
Drooling is a common occurrence when sleeping, often caused by relaxed swallowing reflexes. While it is perfectly normal, excessive drooling may indicate an underlying medical condition. If you are concerned about drooling in your sleep, there are several solutions you can try. Sleeping on your back can help, as gravity will prevent saliva from escaping your mouth. If you are a side or stomach sleeper, you can try using a fluffy pillow to prop up your head. Additionally, you can try sucking on a lemon wedge or using a mandibular device to reduce drooling. If you suspect an underlying condition, consult a healthcare professional for advice.
How to sleep without salivating
| Characteristics | Values |
|---|---|
| Sleep position | Sleeping on the back can prevent drooling as gravity will prevent saliva from escaping the mouth |
| Allergies | Treating allergies can help manage drooling |
| Mouth tape | Using mouth tape can help to keep the mouth closed during sleep |
| Wedge pillow | Using a wedge pillow can help a person to stay in one position all night |
| Mandibular device | A mandibular device is an oral appliance that can help to cut down on drooling |
| Medication | Anticholinergic medications such as glycopyrrolate and trihexyphenidyl can be used to manage excessive salivation |
| Botox injections | Botulinum toxin injections can be used to treat drooling by paralysing the muscles in the salivary glands |
| Surgery | In some cases, doctors may recommend removing the salivary glands |
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What You'll Learn

Sleep on your back
Sleeping on your back is one of the easiest ways to prevent drooling. When you sleep on your back, gravity helps to keep any excess saliva in your mouth or throat, rather than it escaping from the sides of your mouth.
If you sleep on your side or front, you are more likely to drool. This is because gravity pulls the saliva down towards your pillow, and it is also more likely to slip out of your mouth when you breathe. Sleeping on your side or front can also make it harder to swallow, which can lead to saliva building up in your mouth.
If you are a side or stomach sleeper, you can try propping your head up with a fluffy pillow or switching to sleeping on your back to reduce drooling. Sleeping on your back can feel uncomfortable if you are not used to it, but it can be an effective way to prevent drooling.
Sleeping on your back can also help with other issues that may cause drooling, such as sinus problems. If you have blocked airways due to a deviated septum, allergies, or an infection, you are more likely to breathe through your mouth, which can lead to drooling. Sleeping on your back may help to open up your airways and reduce the need to breathe through your mouth.
If you suspect that your drooling is due to an underlying medical condition, it is important to seek treatment from a healthcare professional.
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Treat allergies and sinus issues
If you are drooling in your sleep, it could be due to allergies and sinus issues. Sinusitis, an inflammation of the sinuses, can cause a stuffy or runny nose, and sometimes a fever. It is usually caused by the common cold, but other viruses, bacteria, fungi, and allergies can also be the culprits. People with weak immune systems, asthma, structural blockages in the nose or sinuses, or allergies are at greater risk of developing sinusitis.
If you have allergies, your doctor might recommend prescription steroid nasal sprays and antihistamines. You can also try over-the-counter decongestant nasal sprays, such as naphazoline (Privine), oxymetazoline (Afrin, Dristan, Nostrilla, Vicks Sinus Nasal Spray), or phenylephrine (Neo-Synephrine, Rhinall, Sinex). However, do not use decongestant nasal sprays for more than three days, as it could worsen your congestion. Decongestant pills, such as pseudoephedrine (Sudafed), should not be used for more than a week without consulting a doctor.
To treat allergies and sinus issues, you can try rinsing your nose with saline (saltwater) as directed by your healthcare provider. This can help to keep your nasal passages and sinuses moist, which is important when you are stuffed up. Allergy shots and avoiding known allergy triggers, such as dust, pollen, or smoke, are other effective ways to manage allergies.
Acupressure, acupuncture, or facial massages may also help reduce sinusitis symptoms, including draining, pressure, and pain. If your sinus infection lasts longer than eight weeks, or if standard antibiotic treatment is not working, your doctor may recommend a sinus CT scan or a mucus culture to determine the cause of the infection and prescribe more effective treatment.
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Try a mandibular device
Excessive drooling during sleep, or sialorrhea, can be caused by a variety of factors, including sleep position, allergies, sinus infections, and neurological conditions. While occasional drooling is common, excessive and frequent drooling may indicate an underlying medical or sleep-related condition. If you are concerned about drooling while sleeping, it is important to consult a healthcare professional for advice and evaluation.
One potential solution to reduce drooling while sleeping is to try a mandibular advancement device (MAD). MADs are oral appliances or mouthpieces that are designed to treat sleep-related breathing disorders such as obstructive sleep apnea (OSA). By pulling the lower jaw forward, MADs help to open the airway and improve breathing during sleep. This can also help to reduce snoring and improve sleep quality for both the user and their bed partners.
