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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swelling And Pain In The Tongue?

I have a major medical mystery which I would like some help with. Here are the vitals: Age 52. Sex: F Weight: 145 Height 5â??9â?? BP, quite low even without the propranolol. Cholesterol: 221, HDL high, tri low. Chronic conditions: Pollen allergies, migraine headaches, postmenopausal. Operations: Lipoma removal on back. Endometrial ablation. Laproscopic hysterectomy. Three pregnancies, two live births, vaginal. Medications: Propranolol 60 mg LA bid, for migraine propylaxis Femring, Hrt. Omnaris spray, allergies. Zyrtec, daily, allergies. Benadryl nightly, allergies. Trazadone, sleep and mood, 25 mg nightly. Hydrocodone, prn migraine pain. Vit D, Fish oil. Current problem: Last September, 2009, I developed a weird taste in my mouth, something like dirt, but not quite. An earthy taste. It soon developed into a â??burningâ?? tongue. The tongue is irritated and â??burnsâ??, worse at night than in the morning. The tip and front edges are the location of the worst of it. My lips sometimes burn as well, on the front inside. I first thought perhaps it was dental, due to the taste, and had my dentist do a total workup. Nothing. Then I thought maybe it was a pharmaceutical cause and talked at length to my pharmacist. We eliminated most everything I take and I got no relief at all. Then I began trying to eliminate possible foods : caffeine, tea, (I donâ??t drink coffee or alcohol, or eat chocolate as they all trigger migraines), eggs, salmon, and never noticed any difference. I saw a second dentist for a second opinion, and he checked my saliva and all other aspects of my mouth and saw nothing unusual. My OBGYN put me on different hrt on the off chance that that was the culprit, nothing. I have done immense research on the internet and find that â??burning tongue syndromeâ?? shows up among mostly post menopausal women, but nobody seems to have come across a remedy. On the chats that I have seen, people say it sometimes goes away in 5-7 years. By the end of a bad day (some days are not as bad as others) my tongue is painful, swollen to the point of being able to see the teeth imprints on the edges, and my speech can be impaired by my enlarged tongue. HELP! I am desperate. With such a sudden onset it seems like there must be a â??causeâ?? which could be addressed. Any ideas would be appreciated. My family doc is at her wits end, and does not know who to send me to next. THANK YOU!!                                                                  
Wed, 1 Oct 2014
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Dentist, Implantology 's  Response
The symptoms what I relate to in your case is probably due to anxiety and a very stressful life. Many a time antidepressant medication have helped in such cases. Further clinical evaluation would be required at this juncture.
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What Causes Swelling And Pain In The Tongue?

The symptoms what I relate to in your case is probably due to anxiety and a very stressful life. Many a time antidepressant medication have helped in such cases. Further clinical evaluation would be required at this juncture.