Why Do Babies Have a Lot of Saliva?

Babies often produce a significant amount of saliva. This increased saliva production is a normal part of infant development, typically becoming noticeable around 2 to 3 months of age and continuing through the first two years of life. This process indicates various developmental milestones.

Understanding Baby Saliva

Saliva has several functions, playing an important role for infants. It begins digestion by containing enzymes like amylase, which helps break down starches, making food easier for a baby’s digestive system to handle. Saliva also lubricates the mouth, aiding in swallowing and keeping oral tissues moist.

Beyond digestion, saliva contributes to oral hygiene by washing away food residues and bacteria from the teeth and gums. It acts as a natural buffer, neutralizing acids produced by oral bacteria, which helps protect against tooth decay and maintain a balanced pH level in the mouth. This fluid also protects the esophageal lining from irritation.

Primary Reasons for Increased Saliva

Several factors contribute to a baby’s increased saliva production. A primary reason is the maturing of their salivary glands, which become more active around 2 to 3 months of age. Though glands form early in embryonic development, their functional capacity increases during infancy.

Babies are also learning to coordinate their swallowing reflex, which is not fully developed in early infancy. As a result, excess saliva accumulates and drools out rather than being efficiently swallowed. Babies typically gain better control over their swallowing muscles between 18 and 24 months of age.

Another factor stimulating saliva production is oral exploration. Babies frequently put objects into their mouths as they explore. This oral stimulation signals salivary glands to produce more saliva, preparing the mouth for digestion and helping to clean foreign objects.

Teething is a common cause of increased drooling. The eruption of new teeth irritates the gums, which stimulates the salivary glands to produce more saliva. This saliva helps soothe tender gums and lubricate the area, assisting teething and washing away bacteria.

Managing Drooling

Managing a baby’s drooling focuses on comfort and hygiene. Using bibs or burp cloths helps absorb excess saliva, preventing it from soaking clothing and skin. Changing these items frequently ensures skin remains dry.

Gently wiping the baby’s mouth and chin with a soft cloth helps prevent skin irritation and rashes, often called drool rash. Applying a barrier cream, such as petroleum jelly, protects skin from constant moisture and promotes healing. Offering teething toys or pacifiers provides comfort during teething and helps manage oral exploration. This phase of drooling is generally temporary and resolves as the baby develops.

When to Consult a Doctor

While increased saliva production is typically normal, medical advice should be sought in certain instances. If excessive drooling is accompanied by fever, a rash that does not improve, or signs of difficulty breathing, consult a healthcare provider.

Sudden and profuse drooling, especially if the baby appears unwell or is choking, indicates a need for immediate medical attention. Parents should also consult a doctor if drooling persists significantly beyond typical developmental stages, such as after 2 to 3 years of age, without apparent reason. Any concerns about a baby’s overall health or development alongside drooling should be discussed with a pediatrician.