OpenHealth Q&A

Get answered by medical professionals

Experiencing Dry Mouth Despite Staying Hydrated

9/14/2025, 10:01:02 PMMale25-34

In the last week, I’ve been grappling with an intensely dry mouth. It has become severe enough that swallowing feels difficult, my tongue is sore from constant contact with my teeth, and my lips have become chapped and irritated. Additionally, I’ve noticed dry and flaky skin on my legs, and it has previously appeared on my arms as well. Interestingly, I haven't felt any thirstier than normal, yet I’ve been drinking a substantial amount of fluids. For instance, during a recent 12-hour shift, I managed to drink around 4 liters of water, but the symptoms persisted. I also ensure that I’m getting enough electrolytes. There may be a connection, but I’ve experienced instances of vomiting and intense nausea throughout this time. Although I haven't vomited excessively enough to lead to dehydration—only about four times in the past week—I wonder if it might relate to the ongoing gastrointestinal issues I'm having, which are currently being investigated. Thus, it may just be an unfortunate coincidence. I’m a 21-year-old female, standing at 160 cm and weighing 80 kg. The only medication I'm currently taking is esomeprazole, and I have a nexplanon implant, both of which have not changed in over a year. I do not use drugs or consume alcohol. My medical history includes temporomandibular disorder, Tourette syndrome, hypermobile Ehlers-Danlos syndrome, polycystic ovary syndrome, and bipolar disorder type 1. This situation has become increasingly challenging for me to manage, and I’m unsure if it warrants a visit to a healthcare professional. Additionally, I can eliminate diabetes as a potential cause, as that has been a common suggestion from others around me.

RheumatologyHeadacheAbdominal Pain

Answers (1)

Cony

9/14/2025, 10:01:39 PM

OpenHealth AI

You’re dealing with a challenging situation involving persistent dry mouth, chapped lips, and skin dryness, which may be linked to your nausea and gastrointestinal concerns. While staying well-hydrated is excellent, the dryness and discomfort you’re experiencing can be quite troublesome. Let's focus on understanding potential causes and steps to help alleviate your symptoms.

Explanation

Dry mouth, also known as xerostomia, can arise from various factors, including dehydration, certain medications, or underlying health conditions. Given that you have gastrointestinal symptoms (nausea and vomiting) that might contribute to your dry mouth, it’s critical to consider how they may be interconnected, even if you're drinking plenty of fluids.

Your use of esomeprazole, a medication for acid reflux, can sometimes contribute to dry mouth as a side effect. Additionally, some conditions, like Ehlers-Danlos syndrome, can also lead to dry mucous membranes.

Next Steps

  1. Increase Humidity: Use a humidifier in your room, especially at night, to help keep the air moist and alleviate dry mouth symptoms.

  2. Mouth Care:

    • Try sugar-free gum or lozenges to stimulate saliva production.
    • Use a saliva substitute or mouthwash labeled for dry mouth, which can provide temporary relief.
    • Maintain good oral hygiene to prevent complications from dry mouth, such as cavities or infections.
  3. Dietary Adjustments:

    • Avoid spicy or acidic foods and caffeine, as they may worsen dryness.
    • Consider adopting a diet rich in soft foods to make swallowing easier.
  4. Monitor Symptoms: Keep a record of your dry mouth symptoms, alongside your gastrointestinal symptoms, to note any patterns or triggers. This information can be useful if you need to consult with a healthcare professional later.

  5. Hydration Strategy:

    • Despite drinking plenty of water, consider including electrolyte-rich drinks, especially if you’re experiencing nausea and vomiting, as they can help balance hydration levels.
  6. Consultation: If your symptoms persist or worsen, particularly your gastrointestinal issues or if you develop any new symptoms (such as severe pain, fever, or swelling), consider scheduling an appointment with a healthcare professional to explore underlying causes more deeply.

Your symptoms are understandably distressing, and taking proactive steps can help manage them. Please feel free to follow up with any updates or additional concerns!

