What is the cause of xerostomia (dryness of mouth)?

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Differential Diagnosis for Dryness of Mouth

  • Single Most Likely Diagnosis
    • Dehydration: This is often the most common cause of dry mouth, resulting from inadequate fluid intake or excessive fluid loss.
  • Other Likely Diagnoses
    • Medication side effects (e.g., anticholinergics, antidepressants, antihistamines): Many medications can cause dry mouth as a side effect.
    • Sjögren's syndrome: An autoimmune disorder that can cause inflammation and damage to the salivary glands, leading to dry mouth.
    • Aging: Older adults may experience a decrease in salivary gland function, leading to dry mouth.
    • Anxiety or stress: Can cause decreased saliva production, leading to dry mouth.
  • Do Not Miss Diagnoses
    • Sarcoidosis: A rare autoimmune disorder that can cause inflammation and damage to the salivary glands, leading to dry mouth.
    • HIV/AIDS: Can cause dry mouth due to medication side effects, opportunistic infections, or direct involvement of the salivary glands.
    • Diabetes: Uncontrolled diabetes can cause dry mouth due to high blood sugar levels and dehydration.
  • Rare Diagnoses
    • Amyloidosis: A rare condition characterized by the deposition of abnormal proteins in various tissues, including the salivary glands, leading to dry mouth.
    • Graft-versus-host disease: A complication of bone marrow transplantation that can cause dry mouth due to inflammation and damage to the salivary glands.
    • Ectodermal dysplasias: A group of rare genetic disorders that can affect the development of the salivary glands, leading to dry mouth.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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