By sleeping on their back, Drooling may be better controlled during sleep. Seeking help from a healthcare provider for suggestions on using a mandibular appliance (oral device) to improve sleep and reduce both Drooling and snoring can also be beneficial.

People who experience excessive Drooling when eating may benefit from restricting their intake of acidic or sugary foods and drinks. Additionally, avoiding known allergenic or poisonous substances can help reduce the risk of Drooling.

Complications from Drooling

Drooling, or excessive saliva production, can lead to various complications. Here are some of the potential complications:

• Skin Problems: Drooling can cause irritation and infections on the skin around the mouth and neck.
• Dehydration: Excessive drooling can lead to dehydration if not enough fluids are consumed.
• Dental Issues: It may cause tooth decay and gum disease due to constant saliva exposure.
• Choking Risk: Drooling increases the risk of choking and inhaling saliva into the lungs, which can lead to pneumonia.
• Social Impact: It can affect self-esteem and social interactions, causing embarrassment or isolation.
• Nutritional Problems: Drooling may interfere with eating and swallowing, affecting nutrition.
• Speech Difficulties: Excessive drooling can make speaking clearly more challenging.
• Treatment Side Effects: Medications or procedures used to treat drooling may have side effects.

What can I do at home to treat Drooling?

Home remedies that may be effective for treating Drooling may include:

• Drinking plenty of water before going to bed. 
• Chewing on a piece of lemon. 
• Sleeping on the back instead of on the side. 
• Inhaling steam before going to bed to relieve a stuffy nose.

When should Drooling be treated by a healthcare provider?

Drooling is quite common and may resolve on its own without any treatment. However, if Drooling occurs suddenly and is accompanied by symptoms that may indicate serious conditions such as a stroke, immediate medical attention may be required.

Seeking help from a healthcare provider may also be beneficial for those experiencing a worsening quality of sleep or hindrance in everyday activities due to Drooling.

Conclusion

At CARE Hospitals, we understand how important it is for you to receive diagnosis and treatment for conditions like Drooling that can become a cause for concern, especially if it hinders your daily activities. Our team of physiotherapy experts works closely with other specialists and doctors to provide comprehensive and thorough treatment for conditions like Drooling in sleep in children and adults. Our diagnostic services can help you obtain accurate treatment for your problem, allowing you to lead a worry-free life.

FAQs     

1. What age is Drooling normal? 

Drooling is normal in babies below the age of two. During the teething period, Drooling may be excessive in babies.

2. What age does Drooling start? 

Newborn babies may drool normally due to underdeveloped muscles in the mouth.

3. Is Drooling a Problem? 

Drooling may not be a cause for concern in adults, but it can become problematic if there is sudden excessive Drooling. If Drooling interferes with daily activities, seeking medical advice may be helpful for such individuals.

4. Does drooling indicate stroke?

Yes, sudden drooling can be a sign of a stroke, especially if it comes with other symptoms like weakness on one side of the body, difficulty speaking, or confusion. Seek immediate medical attention.

5. Why is there a sudden onset of drooling in adults?

Sudden drooling in adults can be caused by neurological issues, infections, medications, or other health conditions. It's important to see a doctor to determine the cause.

6. At what age is drooling abnormal?

Drooling is typically considered abnormal after age 4. If an older child or adult starts drooling, it should be evaluated by a doctor.

7. What neurological disorder causes drooling?

Neurological disorders like Parkinson's disease, cerebral palsy, ALS (amyotrophic lateral sclerosis), and stroke can cause drooling.

8. Is drooling a symptom of anxiety?

Anxiety itself doesn't usually cause drooling, but stress and anxiety can lead to behaviors like mouth breathing or teeth grinding, which might increase drooling.

9. Why do I drool when I sleep?

Drooling during sleep can happen because of sleeping position, mouth breathing, or relaxation of facial muscles. It's usually harmless unless it's excessive.

10. What can I do at home to treat drooling?

Sleep on your back, use a firm pillow, practice good oral hygiene, and stay hydrated. If drooling is due to allergies or congestion, treating those conditions might help.

11. What happens if chronic drooling is left untreated?

Chronic drooling can lead to skin irritation, infections, social and emotional issues, and difficulty with eating and speaking.

12. When should drooling be treated by a healthcare provider?

See a healthcare provider if drooling is sudden, severe, persistent, or accompanied by other symptoms like difficulty swallowing, speech problems, or changes in facial muscle control.

13. What deficiency causes drooling?

Vitamin B12 deficiency can sometimes cause neurological issues that might lead to drooling. It's important to get evaluated if you suspect a deficiency.

CARE Medical Team

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