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Hi, Doctor. I Have Using Peridex For Many Years Now

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Posted on Fri, 10 Apr 2020
Question: Hi, doctor. I have using Peridex for many years now without issue, not even rinsing but using from a spray bottle to keep gums from swelling.

About a month ago and about at the same time, my tongue started burning (mostly at tip) and developed impaired taste. This may be something called Burning Mouth Syndrome but after speaking to some people as well as reading online about Peridex, it seems these symptoms may be attributed to the Peridex. Want to ask your opinion and if u feel it is possible, could it crop up out of the blue after literally decades of using this product? Thank you.
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Follow up: Dr. Mahesh Kumar T S (0 minute later)
Hi, doctor. I have using Peridex for many years now without issue, not even rinsing but using from a spray bottle to keep gums from swelling.

About a month ago and about at the same time, my tongue started burning (mostly at tip) and developed impaired taste. This may be something called Burning Mouth Syndrome but after speaking to some people as well as reading online about Peridex, it seems these symptoms may be attributed to the Peridex. Want to ask your opinion and if u feel it is possible, could it crop up out of the blue after literally decades of using this product? Thank you.
doctor
Answered by Dr. Mahesh Kumar T S (28 minutes later)
Brief Answer:
Depapillation of tongue, anemia, trauma

Detailed Answer:
Thanks for your query. I have gone through your query.
The burning sensation in the tongue associated with loss of taste can be because of depapillated tongue of secondary to loss of papilla. This can occur secondary to nutritional deficiency, iron deficiency anemia, stress and trauma from teeth. It is not burning mouth syndrome, because burning sensation in burning mouth will not affect only one site. It cannot be secondary to use of peridex.
Consult a oral physician and get it evaluated completely. Get a complete blood count done to rule out anemia.
If possible upload the images of the tongue. I hope i have answered your query.
If any queries are there reply me back. Take care.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Mahesh Kumar T S (0 minute later)
Brief Answer:
Depapillation of tongue, anemia, trauma

Detailed Answer:
Thanks for your query. I have gone through your query.
The burning sensation in the tongue associated with loss of taste can be because of depapillated tongue of secondary to loss of papilla. This can occur secondary to nutritional deficiency, iron deficiency anemia, stress and trauma from teeth. It is not burning mouth syndrome, because burning sensation in burning mouth will not affect only one site. It cannot be secondary to use of peridex.
Consult a oral physician and get it evaluated completely. Get a complete blood count done to rule out anemia.
If possible upload the images of the tongue. I hope i have answered your query.
If any queries are there reply me back. Take care.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Mahesh Kumar T S (22 hours later)
Recently had a blood work up - no anemia or iron deficiency. Not able to send pic of tongue but looking last night, there's a small blister or pimple on tip of tongue that stings and burns and the sides of tongue are red (no blisters, just red) Also, some odd red indentations on side of tongue. Burning of tongue is mostly at tip but can move a bit. This coupled with diminished sense of taste has me wondering if there may be a med I could try and ask doctor for.
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Follow up: Dr. Mahesh Kumar T S (0 minute later)
Recently had a blood work up - no anemia or iron deficiency. Not able to send pic of tongue but looking last night, there's a small blister or pimple on tip of tongue that stings and burns and the sides of tongue are red (no blisters, just red) Also, some odd red indentations on side of tongue. Burning of tongue is mostly at tip but can move a bit. This coupled with diminished sense of taste has me wondering if there may be a med I could try and ask doctor for.
doctor
Answered by Dr. Mahesh Kumar T S (48 minutes later)
Brief Answer:
Viral infections, autoimmune disorders, topical steroids, anesthetics

Detailed Answer:
Thanks for your reply. If the lesions are associated with blister and red areas it can be because of viral infections like herpes simplex or autoimmune disorders like pemphigus, Bullous lichen planus. So you should consult an Oral physician and take an opinion. If I am your treating doctor, I would have started with topical steroids like triamcinolone acetonide and topical anesthetics like lignocaine.
if the lesions does not heal, then you might have to get a biopsy done to confirm the diagnosis.
I hope i have answered your query. if you have any queries reply me back. Take care.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Mahesh Kumar T S (0 minute later)
Brief Answer:
Viral infections, autoimmune disorders, topical steroids, anesthetics

