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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 35712
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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I have had a dry mouth since may. six weeks ago i developed

Customer Question

i have had a dry mouth since may. six weeks ago i developed white waliva. sojoerns etc have all been ruled out. my internist is exasperated- when my dentist manipulated my salivary galands he saw the milky substance but had no anwwer. i should add that my lower teeth were extracted in december and i cannot get a denture to fit. my mouth is so dry it is impossible to be without ice or water in my mouth. i am not dehydrated i believe. some drs are saying yes and some are saying no. where do i go next
Submitted: 7 years ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 7 years ago.


Dry mouth is termed xerostomia. The causes can be;

1) high body temperature due to hormonal disorder like hyperthyroidism,

2) dehydration or inadequate drinking of fluids ,

3) anticholinergic drugs,

4) Mikulicz disease (leukemia infiltrates in salivary glands),

5) Sjögren syndrome; when salivary gland are affected by autoimmune disease (ruled out in your case),

6) history of radiation which can destroy the salivary gland (just to name the possibility, may not be relevant in your case)

7) antidepressants and other drugs

8) Low thyroid levels

Following measures can be helpful;

1) Eating easily ingested foods: Moisture in mashed potatoes makes them easier to eat than potato chips, which are drier. Corn from the cob contains more moisture than dry popcorn. Crackers and biscuits, may be avoided as they are too dry to eat

2) Adopting strict oral hygiene regimens, including flossing, careful and thorough brushing, and the use of a periodontal cleansing aid. Frequent dental appointments for topical fluoride applications and pit and fissure sealants.

3) To stimulate flow using sugarless chewing gum or candy.

4) Oral pilocarpine is also effective in increasing salivary flow.

5) Overall body hydration through ingestion of adequate water every day is very helpful measure.

6) Saliva substitutes (can get without prescription, as they are water-based, they help).

7) Avoid habits, such as smoking, mouth-breathing and intake of caffeine-containing beverages (if you do).

8) Avoid medications like chlorpheniramine, doxylamine, dexbrompheniramine, triprolidine, brompheniramine, diphenhydramine, pyrilamine and phenindamine.

Please feel free for your follow up questions.

Dr. Arun

Customer: replied 7 years ago.

could klonopin be a cause although i have been on it for 10 years. what is pilocarpine

Expert:  Dr. Arun Phophalia replied 7 years ago.


Pilocarpine (prescription item) is a medication used for dry mouth due to various conditions. Please read this resource (indication section);

Dry mouth is a known side effect of the Klonopin. The side effect of the medications can occur anytime and may not be present initially. Please see the side effect section of the resource;

It is pleasure and privilege assisting you.

Dr. Arun