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Why Do I Drool When I Sleep? Causes, Solutions, and When to Worry

by Kaia

Do you often wake up with a damp pillow and wonder, “Why do I drool when I sleep?” Drooling during sleep is common, but it can be both embarrassing and inconvenient. While drooling is usually harmless, it can sometimes signal underlying health conditions. In this article, we’ll explore the causes of drooling, possible remedies, and when to consult a doctor.

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What Causes Drooling During Sleep?

Drooling occurs when saliva escapes from your mouth during sleep. Here are the main reasons why:

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Relaxed Muscles During Sleep

During sleep, especially in deeper stages such as REM (Rapid Eye Movement), your muscles relax, including those in your mouth and throat. This relaxation can lead to drooling, especially if you’re a side or stomach sleeper.

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Mouth Breathing

Breathing through your mouth can cause drooling. If you have nasal congestion from allergies, a cold, or a deviated septum, you might unconsciously start mouth breathing while sleeping, which leads to excess saliva escaping.

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Sleep Position

Your sleep position can influence drooling. Side sleepers are more likely to drool than those who sleep on their back because gravity causes saliva to pool and escape from the mouth.

Excess Saliva Production

Some individuals naturally produce more saliva, which can result in more frequent drooling. Certain foods, medications, and conditions like gastroesophageal reflux disease (GERD) can increase saliva production.

Neurological Conditions

Conditions like Parkinson’s disease, cerebral palsy, or stroke can cause difficulty in controlling muscles around the mouth, leading to drooling during sleep.

Infections and Allergies

Respiratory infections, sinus infections, and allergies can block your nasal passages, forcing you to breathe through your mouth and increasing the likelihood of drooling.

Common Solutions to Stop Drooling While Sleeping

If drooling is an occasional nuisance, you may not need to worry. However, if it becomes excessive or impacts your sleep quality, these solutions can help:

Change Your Sleeping Position

Try sleeping on your back. This can help prevent saliva from pooling in your mouth. Consider using pillows that promote proper head alignment to keep your mouth closed.

Treat Nasal Congestion

If allergies or nasal congestion are causing mouth breathing, over-the-counter antihistamines, decongestants, or saline sprays can help clear nasal passages and reduce drooling.

Practice Good Oral Hygiene

Keeping your mouth clean can reduce excess saliva production. Brushing and flossing before bed, as well as using mouthwash, can help maintain a healthy balance of oral bacteria and saliva.

Stay Hydrated

Dehydration can increase saliva thickness, making it more likely to leak from your mouth. Drinking plenty of water throughout the day can help keep saliva thin and reduce drooling.

Consider a Mandibular Device

A mandibular advancement device (MAD) can be used to keep your mouth closed while you sleep. These devices are often used for snoring or sleep apnea but can also reduce drooling.

Consult a Doctor for Chronic Drooling

If you experience excessive drooling that disrupts your sleep or daily life, a healthcare provider can evaluate whether there are underlying conditions, such as GERD or sleep apnea, that need treatment.

See Also: Getting Enough Sleep on Tour

When Should You Be Concerned About Drooling?

While drooling is often harmless, it can be a symptom of more serious conditions, especially if it’s accompanied by other symptoms. Consider seeing a doctor if:

You experience sudden and excessive drooling without a clear cause.

Drooling is accompanied by difficulty swallowing, speech problems, or muscle weakness.

You have a neurological condition that affects muscle control, such as Parkinson’s disease or ALS (amyotrophic lateral sclerosis).

You suffer from chronic sleep disruption due to excessive drooling.

The Connection Between Sleep Apnea and Drooling

Drooling can be a sign of obstructive sleep apnea (OSA), a condition where breathing repeatedly stops and starts during sleep. OSA is associated with mouth breathing and drooling, particularly in individuals who sleep with their mouth open. If you snore loudly, wake up gasping for air, or feel excessively tired during the day, it’s important to be evaluated for sleep apnea.

How to Talk to Your Doctor About Drooling

If you are concerned about excessive drooling, prepare for your doctor’s appointment by keeping a sleep diary. Track when you experience drooling, the severity, and any other symptoms such as snoring, interrupted sleep, or morning headaches. This information will help your doctor diagnose the cause and recommend the best treatment plan.

Natural Remedies for Drooling

For those who prefer natural approaches, some remedies may help reduce drooling:

Peppermint Oil: This essential oil may reduce saliva production when applied topically around the mouth area before bed.

Thyme and Sage Tea: Known for their astringent properties, thyme and sage can help dry out excess moisture in the mouth.

Facial Exercises: Strengthening the muscles around your mouth can improve your ability to keep saliva inside while sleeping.

Conclusion

While drooling during sleep is often harmless, understanding the cause can help you find the right solution. From adjusting your sleeping position to treating underlying health conditions, there are plenty of ways to manage this common issue. However, if drooling persists or is accompanied by other symptoms, it’s important to consult with a healthcare provider for a thorough evaluation.

Frequently Asked Questions

Q: Is drooling a sign of a serious health condition?

A: In most cases, no. However, if drooling is excessive and persistent or occurs alongside other symptoms like difficulty swallowing or muscle weakness, it may be worth consulting a healthcare provider.

Q: How can I prevent drooling naturally?

A: Natural remedies like using peppermint oil or drinking thyme tea may help. Strengthening facial muscles through exercises can also help control saliva flow.

Q: Can sleep apnea cause drooling?

A: Yes, sleep apnea can cause mouth breathing and drooling. If you suspect you have sleep apnea, it’s important to see a doctor for evaluation and treatment.

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