What Are the Common Causes of Brown Saliva?

Brown saliva can be a sign of a number of conditions, ranging from harmless to severe. Probably the most common cause of brown saliva is the presence of nicotine. Other possible causes, however, include acid reflux or small amounts of blood in the saliva or mucus.

Brown saliva can also result from dehydration, making your saliva thicker and darker in color.

As scary as it might sound, brown saliva is usually harmless and not a cause for alarm. 

Medical conditions can cause brown saliva, but these are rare. If you're concerned about brown saliva or if other symptoms accompany it, see your general practitioner to rule out any underlying health issues.

Common causes of brown saliva include:

Coffee, tea, chocolate, and red wine can all cause your saliva to turn brown. They contain dark-colored pigments that can stain your saliva. These foods and drinks are perfectly safe to consume and won't cause any long-term damage to your oral health.

People who use tobacco products, either by smoking or using some form of smokeless tobacco, often have brown saliva. This is because the smoke from these products contains tar and other chemicals that can discolor your saliva.

Nicotine from chewing tobacco or snuff dissolves in the mouth, and that which is not absorbed into the blood stream is usually spit out. Smokers may find that their saliva remains brown for a significant amount of time, even if they quit smoking, as their lungs rid themselves of cancer-causing nicotine. Inhaling second-hand smoke may have a similar effect.

If you're not drinking enough fluids, your saliva can become thick and dark in color. Dehydration causes your body to produce less saliva. Drinking plenty of water and other fluids can help keep your saliva thin and transparent.

Acid reflux, in which digestive juices from the stomach regurgitate into the esophagus, can also cause brown saliva, especially in the morning. In some cases, stomach acid even regurgitates into the mouth, giving the saliva a brown or yellow color. This is more likely to happen at night or when the patient is lying down, because gravity is not assisting in keeping the acid down.

Acid reflux is treated with medication and lifestyle changes.

Blood may also give saliva a brownish color and may be present in saliva for any number of reasons. Sores in the mouth may bleed and turn the saliva either red or brown. Cold, dry weather or sinus infections may lead to bleeding in the nasal cavities. Flecks of blood can mix with mucus and drain down the throat and into the mouth, resulting in brown saliva.

While blood in the mucus or saliva may be harmless, it may also be a sign of more serious health problems. Coughing up blood is often a sign of tuberculosis (TB) or another severe infection. Anyone who is uncertain about the cause of his or her brown saliva should consult a doctor to rule out potentially dangerous diseases.

Some medical conditions can cause brown saliva. These include:

COPD is a term that includes several lung-related health problems: emphysema, chronic bronchitis, and refractory asthma. 

Brown saliva may mean that your condition has gotten worse. The saliva will get stickier over time, and its quantity will increase.  

Chronic lung disease is a condition that damages the lungs and makes it difficult to breathe. It causes brown saliva due to the buildup of mucus in the lungs. 

It can happen in patients diagnosed with cystic fibrosis or bronchiectasis. The phlegm is brown because there is blood and inflammation in the lungs.

Porphyria is a rare disorder that interferes with the body's ability to produce heme, a substance that gives blood its red color. People with porphyria may have brown or purple urine and saliva.

In rare cases, brown saliva can signify a medical condition, such as liver disease or jaundice. Liver disease can cause the skin and whites of the eyes to turn yellow and brown urine and stool. Liver disease treatment usually includes lifestyle changes and, in some cases, medication.

Periodontitis is a gum disease that occurs when the gums become inflamed and pull away from the teeth. It can cause brown saliva, as well as other symptoms like bad breath and bleeding gums. Periodontitis treatment consists of professional cleanings and, in some cases, surgery.

If you notice that your gums recede from your teeth or that your gums bleed regularly and are swollen, see a dentist right away.

Cancer can also cause brown saliva. Cancerous tumors can bleed, which can cause the saliva to turn brown. If you have been diagnosed with cancer and are experiencing brown saliva, see your doctor for an evaluation.

The duration of brown phlegm will depend on what caused it, whether a bacterial or viral infection or an inflammatory condition. It is essential to understand that phlegm is the body-positive response to infection or inflammation. 

The body is working to protect itself by producing extra mucus. However, if it doesn't subside or symptoms worsen, it's time to see a doctor.

Most of the time, brown saliva is nothing to worry about. However, if you're concerned about the color of your saliva or if other more severe symptoms accompany it, be sure to see your doctor for an evaluation. 

These symptoms can include:

Brown saliva is usually nothing to worry about and can onset as a result of dehydration or smoking tobacco. However, it just may be a sign of a more severe condition. The best thing to do is see your practitioner to rule out any underlying illness, especially if other symptoms accompany the saliva.

Brown saliva can be caused by a variety of factors, including the consumption of certain foods or beverages like coffee or chocolate, which can temporarily stain saliva. Smoking or chewing tobacco is another common cause, as these habits introduce tar and nicotine into the mouth, leading to discoloration. Poor oral hygiene can also result in brown saliva due to the buildup of plaque and bacteria. In some cases, it may be a sign of bleeding in the mouth or more serious conditions such as periodontal disease or even oral cancer.

Yes, certain medications can cause brown saliva as a side effect. For example, some antibiotics and iron supplements can lead to discoloration of the saliva. It's important to consult with a healthcare provider if you notice changes in saliva color after starting new medications, as they can assess whether the discoloration is a harmless side effect or a sign of an adverse reaction.

While brown saliva is not typically a direct sign of dehydration, a lack of adequate hydration can lead to dry mouth, which may contribute to the buildup of bacteria and food particles that can discolor saliva. Ensuring proper hydration is essential for maintaining overall oral health and can help prevent changes in saliva color.

Smoking affects the color of saliva by introducing tobacco and other chemicals into the mouth, which can stain the teeth and saliva. The tar and nicotine found in cigarettes are particularly known for causing brown discoloration. Additionally, smoking can lead to gum disease and other oral health issues that may contribute to changes in saliva color.

You should see a doctor or dentist about brown saliva if the discoloration persists for an extended period, especially if it is accompanied by other symptoms such as bad breath, pain, or bleeding in the mouth. These could be signs of a more serious underlying condition, such as an infection or oral cancer, that requires prompt medical attention.