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Why is my mouth watering?

Published in Salivation 3 mins read

Your mouth waters (produces saliva) for various reasons, ranging from normal bodily responses to potential underlying conditions. While often a sign of anticipation or hunger, excessive or unusual mouth watering, known medically as hypersalivation, can indicate other issues, including neurological factors.

Understanding Salivation

Saliva is a crucial fluid produced by salivary glands in your mouth. It plays several vital roles:

  • Aiding digestion: Saliva helps break down food and lubricates it for swallowing.
  • Protecting oral health: It washes away food particles, neutralizes acids, and contains antibacterial compounds.
  • Facilitating taste: Food molecules dissolve in saliva, allowing taste buds to detect them.

Normal salivation is triggered by stimuli like the smell or sight of food, chewing, or even just thinking about food.

Causes of Excessive Mouth Watering (Hypersalivation)

Sometimes, your mouth may water more than usual. This can be a temporary reaction or a symptom of something needing attention.

Several factors can contribute to excessive salivation (hypersalivation or sialorrhea):

1. Neurological Conditions

As highlighted by the reference, neurological conditions can cause hypersalivation. This occurs when the brain's ability to control swallowing is impaired, leading to saliva pooling in the mouth, or sometimes due to increased saliva production signals.

Examples of neurological conditions associated with hypersalivation include:

  • Cerebral palsy
  • Motor neuron disease (MND)
  • Parkinson's disease
  • Multiple sclerosis (MS)
  • Traumatic brain injury
  • Stroke

If chronic neurological conditions are the root cause, the reference notes that treatment may include lifelong management of a person's hypersalivation.

2. Oral Irritation or Infections

Inflammation or infection in the mouth or throat can stimulate increased saliva production as a protective response.

  • Mouth ulcers
  • Tonsillitis
  • Strep throat
  • Dental issues (e.g., cavities, gingivitis)
  • Wearing new dentures

3. Medications

Certain medications can have hypersalivation as a side effect. These can include some sedatives, anti-seizure drugs, and medications for Alzheimer's or Parkinson's.

4. Gastroesophageal Reflux Disease (GERD)

Acid reflux can irritate the esophagus, triggering a reflex known as the "water brash," where the mouth fills with saliva.

5. Toxins or Poisons

Exposure to certain toxins can cause increased salivation.

6. Pregnancy

Some women experience increased salivation during pregnancy, often linked to nausea or hormonal changes.

When to Seek Medical Advice

While occasional excessive mouth watering might not be a concern, consult a doctor if:

  • Hypersalivation is persistent or bothersome.
  • It interferes with speaking or swallowing.
  • It is accompanied by other symptoms like difficulty breathing, pain, or neurological signs.
  • You suspect it's related to medication or an underlying health issue.

Summary of Potential Causes

Here's a quick overview of why your mouth might be watering excessively:

Category Examples
Neurological Cerebral palsy, MND, Parkinson's, MS, Stroke, Traumatic Brain Injury
Oral/Throat Issues Infections, Inflammation, Ulcers, Dental problems, New dentures
Medications Certain drugs (e.g., sedatives, some neurological medications)
Digestive Issues GERD (acid reflux)
Other Pregnancy, exposure to toxins

Understanding the cause of excessive mouth watering is key to managing it effectively. In cases related to chronic conditions, particularly neurological ones, ongoing management strategies may be necessary as mentioned in the reference.

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