Nighttime Dry Mouth

Posted by kacey1 @kacey1, Oct 14, 2024

I'm a 79-year-old female with idiopathic dry mouth that has become progressively worse in the past two years. I go to bed at 11pm and will wake up every hour with dry mouth. When I wake up, I'll use either Act gum, sprays, water, or lozenges. By 5am, my mouth is so dry I have to get up and eat breakfast.
Tests for autoimmune diseases have been negative. Taking Pilocarpine gave me a headache.
Had anyone had success with products that work during the night?

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@kacey1

Chris: Over the years, I've tried so many dry mouth products. Some of them work initially and then after several weeks, I don't get much relief. Now during the day, I have Trident gum, Act lemon lozenges and carry a water bottle with me all the time.
The real problem is nighttime. On my nightstand, I have my daytime products plus Oasis DM spray and Act Gum. Since I will wake up probably three to five times during the night, I will use any one of the products depending on how dry my mouth is.
The Act Gum probably works the best when my mouth is very dry. The gum is like chicklets, with a hard shell. It's kind of pricey at $4 for 20 pieces. I cut the pieces in half with my pill cutter.

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@kacey1 Thank you so much for taking the time to educate me about dry mouth products. I will try to find the Oasis spray and Act Gum this weekend. Does your throat actually become extremely raw and dry when it wakes you up? Mine scares me as I am unable to swallow.
Chris

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@karenshope

Chris, have you had Sjögren’s syndrome confirmed? The most effective products I’ve found personally are xylimelts (drug store or Amazon) as needed with coconut oil rinses at night. I also take one RX designed for Sjrogrens. Good luck!

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Has the Rx med for Sjogren's helped any?

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Sometimes toothpaste can aggravate dry mouth, Coconut oil is a good option to clean your teeth, And practice (oil pulling) ( google will explain more ) which is basically squishing the oil in your mouth for at least a few minutes ( or while you have a shower ) trying to get it between your teeth… After cleaning and slooshing your mouth/teeth with the oil spit it out. Then put a little bit more coconut oil in your mouth just before getting into bed, Add a little through the night…
Increase hydration during the day with boiled , warm water 🙌

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@artscaping

@kacey1 Thank you so much for taking the time to educate me about dry mouth products. I will try to find the Oasis spray and Act Gum this weekend. Does your throat actually become extremely raw and dry when it wakes you up? Mine scares me as I am unable to swallow.
Chris

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My throat does occasionally become very dry. Seems as if that happens when I eat something acidic, like red sauces. I've developed a sensitivity to some foods with red sauces, orange, some chocolate, and peppermint to name a few. What's strange, I can tolerate pizza one time but if I eat leftovers the next day, it'll make my mouth drier or my throat very dry. Thinking it's a spice in the sauce. When my throat becomes very, very dry, the only relief for me is drinking milk with vanilla ice cream. I know sugar is not the best solution but it gives me instant relief. When my mouth gets very dry, sprays or water does not help.
Hope this helps. I know how it is!!

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@annie104

Sometimes toothpaste can aggravate dry mouth, Coconut oil is a good option to clean your teeth, And practice (oil pulling) ( google will explain more ) which is basically squishing the oil in your mouth for at least a few minutes ( or while you have a shower ) trying to get it between your teeth… After cleaning and slooshing your mouth/teeth with the oil spit it out. Then put a little bit more coconut oil in your mouth just before getting into bed, Add a little through the night…
Increase hydration during the day with boiled , warm water 🙌

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For several months now, I've had a dry mouth reaction to Sensodyne Sensitivity & Gum toothpaste. I tried Colgate and Toms toothpaste but it really didn't matter. So, I use the Sensodyne in the morning and brush with Toms in the evening two hours before I go to bed.
I will be trying coconut oil pulling, it seems to have many benefits.

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Xylimelts are great. It suggests using two on the bottle, but I only use one and maybe a second if I wake in the middle of the night. I have Sjogren's and these have helped my morning dry mouth so much. My husband uses a CPAP and has found them to be helpful also.
My only caution is that xylitol is very toxic to dogs in any amount. The Xylimelt adheres to your cheek and I have never lost one during the night so that is reassuring. I keep the bottle well out of reach of my counter surfing standard poodle.
I subscribe to the Sjogren's foundation news magazine. I have found that to provide a wealth of information in every issue. About three issues back they had an article on helpful toothpastes and mouth wash.

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in reply to @mshutch Are you concerned about the artificial sweetener in the lozenges? I think there is an article about this sweetener on the Mayo site. I stay away from artificial sweeteners, but that's just my thing because they cause problems. I choose to stick with as many "natural" products like the coconut oil for this reason, and it really does work. The oil, I am told by my dentist, also protects your teeth. "I'm just saying." But I am glad the lozenges work for you. I need so much dental work as a result of dry mouth, and having dental phobia does not make getting the work done any easier.

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@jackielb

Has the Rx med for Sjogren's helped any?

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Yes, it does help a little. I use a drug called Evoxac. It’s not great but when I stop taking it my Sjogrens gets worse.

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@shelleyw

kacey1,
Dry mouth is such a big crummy thing. People who don't have it, really can't understand how it could be so bad. I get to points, when I simply must not speak or breathe through my mouth. I have pSS- primary Sjögren's syndrome, but just because you don't have a formal diagnosis doesn't make your mouth moist. Pilocarpine and another one are useless to me. I literally carry ice water everywhere, even the bathroom, with me. Ice Water is only a quick fix to the next step. I use MouthCote spray, it causes the least nausea. There are electrolytes in powder form, in tubes. Costco carries Liquid IV, several flavors, with sugar and now without sugar. I use only 1/4-1/3 of the packet, it is too strong for me. My favorite sugar free is white peach, the green grape one is gross .
I keep sugar free peppermint gum everywhere. I can chew it, then stick it to a tooth and chew when needed. I brush my teeth with prescription fluoride, be sure to read the instructions, don't leave it on your tongue, cheeks, etc, overnight, it does not feel good in the morning. I have super cheap children's mouth guards, that you customize with warm-hot water. I keep cough drops (like Halls) and drops, like cherry ones that really don't help my coughing. I've even tried a thin layer of Vaseline on my teeth, just before getting into bed. It is only a little help, but it's not any help if I talk after putting it on. I keep my lips all Goode up, Vaseline, balm, etc etc. Sipping on 7-up helps a lot, but it's not good for teeth or weight. Good luck with finding something that works for you. ShelleyW

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I’ve found some help I preventing dry mouth or this strong awful cough I get once in a while-comes out of nowhere it seems-the help is chewing Wrigley’s EXTRA Polar Ice gum-just happened on it. I chew some before bed. No guarantees but it helps me. kathykach

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Do you have An autoimmune diagnosis? You need to find the cause of the dry mouth. Meanwhile, keep hydrated and use biotene products: toothpaste, Dry mouth Spray. And mouthwash. They are highly recommended and help me. Many autoimmune illnesses have dry mouth as a symptom. I have mixed connective tissue disease . Plaquinil (hydroxychloroquine) has really helped the dry mouth. It's important for you to find out the cause and treat the symptoms. Dry mouth neglected can really screw up your teeth and gums .

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