MADs are typically recommended for individuals who cannot use a CPAP (continuous positive airway pressure) machine, which is another common treatment for sleep apnea. While MADs are less effective than CPAP machines at improving breathing pauses and increasing blood oxygen levels, they can be more comfortable and suitable for long-term use. Additionally, MADs have been found to be similarly effective to CPAP in improving daytime sleepiness, reducing snoring, and lowering blood pressure.
When considering a MAD, it is important to consult a dentist or healthcare provider to ensure proper fitting and comfort. Customized MADs that are fitted by a dentist tend to be more comfortable, effective, and better fitting than premade or over-the-counter options. During the fitting process, the dentist will take digital scans or impressions of your teeth to ensure the MAD is tailored to your mouth. It may take some time to adjust to sleeping with a MAD, so it is recommended to start by wearing it for a few hours at a time and gradually increasing the duration.
Overall, a mandibular advancement device can be a useful solution to reduce drooling while sleeping, particularly for individuals who suffer from sleep apnea or snoring. By improving breathing and reducing snoring, MADs can help improve sleep quality and reduce the negative impacts of sleep-related conditions. However, it is always advisable to seek professional advice before starting any new treatment or using any oral appliance.
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Botox injections
While it is possible to sleep right after getting Botox injections, it is recommended that you stay upright for at least 1.5 to 4 hours to ensure the injections absorb where they were placed. This is to prevent the Botox from spreading to unwanted areas and causing side effects.
The effects of the injections typically last between three and six months, and during this time, they reduce the activity of the salivary glands, decreasing the amount of saliva produced. This, in turn, helps to reduce drooling.
After receiving Botox injections, it is recommended to follow certain aftercare guidelines, such as avoiding vigorous exercise or facial strain for the first 24 hours, being gentle when washing your face, and limiting exposure to excessive heat for a few days. While sleeping on your back is generally recommended, it is crucial to avoid pressure on the treated areas to prevent bruising and potential neurotoxin migration.
In summary, while you can sleep soon after receiving Botox injections, it is advisable to follow the specific post-treatment instructions provided by your healthcare provider and remain upright for a few hours to ensure optimal results.
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Consult a doctor
While drooling during sleep is normal and does not always require treatment, it is recommended that you consult a doctor if you believe you are drooling excessively or continuously. Drooling can be a symptom of an underlying medical condition, and it is important to seek treatment if this is the case. Depending on the severity of the condition, drooling can have negative medical and psychosocial effects if left untreated.
If you are taking prescription medications and believe that they may be causing you to drool, speak with your doctor about your concerns. They may be able to recommend an alternative medication that does not have this side effect. Excessive salivation and drooling are known side effects of certain medications, including some antibiotics, antipsychotic drugs, and medications used to treat Alzheimer's.
If you suspect that your drooling is caused by a sleep condition, such as sleep apnea, it is important to seek treatment. Obstructive sleep apnea (OSA) is a serious sleep-related breathing disorder that can cause you to temporarily stop breathing while you sleep. People with OSA are more likely to breathe through their mouths, which can lead to increased drooling. The most recommended treatment for sleep apnea is a continuous positive airway pressure (CPAP) machine, which helps to ensure that you are breathing properly at night.
In some cases, drooling can be a symptom of a neurological condition. Various neurological disorders can affect the nerves and muscles involved in swallowing, making it harder to prevent drooling. Conditions such as cerebral palsy, multiple sclerosis (MS), Parkinson's disease, and Bell's palsy can lead to drooling, even when awake. Depending on the cause of drooling, a doctor may recommend speech therapy to improve jaw stability and tongue strength and mobility, or mandibular devices to be worn in the mouth while sleeping. In severe cases, surgery may be recommended to reduce drooling, including the removal or alteration of the salivary glands or the reduction of nerve connections to the glands.
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Frequently asked questions
Sleeping on your back can help to minimise drooling, as gravity will prevent saliva from escaping your mouth. You can also try using mouth tape to keep your mouth closed while you sleep.
Sucking on a lemon wedge or hard candy can help to reduce drooling, as citrus is believed to thin out saliva. You can also try a mandibular device, which is an oral appliance that can help you sleep more comfortably and reduce drooling.
Drooling while sleeping is common and usually nothing to worry about. However, if you are drooling excessively or continuously, it could be a sign of an underlying medical condition such as a sleep disorder or neurological issue. In this case, you should consult a healthcare professional.




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