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Coping with Physical & Emotional Changes
 
    Chemotherapy Effects
    Radiation Therapy Effects
    Pain
    Managing Care at Home
    Nutrition for Cancer Patients
    Long-term Physical Changes
    Anxiety, Fear, and Depression
    Coping with Cancer in Everyday Life
    Coping with Grief and Loss
    Listen With Your Heart
    Coping Tools and Quizzes
    Stories of Hope
    Feeling Good About Your Appearance
   
   
   
Mouth Dryness

Dry mouth happens when there is not enough saliva in the mouth. It can be caused by breathing through the mouth, or it may be a side effect of medicine, radiation treatment to the head and neck, or dehydration. (See the section on fluids and dehydration.)

What to look for

  • Dried, flaky, whitish saliva in and around the mouth
  • Thick saliva that's more like mucus and that sticks to lips when you open your mouth
  • Trouble swallowing foods or thick liquids
  • Mouth always open to breathe
  • Burning tongue
  • Debris stuck to teeth, tongue, and gums
  • Tongue surface looks ridged or cracked

What the patient can do

  • Rinse your mouth every 2 hours with a salt and soda solution. You can make this solution by adding 1 teaspoon of salt and 1 teaspoon of baking soda to 1 quart of warm water. Shake the solution before each use, then swish it in the mouth and spit. Do not swallow it.
  • Drink liquids with meals to moisten foods and help with swallowing.
  • Try ice chips, sugarless hard candies, and sugarless chewing gum.
  • Add liquids (such as gravy, sauce, milk, and yogurt) to solid foods.
  • Use petroleum jelly, cocoa butter, or a mild lip balm to keep lips moist.
  • Use artificial saliva, which is sold at drugstores.
  • Avoid hot, spicy, or acidic foods.
  • Avoid chewy candies, tough meats, and hard raw fruits or vegetables.
  • Avoid alcohol, including that in store-bought mouthwashes.
  • Avoid tobacco.

What caregivers can do

  • Offer small soft meals with extra sauce or dressings for dipping.
  • Offer ice cream, gelatin desserts, ice chips, and frozen drinks.
  • Help the patient keep track of his fluid intake, and encourage the patient to take in 2 or 3 quarts of liquid each day, if the doctor approves. Ice, ice cream, sherbet, Popsicles, and gelatin count as liquids.

Call the doctor if the patient:

  • Has a dry mouth for more than 3 days
  • Is unable to take medicines or swallow pills
  • Is unable to drink or eat
  • Has dry, cracked lips or mouth sores (See the section on mouth sores.)
  • Has trouble breathing

Go back to Caring for the Patient with Cancer at Home: A Guide for Patients and Families.

Last Medical Review: 04/27/2009
Last Revised: 04/27/2009

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