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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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