Understanding Xerostomia: Effective Strategies to Combat Dry Mouth in Adults

Dry mouth—medically known as xerostomia—is more than an occasional inconvenience. For many adults, it becomes a persistent problem that affects more than comfort; it impacts speech, swallowing, oral health, and overall quality of life. Saliva plays essential roles in lubricating the mouth, aiding chewing and swallowing, protecting teeth and gums, and supporting clear speech. When saliva production falls short or its quality is altered, the results can be far-reaching.

Common Causes of Xerostomia

Common causes of adult dry mouth include side effects of multiple medications, especially anticholinergics, antihistamines, and antidepressants. Other contributors can be radiation therapy to the head and neck, autoimmune conditions like Sjögren’s syndrome, uncontrolled diabetes, dehydration, mouth-breathing, and advanced age.

The impact of these causes can be significant. What may start as a sticky feeling or slightly “dry tongue” can evolve into difficulty forming a bolus, needing frequent sips to swallow, cracked lips, increased cavity risk, bad breath, and even challenges with dentures or speech clarity.

The Impact on Speech and Swallowing

For adults working on speech-language pathology goals—such as voice, articulation, and swallowing therapy—xerostomia is a hidden obstacle. A dry oral environment makes it harder to speak smoothly, swallow safely, and maintain optimal oral hygiene. Addressing the symptom of dry mouth is as important as working on swallowing exercises or voice drills.

Strategies for Managing Dry Mouth

What can you do if you or someone you care for is experiencing chronic dry mouth? First, consult your healthcare team to review medications and underlying causes. Sometimes, adjusting a xerogenic drug or treating a medical condition can improve salivary function.

At home, there are several strategies to help manage dry mouth effectively:

1. Increase Hydration: Sip water regularly throughout the day to keep your mouth moist.

   
   

2. Chew Sugar-Free Gum: Chewing gum or sucking on sugar-free lozenges, especially those containing xylitol, can stimulate saliva production.

   
   

3. Use Saliva Substitutes: Over-the-counter saliva substitutes or drying-prevention mouthwashes can provide temporary relief.

   
   

4. Run a Humidifier: Using a humidifier at night can help maintain moisture in the air, which may alleviate dry mouth symptoms.

   
   

5. Avoid Irritants: Stay away from tobacco, alcohol, and excessive caffeine, as these can exacerbate dry mouth symptoms.

   
   

The Role of Healthcare Professionals

For those experiencing dry mouth and swallowing difficulties, working with healthcare professionals such as speech-language pathologists (SLPs) can be beneficial. SLPs can provide tailored xerostomia therapy that addresses both the symptoms of dry mouth and the underlying issues related to speech and swallowing.

Additionally, practicing good oral hygiene is crucial. Regular dental check-ups and cleanings can help prevent cavities and other oral health issues that may arise from dry mouth. Using fluoride toothpaste and mouth rinses designed for dry mouth can also support oral health.

Xerostomia is a common yet often overlooked condition that can significantly impact the lives of adults. Understanding the causes, symptoms, and effective management strategies is essential for improving quality of life. By consulting healthcare professionals and utilizing available resources, individuals can combat the challenges of dry mouth and enhance their overall well-being.

If you or someone you know is struggling with chronic dry mouth, remember that you are not alone. There are effective strategies and support systems available to help manage this condition. Taking proactive steps can lead to improved oral health, better communication, and a more enjoyable quality of life.

At Nexa Speech Concierge, we understand how conditions like xerostomia can make speaking, swallowing, and eating more difficult. Our licensed speech-language pathologists provide personalized, in-home and telehealth therapy designed to improve comfort, oral coordination, and swallowing safety. We proudly serve adults across Palm Beach, Broward, Miami-Dade, Martin, St. Lucie, Okeechobee, and Indian River Counties—bringing expert care directly to you.

I'm Ready to Schedule My Free Consultation!

.