Related Questions

Struggling with Severe Tonsillitis: Amoxicillin Ineffective

I'm a 22-year-old male, standing 5'7" and weighing about 132 pounds. I'm of Asian descent, don't smoke, and drink occasionally. Currently, I'm studying abroad in Italy, which makes it challenging to consult my regular physician. Unfortunately, I seem to have developed a severe case of tonsillitis. One of my tonsils is so swollen that it’s protruding into my throat, causing excruciating pain that radiates to my neck and ear. This ordeal has been quite unbearable. I visited a walk-in clinic where I was given a prescription for 1 gram of amoxicillin, along with prednisone to reduce the inflammation and a few other over-the-counter remedies. Now, two days into the amoxicillin treatment and having taken five pills, I’m noticing only a slight improvement. The prednisone, while it initially alleviates some discomfort, tends to lose its pain-relieving effects after about eight hours, leading to a resurgence of pain as the inflammation resumes its intensity. I’m left wondering if my situation is particularly severe, which might explain the delayed response to treatment. Should I feel alarmed about the slow progress? When would it be advisable to revisit a healthcare professional? I had anticipated quicker results due to the potency of the medication, but that has not been the case at all.

Neck PainAbdominal PainChronic Pain
Male25-34
24 minutes ago

Understanding Chest Pain: My Experience

I'm a 33-year-old male, standing at 6'3" and weighing 215 pounds. For approximately six months, I've been grappling with discomfort on the left side of my chest. After consulting my primary care physician and visiting the emergency room, I underwent the usual tests including bloodwork and an EKG. The consensus from the medical professionals was that my symptoms are likely linked to anxiety. Despite this diagnosis, the discomfort hasn't subsided. In the last fortnight, I've begun to notice additional symptoms such as tingling sensations and pain radiating through my arms, hands, and feet. I have an appointment with a cardiologist scheduled for tomorrow, but I can't shake off the feeling of fear. We have recently moved to a new home, which was certainly a source of stress. However, now that we are relatively settled, I feel more at ease. Physically, I can engage in activities like pickleball and hiking for hours without issue, leaving me puzzled about the underlying cause of my symptoms. Any insights or advice would be greatly appreciated.

Chest PainNeck PainAbdominal Pain
Male25-34
1 hour ago

Questioning a Painful Bump: Is It Just Acne or Something Else?

I've been experiencing quite a bit of discomfort while sitting due to a bump on my backside. I'm wondering if this could merely be a typical pimple or if it might indicate a more serious issue. Any insights would be appreciated. Thank you!

Pain ManagementAbdominal PainChronic Pain
Male25-34
3 hours ago

Concerns About Generalized Discomfort Following Cyst Removal - Possible Suture Reaction?

A 41-year-old female, measuring 5 feet 3 inches and weighing around 260 pounds, has a history of gastroesophageal reflux disease (GERD), depression, and perimenopausal symptoms. She is currently taking estradiol, progesterone, Zoloft, and Prevacid. Nearly fourteen days ago, her partner underwent the excision of a cyst located in her back, approximately the size of a ping pong ball, along with a smaller cyst on her neck. Immediately following the injection of a local anesthetic, she unexpectedly fainted, a reaction that is unusual for her and had never happened before. The procedure itself appeared to progress smoothly, without complications. Since that time, however, she has been experiencing significant discomfort characterized by widespread aches, especially in her hips and lower back. She reports that the pain radiates from her hips down to her knees, causing considerable distress. In addition to this, she is suffering from profound fatigue and an overarching sense of unwellness. Notably, the area surrounding her incision on her back has several noticeable bumps. Could her symptoms indicate an allergy to the suture material used during the surgery, potentially explaining her current condition? If this is not the case, are there other aspects she should investigate? Her worsening situation is a growing source of concern for me, as she continues to feel unwell.

NeurologyJoint PainAbdominal Pain
Male25-34
3 hours ago

What Are Safe Alternatives for Hangover Pain Relief If I'm Allergic to NSAIDs?

As mentioned in the title, I have an allergy to NSAIDs, which means I can't use medications like aspirin or ibuprofen. I often rely on acetaminophen when I experience headaches. However, I am aware that it's not advisable to combine this with alcohol. Therefore, I'm seeking alternative pain relief options that would be safe and effective for me in the context of a hangover. Thank you for your help! Background Information: - Age: 29 - Gender: Female - Nationality: Brazilian - Height: 1.70m - Weight: 70kg - Current medications: None other than those mentioned above.

Pain ManagementHeadacheChronic Pain
Male25-34
5 hours ago