It's casual language, more common in spoken English than in formal writing. After the game, Jake looked really down in the mouth.
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Non-literal Meaning
'Down in the mouth' doesn't mean someone's mouth is physically pointing down, it's about their mood. Don't look so down in the mouth, the sun will come out tomorrow!
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Facial Expression
The phrase often relates to someone's appearances suggesting sadness, not just their feelings. You've been down in the mouth all day, is there anything I can do to help?