Spit Drooling
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Spit Drooling
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Drooling is characterized by saliva flowing out of your mouth unintentionally. This could be happening because you have excess saliva, or it could be due to underdeveloped muscles around your mouth. Sometimes, drooling is caused by neurological disorders or other health conditions. Treatments include medication, motor therapy and surgery.
Alhajj M, Babos M. Physiology, Salivation. (https://www.ncbi.nlm.nih.gov/books/NBK542251/) [Updated 2021 Jul 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Accessed 2/4/2022.
Federico JR, Basehore BM, Zito PM. Angular Chelitis. (https://www.ncbi.nlm.nih.gov/books/NBK536929/) [Updated 2021 May 3]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Accessed 2/4/2022.
Slade A, Stanic S. Managing excessive saliva with salivary gland irradiation in patients with amyotrophic lateral sclerosis. (https://www.jns-journal.com/article/S0022-510X(15%2900075-1/pdf) Journal of the Neurological Sciences . 2015: 34-36. Accessed 2/4/2022.
Sleep Foundation. Drooling In Your Sleep: What Causes It and How to Stop. (https://www.sleepfoundation.org/sleep-faqs/drooling-in-your-sleep) Accessed 2/4/2022.
U.S. National Library of Medicine. Drooling. (https://medlineplus.gov/ency/article/003048.htm) Accessed 2/4/2022.
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By definition, drooling occurs when excess saliva flows out of your mouth involuntarily. Medically, drooling may be called ptyalism or sialorrhea. Drooling is normal during the first two years of life because babies still haven’t developed full control of the muscles around their mouths. It’s also common for people to drool during sleep. Sometimes, drooling is a symptom of medical or neurological conditions, such as cerebral palsy and Parkinson’s disease .
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Drooling can be caused by a number of factors. Anything that results in difficulty swallowing , issues with muscle control or too much saliva production can cause excessive drooling.
Certain foods and beverages can lead to excessive saliva production. This includes foods with high acid content like citrus fruit. High saliva production has also been linked to sugary foods.
Drooling is normal in newborns and babies up to two years old. Excess saliva production typically peaks around three to six months of age, and symptoms may worsen during teething.
Some neurological conditions may cause drooling, including:
In some instances, infections can lead to drooling. This includes:
Other health conditions that can cause drooling include:
Sometimes, your sleeping position is to blame. If you sleep on your back, gravity keeps saliva in your mouth. On the other hand, if you sleep on your side or stomach, you’re much more likely to drool.
If you’ve always been a stomach or side sleeper and have only recently begun drooling, it could be due to a medical condition, such as allergies, infections or acid reflux.
Treatment for drooling isn’t always needed. But if drooling is severe, your healthcare provider will recommend treatment options on a case-by-case basis. These treatments may include:
Young children who are drooling while teething may benefit from chewing on popsicles or other cold objects. People with chronic drooling can try limiting acidic or sugary foods, as these can increase saliva production.
Severe or chronic drooling can lead to health problems. For example, excessive drooling can cause angular cheilitis — a skin condition characterized by painful, cracked sores at the corners of your mouth. In some cases, excess saliva can even be aspirated into your lungs, causing pneumonia . So, it’s important to see your healthcare provider at the first sign of problems.
Drooling is a normal aspect of development. But, if you notice excessive or sudden drooling, it could be a cause for concern. Keep in mind that several medical conditions are linked to drooling, so schedule an appointment with your healthcare provider if you notice any warning signs.
Drooling is a normal part of childhood development, and it doesn’t always require treatment. But, if excess saliva starts interfering with your social life or quality of life, then you deserve to explore treatment options. Your healthcare provider can determine the cause of your condition and recommend appropriate treatment.
Last reviewed by a Cleveland Clinic medical professional on 02/04/2022.
Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services.
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Anxiety can play a role in excess saliva.
There are at least 3 possible relationships between anxiety and saliva production.
Excess saliva and drooling can be an uncomfortable symptom that creates more anxiety.
It may still be helpful to see a doctor if there is a concern.
Distracting oneself can reduce the symptoms, but anxiety reduction is important.
by
Faiq Shaikh, M.D. and
Micah Abraham, BSc
Anxiety has dozens of symptoms. But what is perhaps most interesting about anxiety is that sometimes those anxiety symptoms have their own symptoms - issues that are caused by the symptoms of your anxiety.
That's what we see with anxiety and drooling, along with general excessive saliva production. Anxiety doesn't generally cause severe drooling, but it can lead to increased amounts of saliva that is caused not directly from anxiety, but from a separate symptom of anxiety.
Anxiety doesn't generally cause saliva to pour of your mouth. That's because your swallow reflex works, so often you'll swallow the saliva before it comes out of your mouth. Most people that drool do so because they can't swallow it and it builds up. If you truly cannot swallow and drool is pouring out your mouth, see a doctor.
There's never any harm in seeing a doctor, even though drooling itself is rarely dangerous. But anxiety can cause issues that may lead to the feeling of needing to drool, with excessive saliva that on some occasion may pour out of your mouth. These reasons include:
Remember that anxiety activates the fight or flight system in the body, and that means that some of the functions in your body are activated, while others shut down. So it's possible that your salivary glands are activated, or that some part of your body that controls salivation is shut down.
Some people that have anxiety also don't have a drooling problem at all. But what they may have is greater consciousness over their natural drooling that occurred anyway. People drool when they sleep or doze off all the time, but if you have anxiety you may be more prone to embarrassment, which makes you think about your drooling and more aware of it.
Controlling your salivation is about first making sure you don't have a problem, like GERD, that may contribute to it. So make sure you see a doctor first if you're concerned.
Then the key to overcoming salivation is about distractions. Remember, it's generally a symptom of focusing too much on your saliva. So if you can distract your mind (which is admittedly hard) your salivation should decrease. That's why it's so important for you to find activities that are successfully distracting to your mind. Try talking on the phone, since talking on the phone is very difficult to do while still thinking about your saliva.
Drooling can be the result of acid reflux fueled by anxiety, or it can be related to the hyperawareness that anxiety creates. Knowing the cause can be useful, but addressing anxiety is typically the best way to prevent future issues with excess salivation.
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Fact Checked by Denise Griswold, MSc, LCAS
Updated on September 3, 2022.
Written by Micah Abraham, BSc
Updated on October 10, 2020.
Fact Checked by Daniel Sher, MA, Clin Psychology
Updated on October 10, 2020.
Fact Checked by Faiq Shaikh, M.D.
Updated on October 10, 2020.
Written by Micah Abraham, BSc
Updated on October 10, 2020.
Written by Micah Abraham, BSc
Updated on October 10, 2020.
Fact Checked by Jenna Jarrold, MS, LAC, NCC
Updated on October 10, 2020.
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