What causes a bitter and dry mouth?

Jan 23, 2025 Source: Cainiu Health
Disease description:

During this period, I have been experiencing persistent dryness and bitterness in the mouth, especially upon waking up in the morning. Drinking water does not seem to help much. I would like to ask what could be causing this dryness and bitterness in the mouth?

Doctor's answer (1)
Dr. Zhang Xiuhong

Bitter taste and dry mouth can be caused by various factors.

1. Gastrointestinal diseases: Conditions such as gastritis, cholecystitis, or gallstones may cause bile reflux into the esophagus, leading to a bitter taste in the mouth.

2. Oral problems: Poor oral hygiene, periodontal disease, and dental caries can also result in a bitter and dry mouth.

3. Medication side effects: Certain medications such as antidepressants, antihypertensives, and antihistamines may cause dry mouth as a side effect.

4. Endocrine disorders: Endocrine diseases such as diabetes and thyroid dysfunction can cause dry mouth.

5. Neurological diseases: Conditions such as Parkinson's disease or sequelae of cerebrovascular accidents may affect salivary gland secretion, leading to dry mouth.

6. Autoimmune diseases: For example, Sjögren's syndrome, one of its main features is severe dry mouth and dry eyes.

7. Psychological factors: Emotional states such as anxiety and depression may also manifest as symptoms of dry and bitter mouth.

8. Dehydration: Prolonged lack of water intake or excessive sweating can lead to body dehydration, causing dry mouth.

If symptoms persist or worsen, timely medical consultation is recommended.