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Hi, Doctor. First, Hope This Queary Finds U And Your
Question: Hi, doctor. First, hope this queary finds u and your family healthy in these difficult times. Have an update, need your advice. Injection for AO has been delayed due to global virus but need some guidance on unrelated symptoms to AO that have been getting worse for 2 months now. (Periodic burning/tingling on tip of tongue, dry mouth, and progressively worsening loss of both taste and smell with metallic taste) Almost all secondary reasons ruled out w/treatment - oral thrush, ENT exam, medical doctor. Went online as well as spoke to my neurologist by phone who is baffled but said some of the symptoms do sound like BMouth Syn. He said with even that aside, considering my history of nerve issues, that damage to the nerves that control taste and smell may be involved. Told me to take 600mg of Alpha Lip, multi vit (esp. B) which I have done for some time now but taste and smell still seem to diminish more each day. Just wanted to get your overall opinion on this and if there is anything at all more u can suggest to re-gain any sense of smell and taste.
Brief Answer:
A correct diagnosis is necessary first.
Detailed Answer:
Hello again.
Thanks for the kind words, hope you and your family have no problems with the pandemic too.
I have read your new query.
Loss or affected sense of taste and smell may be caused by sinusitis, viral infections, adverse effects of drugs, etc.
Burning mouth syndrome does not cause typically a loss of smell.
The medications that you mentioned help as nerve supplements and should improve your symptoms if the problem arises from damaged nerves.
If any drugs suspected that may cause such issues, it should be stopped.
Symptoms may improve with the local use of capsaicin, clonazepam.
Before continuing with the medications, you should get evaluated by an Oral Medicine (Maxillofacial) specialist for a correct diagnosis.
Hope you found the answer helpful.
Let me know if I can assist you further.
A correct diagnosis is necessary first.
Detailed Answer:
Hello again.
Thanks for the kind words, hope you and your family have no problems with the pandemic too.
I have read your new query.
Loss or affected sense of taste and smell may be caused by sinusitis, viral infections, adverse effects of drugs, etc.
Burning mouth syndrome does not cause typically a loss of smell.
The medications that you mentioned help as nerve supplements and should improve your symptoms if the problem arises from damaged nerves.
If any drugs suspected that may cause such issues, it should be stopped.
Symptoms may improve with the local use of capsaicin, clonazepam.
Before continuing with the medications, you should get evaluated by an Oral Medicine (Maxillofacial) specialist for a correct diagnosis.
Hope you found the answer helpful.
Let me know if I can assist you further.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Hi, doctor. Just something I remembered that I would like to get your feedback. For many years, have been taking amitriptyline (pill form) without issue or problem. Few months back, pharmacy substituted the liquid form of amitrip. since they had run out of the pills. I took one dose of the liquid and I could actually feel like a click or switch closing down and it was exactly at that moment that my taste started to diminish rapidly, and as time passed, sense of smell diminished and tongue began to burn. (I took one dose only and discarded whole bottle.) Just wondering if you've ever heard of this before and if this would have any significance in the overall situation. Again, it was only one dose I swished a bit in mouth, then swallowed and this whole downhill spiral started. Thanks so much.
Brief Answer:
It is very unlikely.
Detailed Answer:
Welcome back.
It is unlikely that just one application of liquid amitriptyline to cause such prolonged loss of taste and smell.
It may be relevant in chronic uses, and symptoms should have subsided or improved after stopping amitriptyline.
Hope this helps.
Take care.
It is very unlikely.
Detailed Answer:
Welcome back.
It is unlikely that just one application of liquid amitriptyline to cause such prolonged loss of taste and smell.
It may be relevant in chronic uses, and symptoms should have subsided or improved after stopping amitriptyline.
Hope this helps.
Take care.
Above answer was peer-reviewed by :
Dr. Raju A.T
Hi, doctor. Just one last question for now and as always, thank you. Since it'll be some time yet before I can see neuro-surgeon, I do have 2 topical gels here that my medical doctor prescribed (actually, the 2 you mentioned in prior dialogue). One is clonazepam and the other capsaicin. Would either of these be useful at all in terms of invigorating taste and if so, best site of application would be directly on tongue? As u well know, each has different properties and my hope is to heal and repair any damaged nerves so I was a little unsure of proper use of both... Stay safe and thanks, doctor...
Brief Answer:
Answered below.
Detailed Answer:
Hello again.
These drugs aim to improve the symptoms and can be applied simultaneously, however, you can use them within a few hours gap.
The application should be directly on the tongue and the oral mucosa.
Hope this helps.
Take care.
Answered below.
Detailed Answer:
Hello again.
These drugs aim to improve the symptoms and can be applied simultaneously, however, you can use them within a few hours gap.
The application should be directly on the tongue and the oral mucosa.
Hope this helps.
Take care.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
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