Detailed Answer:
Thanks for your reply. If the lesions are associated with blister and red areas it can be because of viral infections like herpes simplex or autoimmune disorders like pemphigus, Bullous lichen planus. So you should consult an Oral physician and take an opinion. If I am your treating doctor, I would have started with topical steroids like triamcinolone acetonide and topical anesthetics like lignocaine.
if the lesions does not heal, then you might have to get a biopsy done to confirm the diagnosis.
I hope i have answered your query. if you have any queries reply me back. Take care.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Mahesh Kumar T S (2 hours later)
I will do this and follow up with an oral surgeon. Would the loss of taste be associated with this tongue issue? Thanks so much.
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Follow up: Dr. Mahesh Kumar T S (0 minute later)
I will do this and follow up with an oral surgeon. Would the loss of taste be associated with this tongue issue? Thanks so much.
doctor
Answered by Dr. Mahesh Kumar T S (3 minutes later)
Brief Answer:
Yes, taste loss, previously told causes

Detailed Answer:
Thanks for your reply. Loss of taste can be because of the previously told causes. You need to consult a dentist who is specialised in Oral Medicine and Radiology.
Take care.


Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Mahesh Kumar T S (0 minute later)
Brief Answer:
Yes, taste loss, previously told causes

Detailed Answer:
Thanks for your reply. Loss of taste can be because of the previously told causes. You need to consult a dentist who is specialised in Oral Medicine and Radiology.
Take care.


Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Mahesh Kumar T S (12 days later)
Hi, Dr. XXXXXXX I need to touch base with u again since symptoms have remained the same and unable to see an Oral Surgeon due to cancellations re: global virus. I did, however, get the Triamcinolone acetonide dental paste from medical doctor as well as the lignocaine as per your prior suggestion. Moreover, he gave me an R/X for Nystatin (Swish and swallow) just in case it was oral thrush related. None of the three above meds alleviated the symptoms at all. I still have these tiny red spots (not lesions, spots) around the front of the tongue that burn and sting continuously and some scalloping on the sides of tongue. Since dry mouth is also present as well as loss of taste, wondering if this could be Burning Mouth Syndrome since I do have a history of neuralgia (one being atypical odontalgia that was diagnosed by a dentist) but is actually a neurological issue where I feel a constant dull ache where nerves continue to fire although tooth is long gone. However, having seen both, I feel doctors as yourself have superior knowledge. In any event, many years ago the special dentist prescribed Neurontin and amitriptyline which I have taken for years at a low dose. Question is twofold - first, to get your opinion on diagnosis and also, any add'l suggestions u may have to mitigate this burning tongue. I have tried dozens of home remedies (no relief) as well as oral dissolving clonazepam which I read helps BMSyndrome but even that offered little to no relief. Thanks so much for trying to help me.
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Follow up: Dr. Mahesh Kumar T S (0 minute later)
Hi, Dr. XXXXXXX I need to touch base with u again since symptoms have remained the same and unable to see an Oral Surgeon due to cancellations re: global virus. I did, however, get the Triamcinolone acetonide dental paste from medical doctor as well as the lignocaine as per your prior suggestion. Moreover, he gave me an R/X for Nystatin (Swish and swallow) just in case it was oral thrush related. None of the three above meds alleviated the symptoms at all. I still have these tiny red spots (not lesions, spots) around the front of the tongue that burn and sting continuously and some scalloping on the sides of tongue. Since dry mouth is also present as well as loss of taste, wondering if this could be Burning Mouth Syndrome since I do have a history of neuralgia (one being atypical odontalgia that was diagnosed by a dentist) but is actually a neurological issue where I feel a constant dull ache where nerves continue to fire although tooth is long gone. However, having seen both, I feel doctors as yourself have superior knowledge. In any event, many years ago the special dentist prescribed Neurontin and amitriptyline which I have taken for years at a low dose. Question is twofold - first, to get your opinion on diagnosis and also, any add'l suggestions u may have to mitigate this burning tongue. I have tried dozens of home remedies (no relief) as well as oral dissolving clonazepam which I read helps BMSyndrome but even that offered little to no relief. Thanks so much for trying to help me.
doctor
Answered by Dr. Mahesh Kumar T S (12 hours later)
Brief Answer:
Consult an oral physician, topical capsaicin/clonazepam

