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Published on: 3/17/2025

What Conditions Lead to Excessive Drooling While Sleeping?

Excessive drooling while sleeping can happen when you swallow less during sleep along with conditions that affect muscle control, such as Parkinson’s disease or other neurological issues.

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Explanation

When you sleep, your body naturally swallows less and the muscles around your mouth relax, which can let saliva build up and sometimes leak out. This alone can make slight drooling normal. However, when drooling becomes excessive, it may be linked to conditions that change how well you can control your mouth muscles. For instance, Parkinson’s disease and other chronic neurological conditions can affect the nerves and muscles that keep saliva in your mouth. These changes mean that even small amounts of saliva might not be swallowed properly during sleep. Additionally, problems with oromotor movements—small muscle activities in the mouth that help control saliva—can also contribute to excessive drooling at night. If your drooling while sleeping is heavy and causing concern, it might be wise to talk with a healthcare provider. They can look into whether an underlying neurological condition may be affecting your sleep and help discuss ways to manage the drooling for a more comfortable night’s rest.

(References)

  • Thie NM, Kato T, Bader G, Montplaisir JY, Lavigne GJ. The significance of saliva during sleep and the relevance of oromotor movements. Sleep Med Rev. 2002 Jun;6(3):213-27. doi: 10.1053/smrv.2001.0183. PMID: 12531122.

  • Kalf JG, Bloem BR, Munneke M. Diurnal and nocturnal drooling in Parkinson's disease. J Neurol. 2012 Jan;259(1):119-23. doi: 10.1007/s00415-011-6138-2. Epub 2011 Jun 23. PMID: 21698387; PMCID: PMC3251785.

  • Morgante F, Bavikatte G, Anwar F, Mohamed B. The burden of sialorrhoea in chronic neurological conditions: current treatment options and the role of incobotulinumtoxinA (Xeomin®). Ther Adv Neurol Disord. 2019 Nov 28;12:1756286419888601. doi: 10.1177/1756286419888601. PMID: 31819763; PMCID: PMC6883364.

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