Hello and welcome to Healthcare Magic.

I understand that you must be going through a difficult time due to your multiple symptoms. You have also mentioned that you suffer from an anxiety disorder, for which you are on medication.

Now, the small bumps and redness in your tongue, along with dryness in the mouth could be due to vitamin deficiencies, especially, deficiency of Vitamin B2 (Riboflavin). Another possibility, though less likely, is that it could be a side effect of your medication, specifically Lamictal (Lamotrigine). I would advise the following remedial measures:
- Gargle your mouth two to three times a day with an anti-spetic mouthwash like Chlorhexidine mouth wash (which should be available over-the-counter).
- Take a multi-vitamin supplement - something which should contain B-complex vitamins and vitamin C
- Modify your diet to include more of fresh XXXXXXX vegetables - like spinach, beans, lettuce, sprouts, etc.
- Drink plenty of fluids
- If these symptoms worsen or you keep getting more more of this redness or bumps or ulcers, then you have to report this to your doctor, for further evaluation (since, they could be a side-effect of Lamictal)

Your other multiple symptoms such as discomfort in your armpits, burning sensations, panic-like sensations and stomach discomfort are not specific of any disease, but it is quite likely that they could be anxiety-related also. It is important to understand that anxiety can present with not only psychological symptoms but also with physical or somatic symptoms. Now, this does NOT mean that 'everything is in your head' and that you are simply imagining the symptoms. Not at all. It has been found that anxiety disorders are associated with certain neuro-chemical imbalance in the brain and this can cause the person's pain threshold to get lowered and he / she can become 'hypersensitive' to sensory stimuli, and therefore have symptoms like multiple pains, burning, tingling, sensations, etc. So, in addition to your anti-anxiety medication, you ca try relaxation techniques like XXXXXXX breathing, progressive muscle relaxation technique, etc.

Your stomach gas problem can be avoided by trying dietary adjustments such as increasing the fibre content in your diet, avoiding foods that 'irritate' your stomach like spicy foods, coffee, tea, carbonated drinks, etc. Stopping alcohol or smoking, if you do is also important.

It is also important to adopt a healthy lifestyle with regular exercise and proper sleep habits, and avoid stress as much as possible.

Wish you all the best.

Regards,
Dr. Jonas Sundarakumar
Consultant Psychiatrist

---