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Published on: 3/17/2025

What Are the Common Causes of Excessive Saliva Production?

Excess saliva production (sialorrhea) can be caused by normal body responses, medications, or medical conditions that affect how your mouth and throat work.

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Explanation

Your body naturally makes saliva to help you chew, swallow, and keep your mouth healthy, and sometimes it produces extra saliva in response to certain triggers. For example, you might produce more saliva when you see or smell food, which is a normal reaction. However, medications can also lead to more saliva by stimulating the salivary glands. In some cases, medical conditions that affect the nerves or muscles in your mouth and throat—such as certain neurological diseases or oropharyngeal and esophageal disorders—can slow down your swallowing, causing saliva to build up. The studies on salivation explain that changes in your body from illness or side effects of drugs, can lead to what we call sialorrhea, or excessive drooling. Additionally, issues with the glands themselves, like inflammation or infection, might change how much saliva is produced. If you notice this is a new or worsening problem, it could be helpful to speak with a healthcare provider so they can check for any underlying issues and offer ways to manage the extra saliva.

(References)

  • Alhajj M, Babos M. Physiology, Salivation. [Updated 2023 Jul 24]. In: StatPearls [Internet].

  • Boyce HW, Bakheet MR. Sialorrhea: a review of a vexing, often unrecognized sign of oropharyngeal and esophageal disease. J Clin Gastroenterol. 2005 Feb;39(2):89-97. PMID: 15681902.

  • Iorgulescu G. Saliva between normal and pathological. Important factors in determining systemic and oral health. J Med Life. 2009 Jul-Sep;2(3):303-7. PMID: 20112475; PMCID: PMC5052503.

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