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Suggest Treatment For Severe Dizziness, Dryness In The Mouth And Tongue Swelling

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Posted on Mon, 13 Feb 2017
Question: I have a chronic problem. I have problems with becoming dehydrated easily . lightheaded , shaky,jerky . Drink a lot of fluids but cant seem to retain them. Have had about a decade of dryness in mouth,sinuses, tongue and lips swell and crack. On no prescriptions meds . I just get bounced from one specialist to another .
doctor
Answered by Dr. Dr.Albana Sejdini (3 hours later)
Brief Answer:
Following details are required first...

Detailed Answer:
Hi my dear,

I have gone through your medical history carefully and understood your concerns.

Your case in short:
- 62 years old female
- symptoms: get dehydrated easily; lightheaded, shaky, jerky although drinking a lot of fluids

1. Although you are giving these symptoms, I need to have a look at blood tests you have already done. Actually, I think you might be having a hormonal problem; however, we can determine it after analyzing the tests reports.

2. I need to also know if you have any other chronic illness like diabetes? heart disease? etc. and if you are currently taking any medication on regular basis?

3. You are also reporting to have your submandibular salivary gland removed. May I know the exact diagnosis: stones? abscess? or tumor?

4. Alteration in normal flora of the mouth can also give the sludge-like burning sensation in your mouth. Keeping good oral hygiene, and taking probiotics can help.
Oral swab culture testing is further recommended to rule out fungal infection of the mouth.

Looking forward to have the requested information in.
Dr.Albana
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr.Albana Sejdini (1 hour later)
Taking no prescription meds . No chronic illness except this problem. The salivary gland was removed because it swelled up and hurt . I had stones blocking the duct and a new "opening" burst (literally) in my gum in the front of my mouth. It remains open and painful and draining "sludge" lots of sticky mucous three years later . Always negative for any kind of infection including fungal. I am a retired nurse and was tested for just about anything they could think of I could have been exposed to.Are you thinking of "insipidous "? as a hormonal problem. Could all the mouth,tongue,sinuses problems be related to the underlying dehydration? Thanks I only take over-the counter med for heartburn. This also started when the other issues started . A decade !
doctor
Answered by Dr. Dr.Albana Sejdini (15 hours later)
Brief Answer:
Stomach hyperacidity/hormonal problems to consider in your case...

Detailed Answer:
Hi back my dear,

Thank you for providing the requested information.

I understand that you might excluded all kind of diagnosis, however, diabetes insipidus and thyroid problems are also to consider and rule out; this is supposed after reviewing your tests reports.

To my judgment, from your description, we must understand why the salivary gland was infected and got stones. Other salivary glands can also be affected by stones. So, their possible infection/inflammation can also cause all the mouth and tongue problems you are having; which are in fact considered as dehydration from you.

Long term use of PPIs (proton-pump inhibitors) can also cause mouth problems you are having. Heartburn itself/acid reflux or gastritis or even other stomach problems associated with hyperacidity; all of them can cause your mouth and tongue problems. If heartburn is well managed, the oral problems will get eased too.

So, to me all your problems seems related to : stomach hyperacidity and hormonal changes that should be further evaluated. Menopause hormonal changes should also consider.

Hope this helps.
Dr.Albana
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr.Albana Sejdini

General & Family Physician

Practicing since :2006

Answered : 7300 Questions

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Suggest Treatment For Severe Dizziness, Dryness In The Mouth And Tongue Swelling

Brief Answer: Following details are required first... Detailed Answer: Hi my dear, I have gone through your medical history carefully and understood your concerns. Your case in short: - 62 years old female - symptoms: get dehydrated easily; lightheaded, shaky, jerky although drinking a lot of fluids 1. Although you are giving these symptoms, I need to have a look at blood tests you have already done. Actually, I think you might be having a hormonal problem; however, we can determine it after analyzing the tests reports. 2. I need to also know if you have any other chronic illness like diabetes? heart disease? etc. and if you are currently taking any medication on regular basis? 3. You are also reporting to have your submandibular salivary gland removed. May I know the exact diagnosis: stones? abscess? or tumor? 4. Alteration in normal flora of the mouth can also give the sludge-like burning sensation in your mouth. Keeping good oral hygiene, and taking probiotics can help. Oral swab culture testing is further recommended to rule out fungal infection of the mouth. Looking forward to have the requested information in. Dr.Albana