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Why Do I Drool in My Sleep?

Published in Sleep Drooling Causes 4 mins read

Drooling in your sleep happens because your body, including your mouth's muscles, relaxes, and saliva builds up.

Understanding Sleep Drooling

What Causes Drooling During Sleep?

Drooling, also known as sialorrhea or hypersalivation, often occurs during sleep due to a combination of factors related to our body's state of relaxation and physiological processes. Here's a breakdown of the primary causes:

  • Muscle Relaxation:
    • When we sleep, especially during deep sleep stages like REM (Rapid Eye Movement), our muscles enter a state of profound relaxation.
    • This includes the muscles in the face and those involved in swallowing.
    • The muscles in the face and the swallowing reflex are always in a relaxed state, so the amount of saliva in the mouth is accumulated quite a lot.
  • Saliva Accumulation:
    • Even though saliva production decreases during sleep, it doesn't stop entirely.
    • If saliva is stored to a certain limit, the facial muscles will relax and become uncontrollable, leading to drooling.

Factors Influencing Drooling

Several factors can influence the likelihood and intensity of drooling during sleep:

  1. Sleep Position:
    • Sleeping on your side or stomach can increase the chances of drooling, as gravity pulls saliva towards the opening of the mouth.
  2. Nasal Congestion:
    • Conditions like allergies, colds, or sinus infections can block nasal passages, forcing you to breathe through your mouth.
    • This can lead to increased saliva buildup and drooling.
  3. Dental Issues:
    • Misaligned teeth or other dental problems can sometimes contribute to drooling by affecting how well the mouth can contain saliva.
  4. Medications:
    • Certain medications can increase saliva production as a side effect, potentially leading to more drooling during sleep.
  5. Neurological Conditions:
    • In some cases, excessive drooling can be a symptom of an underlying neurological condition that affects muscle control or saliva production.

Practical Insights and Solutions

Aspect Description Solutions
Sleep Position Sleeping on your back may help, as gravity keeps saliva flowing towards the throat rather than out the mouth. Try using pillows to prop yourself up or maintain a back-sleeping position.
Nasal Congestion Addressing the cause of congestion (e.g., allergies, colds) can reduce mouth breathing and, consequently, drooling. Use nasal decongestants or allergy medications as needed. A humidifier can also help keep nasal passages moist.
Hydration Staying well-hydrated can surprisingly reduce drooling by ensuring saliva is less thick and flows more easily. Drink plenty of water throughout the day.
Dental Consultation If you suspect dental issues are contributing to your drooling, it may be worth consulting a dentist. Regular dental check-ups can help identify and address any problems that might be contributing to drooling.
Medical Advice In cases where drooling is persistent or severe, it's a good idea to seek medical advice to rule out any underlying health issues. Consult with a healthcare professional to discuss your concerns and explore potential treatments or management strategies.
Sleep Hygiene Maintaining good sleep hygiene can improve overall sleep quality, potentially reducing factors that contribute to drooling. Establish a regular sleep schedule, create a relaxing bedtime routine, and ensure your sleeping environment is conducive to restful sleep.
Saliva Management While awake, being mindful of swallowing regularly can help manage saliva buildup, which might carry over into your sleep habits. Practice consciously swallowing throughout the day to train your muscles and reduce the likelihood of nighttime drooling.
Specialized Devices In some cases, devices like mandibular advancement devices (used for sleep apnea) might also help reduce drooling by improving airflow and reducing mouth breathing. Discuss with your doctor or dentist whether such devices might be suitable for you.
Medication Review If you're taking medications that might be increasing saliva production, discussing this with your doctor could lead to finding alternatives with fewer side effects. Consult with your healthcare provider to review your medications and explore potential alternatives that might reduce saliva production as a side effect.
Allergy Management If allergies are contributing to nasal congestion and mouth breathing, managing them effectively can reduce drooling. Identify and avoid allergens, use air purifiers, and consider allergy shots or other long-term treatments if necessary.