Waking Up with Dry Mouth: 13 Causes and Prevention Tips

Medically Reviewed By Megan Soliman, MD

A dry mouth happens when there is insufficient saliva to keep it wet. Various medications, conditions, and factors may cause you to wake up with a dry mouth. Symptoms of a dry mouth can include dry lips, bad breath, and difficulties swallowing or speaking. Treatments are available to help ease dry mouth symptoms.

This article discusses the causes of dry mouth and lists the treatments available.

1. Mouth breathing

Woman drinking water on side of bed after waking up
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You may find that you breathe through your mouth if you have an allergy or a blocked nose. 

Breathing with your mouth open can reduce Trusted Source PubMed Central Highly respected database from the National Institutes of Health Go to source the amount of saliva you have. This can cause your mouth to become dry. 

To address your symptoms, your doctor may suggest certain prevention methods. These can include using a steroid nasal spray, nasal decongestant, or antihistamines.

2. Dehydration

Dehydration can happen due to a variety of factors, including: 

  • illness 
  • consuming too much alcohol
  • certain medications
  • diabetes

Symptoms of dehydration can include a dry tongue, mouth, and lips. You may also feel thirsty.  

Drinking fluids more regularly or eating foods containing more liquid can help prevent dehydration. This might include foods such as soup, jello, fruit, or ice cream.

3. Sleep apnea

Sleep apnea happens when Trusted Source Food and Drug Administration (FDA) Governmental authority Go to source breathing stops due to your airway becoming closed or narrowed while you sleep.

Research published in the Journal of Clinical and Experimental Dentistry Trusted Source PubMed Central Highly respected database from the National Institutes of Health Go to source found that people with sleep apnea were more likely to have a dry mouth after sleeping than those without.

The study also showed having a dry mouth upon waking was more common for those with moderate to severe sleep apnea.

Some methods for managing sleep apnea may also improve symptoms of dry mouth on waking. These include:

  • maintaining a healthy weight
  • stopping or limiting alcohol intake
  • stopping smoking
  • using certain devices or medications 

Learn why you should see a specialist for sleep apnea.

4. Medications

Certain medications can cause Trusted Source National Institute of Dental and Craniofacial Research Governmental authority Go to source a dry mouth by affecting the amount of saliva you produce.

Medications that may affect saliva production include: 

Your doctor or dentist may suggest altering your dosage to prevent waking up with a dry mouth. Other options include trying different medication or using a saliva alternative.

5. Oral thrush

Oral thrush can cause Trusted Source Centers for Disease Control and Prevention (CDC) Governmental authority Go to source a dry mouth. Thrush can occur if you:

  • have taken antibiotics 
  • have certain health conditions
  • wear dentures
  • smoke
  • have poor oral hygiene
  • take certain medications, such as inhaled corticosteroids

Your doctor may suggest taking an antifungal medication to treat oral thrush. Depending on the cause, they may then adjust any other medications you are taking.

You can reduce your chances of getting oral thrush by:

  • brushing your teeth, gums, and tongue twice a day
  • removing and cleaning dentures at night 
  • stopping smoking

6. Aging

In older adults, a dry mouth can be Trusted Source National Institute of Dental and Craniofacial Research Governmental authority Go to source due to medications, dehydration, or irritation from wearing dentures.

You can ease symptoms of waking up with a dry mouth due to aging by:

  • taking sips of water throughout the day
  • following a dental hygiene plan
  • rinsing your mouth after taking medications
  • using a humidifier at night 
  • drinking liquid with a meal to help food go down
  • avoiding caffeine 
  • chewing sugar-free gum or sucking on sugar-free candy
  • stopping or limiting alcohol intake

7. Chemotherapy and radiation therapy

A dry mouth can be Trusted Source American Cancer Society Highly respected international organization Go to source a side effect of certain cancer treatments, such as chemotherapy or radiation therapy.

With these treatments, your saliva glands may become damaged and produce less saliva. 