Detailed Answer:
Thanks for your reply.
You have to consult a Oral physician who is specialised in Oral Medicine for exact diagnosis. It's very difficult to conclude what problem you have without a clinical examination. Stop using medications without consulting a physician. You don't have neuralgia, if you have neuralgia you will have severe pain and it will be like a shock. Usually we treat burning mouth syndrome with topical capsaicin or clonazepam. But the diagnosis has to be confirmed before that. The scallopping on the lateral aspect of tongue can be a cremated tongue becuase of the teeth pressure over the tongue. The red spots can becuse of nutritional deficiency. So Consult a physician and get it diagnosed. Reduce your stress level that will solve 90% of the problem.
I hope I have answered your query. take care
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Mahesh Kumar T S (0 minute later)
Brief Answer:
Consult an oral physician, topical capsaicin/clonazepam

Detailed Answer:
Thanks for your reply.
You have to consult a Oral physician who is specialised in Oral Medicine for exact diagnosis. It's very difficult to conclude what problem you have without a clinical examination. Stop using medications without consulting a physician. You don't have neuralgia, if you have neuralgia you will have severe pain and it will be like a shock. Usually we treat burning mouth syndrome with topical capsaicin or clonazepam. But the diagnosis has to be confirmed before that. The scallopping on the lateral aspect of tongue can be a cremated tongue becuase of the teeth pressure over the tongue. The red spots can becuse of nutritional deficiency. So Consult a physician and get it diagnosed. Reduce your stress level that will solve 90% of the problem.
I hope I have answered your query. take care
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Mahesh Kumar T S (2 days later)
Hi, doctor. Due to global virus, my appt. with oral surgeon has been delayed for a few weeks but was able to see my regular MD doctor who has very little knowledge of BM Syndrome but did prescribe what u suggested since he agreed the symptoms matched. I have both the topical capsaicin gel and topical clonazepam gel in separate tubes. My question is this - I have now lost almost all of my sense of smell and taste. Would either or both of these meds help with re-gaining it or possibly hinder it in some way? The reason I ask is that the burning symptoms are sporadic. The loss of taste, however, is constant and has been going on now for months. Thanks so much.
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Follow up: Dr. Mahesh Kumar T S (0 minute later)
Hi, doctor. Due to global virus, my appt. with oral surgeon has been delayed for a few weeks but was able to see my regular MD doctor who has very little knowledge of BM Syndrome but did prescribe what u suggested since he agreed the symptoms matched. I have both the topical capsaicin gel and topical clonazepam gel in separate tubes. My question is this - I have now lost almost all of my sense of smell and taste. Would either or both of these meds help with re-gaining it or possibly hinder it in some way? The reason I ask is that the burning symptoms are sporadic. The loss of taste, however, is constant and has been going on now for months. Thanks so much.
doctor
Answered by Dr. Mahesh Kumar T S (6 hours later)
Brief Answer:
Continue the same medication and multivitamins

Detailed Answer:
Thanks for your reply. The loss of smell sensation is not related to this. You can continue the same medication till you consult Oral physician.
Burning mouth syndrome involves most of the portion of the tongue and is not localised. The loss of taste is because of the loss of papilla this can be secondary to nutritional deficiency. You can take multivitamins for this.
I hope I have answered your query. Take care.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Mahesh Kumar T S (0 minute later)
Brief Answer:
Continue the same medication and multivitamins

Detailed Answer:
Thanks for your reply. The loss of smell sensation is not related to this. You can continue the same medication till you consult Oral physician.
Burning mouth syndrome involves most of the portion of the tongue and is not localised. The loss of taste is because of the loss of papilla this can be secondary to nutritional deficiency. You can take multivitamins for this.
I hope I have answered your query. Take care.
Note: Find out which dental treatment will work best for your teeth. Ask here.

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
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Dr. Mahesh Kumar T S

Dentist, Oral and Maxillofacial Surgery

Practicing since :2007

Answered : 3377 Questions

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Hi, Doctor. I Have Using Peridex For Many Years Now

Hi, doctor. I have using Peridex for many years now without issue, not even rinsing but using from a spray bottle to keep gums from swelling. About a month ago and about at the same time, my tongue started burning (mostly at tip) and developed impaired taste. This may be something called Burning Mouth Syndrome but after speaking to some people as well as reading online about Peridex, it seems these symptoms may be attributed to the Peridex. Want to ask your opinion and if u feel it is possible, could it crop up out of the blue after literally decades of using this product? Thank you.