Both difficulty swallowing (dysphagia) and dry mouth are real and recognized challenges that can come with lupus — so you're definitely not alone in this. A MyLupusTeam member once shared, "When I take a sip of water, juice, etc., sometimes, my body won't let me swallow." It's worth letting your rheumatologist know about Show Full Answer
Both difficulty swallowing (dysphagia) and dry mouth are real and recognized challenges that can come with lupus — so you're definitely not alone in this. A MyLupusTeam member once shared, "When I take a sip of water, juice, etc., sometimes, my body won't let me swallow." It's worth letting your rheumatologist know about both symptoms so they can help identify the underlying cause. For dry mouth, here are some things that may help:
- Sip water frequently throughout the day
- Suck on sugar-free candy or chew sugarless gum to stimulate saliva
- Use over-the-counter artificial saliva products (sprays, gels, or mouthwash)
- Avoid caffeine, alcohol, carbonated drinks, and spicy or salty foods
- Ask your doctor about prescription medications like pilocarpine (Salagen) if symptoms are severe
- Use a humidifier at home to keep the air moist For swallowing difficulties, these strategies can make a real difference:
- Cut food into small pieces and chew slowly and thoroughly
- Eat smaller, more frequent meals rather than large ones
- Try softening foods to make chewing easier
- Add thickening powder to liquids if they're hard to swallow
- Stay upright after eating to help with reflux, which can worsen swallowing issues
- Ask for a referral to a speech-language pathologist (SLP), who can guide you through exercises to strengthen the muscles used for swallowing It's also worth reviewing your current lupus medications with your doctor. Some medications, like NSAIDs and corticosteroids, can contribute to both issues. Never stop or change medications on your own — always check with your rheumatologist first.
September 19