Excessive saliva, also known as ptyalism gravidarum, is a surprising yet common pregnancy symptom that can be both uncomfortable and inconvenient. Here’s a guide to understanding why it happens and how to manage it effectively.
What Causes Excessive Saliva During Pregnancy?
Excessive saliva production during pregnancy can be attributed to:- Hormonal Changes: Hormonal fluctuations, especially an increase in estrogen, can stimulate saliva glands.
- Nausea and Morning Sickness: Women who experience nausea may unconsciously produce more saliva as their body tries to neutralize stomach acid.
- Irritation from Acid Reflux: Pregnancy can increase the likelihood of acid reflux, leading to more saliva production.
- Protective Mechanism: Some researchers suggest extra saliva may help protect the mouth and throat from the effects of stomach acid during vomiting.
When Does It Occur?
- Excessive saliva is most common during the first trimester and may subside as pregnancy progresses.
- For some women, it may persist throughout pregnancy, though this is less common.
How to Manage Excessive Saliva
While there’s no definitive cure, several strategies can help manage this symptom:- Swallow More Frequently:
- Carry water or juice to sip throughout the day.
- This helps wash down saliva and keep your mouth moist.
- Chew Gum or Suck on Hard Candy:
- Sugar-free options are best to avoid added calories and tooth decay.
- Avoid Nausea Triggers:
- Identify foods, smells, or situations that worsen your symptoms and steer clear of them.
- Eat Small, Frequent Meals:
- Large meals can exacerbate nausea and acid reflux, both of which can increase saliva.
- Use Mouth Rinses:
- A mild minty or astringent rinse can help reduce the feeling of excessive saliva.
- Sleep with Your Head Elevated:
- This can minimize reflux, which may reduce saliva production at night.
When to See a Doctor
Though typically harmless, excessive saliva can occasionally signal an underlying condition, especially if accompanied by:- Severe nausea and vomiting (hyperemesis gravidarum).
- Difficulty swallowing.
- Persistent acid reflux.
Consult your healthcare provider if excessive saliva disrupts your daily life or is paired with other concerning symptoms.
Final Thoughts
Excessive saliva during pregnancy can feel overwhelming, but it’s usually a temporary and harmless condition. By using simple management techniques and staying in touch with your doctor, you can navigate this quirky pregnancy symptom with greater ease.
Content Reviewed by Dr V.
Learn MoreDr. Vaheh Shirvanian, a family medicine physician and father. With over 17 years of experience, he specializes in inpatient acute hospital care, outpatient family medicine, urgent care, emergency medicine, and hospice care. Dr. V is passionate about guiding new parents through the challenges and joys of parenthood, offering compassionate and expert support at every step.