Image of a person with mouth-spray and gum, Lozenges

Lozenges, mouth spray, and chewing gum

October 14, 2022

Questions about lozenges, mouth sprays, and chewing gum often come up, especially for those with IBS. Is it completely off-limits, or are there alternatives? In this text, we’ll outline which products work well and which ones you should be cautious about.

Dry mouth and mouth spray

Dry mouth, also known as xerostomia, occurs when saliva production is too low or the composition of saliva is not as it should be. It is a relatively common issue that can lead to bad breath, difficulty eating and swallowing, and an increased risk of oral inflammation and tooth decay.

Pharmacies offer several saliva-stimulating products, mainly in the form of tablets and mouth sprays. Unfortunately, many of these products contain FODMAPs, usually in the form of sugar alcohols, which are known to irritate the digestive system. However, there is one product available in pharmacies that does not contain sugar alcohols: Proxident smörjande munspray. This mouth spray contains only sunflower oil. You can even make your own mouth spray by simply using a neutral oil, pouring it into a small spray bottle, and using it as needed.

Other Tips for Relieving Dry Mouth:

  • Rinse your mouth with water regularly
  • Drink water often
  • Eat foods that require chewing, as chewing increases saliva production
  • Avoid sweets and sugar-sweetened drinks, as they can worsen dry mouth and are harmful to teeth


These strategies can help manage dry mouth symptoms, especially when dealing with IBS.

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What to do if it is not helping?

Sometimes, these home remedies aren’t enough. That’s when we like to remind people about the “bucket analogy.” You fill the bucket with symptom-triggering foods. As long as the bucket isn’t full, you may not notice much. But when it overflows, symptoms start to appear. The critical factor is the total FODMAP load over the course of a day. Naturally, the amount of symptom-triggering food you consume plays a role.

In the case of sugar alcohols in mouth sprays and lozenges, the amount is typically not as significant compared to other foods. So, if you reduce your intake of other FODMAP-rich foods, you can “make room” in the bucket for a product like this without triggering symptoms.

Soar throat

Cold season is upon us, and our search for symptom relief begins. Throat lozenges are an easy go-to remedy, but many people don’t realize that lozenges often contain FODMAPs, mainly in the form of sugar alcohols used as sweeteners. However, there are some throat lozenges that are safe to use.

  • Vicks Blue
  • Vicks Blue Cool Breeze
  • Fisherman’s Friend Original
  • Kanols Eucalyptus-Menthol


These lozenges don’t contain FODMAPs but do have sugar, which can be harmful to your teeth. So, once again, consider the “bucket” analogy and think about whether you can make room for a few sugar-free lozenges.

Chewing gum

A common “bucket filler” that many people overlook is chewing gum. Just like throat lozenges, sugar-free gums are usually sweetened with sugar alcohols. Even though we don’t swallow the gum itself, the sugar alcohols dissolve as we chew and travel down to the stomach along with the saliva. Additionally, chewing gum often leads to swallowing extra air, which can be challenging for those with IBS to handle.

Summary

In general, throat lozenges, chewing gum, and mouth sprays contain FODMAPs, with a few exceptions. However, we always need to remind ourselves that it’s the amount and frequency that matter in the end. Remember, it’s about low-FODMAP, not no-FODMAP.

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