The following are ways to improve a dry mouth upon waking due to chemotherapy or radiation therapy:

  • Foods: Add gravies and sauces to your foods so they are easier to eat. Another option is to eat wetter foods, such as soups, porridge, and stews. You can also chew sugar-free gum or candy.
  • Fluids: Limiting alcohol intake can improve symptoms of a dry mouth on waking. Alternatively, drink milkshakes, smoothies, and more water throughout the day. 

Learn more about reducing dry mouth during cancer therapy.

8. Diabetes

Diabetes can cause Trusted Source Centers for Disease Control and Prevention (CDC) Governmental authority Go to source many problems for oral health. These can include a dry mouth due to reduced saliva production or mouth infections. 

You can help prevent waking up with a dry mouth due to diabetes by:

  • brushing and flossing your teeth twice a day 
  • seeing your dentist regularly
  • drinking fluids throughout the day

Managing your blood sugar levels can help reduce your risk of gum disease and mouth problems.

9. Sjögren’s

Sjögren’s is an autoimmune disease that can affect the whole body. This can include dryness in the mouth, as the immune system may attack the salivary glands. 

You can help ease symptoms of waking up with a dry mouth due to Sjögren’s by: 

  • including wet foods or liquids with meals to make swallowing easier 
  • sipping water during your meal
  • avoiding spicy, salty, or dry foods 
  • avoiding mouthwashes containing alcohol or witch hazel
  • placing coconut oil or olive oil in your mouth and then spitting it out

10. Nerve damage

Nerve damage can happen if you experience an injury, surgical harm, or illness affecting your neck or head.

Your nerves tell the salivary glands to make saliva. If these nerves become damaged, saliva production may stop.

You can ease symptoms of waking up with a dry mouth from nerve damage by:

  • using saliva substitutes 
  • trying dry mouth products such as toothpaste, mouthwashes, and gels
  • maintaining oral health practices
  • sipping water and drinking enough fluids
  • sucking on sugar-free candy

11. Tobacco

Smoking tobacco can cause a dry mouth. The only way to prevent waking up from dry mouth due to smoking is to stop smoking.

To ease your symptoms, try drinking water throughout the day and chewing sugar-free gum.

Read our tips for smoking cessation.

12. Alcohol

Alcoholic drinks such as spirits may cause a reduction in your saliva production. This can lead to waking up with a dry mouth. 

To prevent this, try limiting or avoiding alcohol consumption.

13. Recreational drugs

According to a 2022 review Trusted Source Wiley Peer reviewed journal Go to source , certain recreational drugs can cause a dry mouth along with other oral health effects. These drugs include cocaine, amphetamines, and methamphetamine.

Eating, smoking, or inhaling cannabis can also lead to dry mouth.

General treatment tips

Treatment for waking up with a dry mouth can involve Trusted Source PubMed Central Highly respected database from the National Institutes of Health Go to source addressing the underlying cause or using management techniques.

Management techniques for dry mouth symptoms include:

  • drinking water regularly
  • chewing sugar-free gum
  • sucking on sugar-free candy 
  • limiting or avoiding alcohol and caffeine
  • avoiding spicy, salty, and acidic foods
  • stopping smoking
  • practicing good oral health techniques 
  • using an alcohol-free mouthwash 

Your doctor may also suggest:

  • changing or altering your medication dosage
  • sleeping with your mouth closed
  • treating nasal congestion 
  • artificial saliva in the form of sprays, lozenges, or gels
  • FDA-approved treatments, such as pilocarpine and cevimeline

Summary 

A dry mouth can occur if you are not producing enough saliva. Symptoms of a dry mouth can include bad breath, difficulty swallowing, and dry lips. 

Contact your doctor if you have a dry mouth. They can rule out any underlying causes and suggest ways to treat and manage your symptoms.

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Medical Reviewer: Megan Soliman, MD
Last Review Date: 2023 Feb 27
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