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Suggest Treatment For Sore Tongue And Mouth In A Smoker

Posted on Thu, 9 Jul 2015

Question: I am experiencing sore tongue and mouth to a lesser degree - burning sensation. I was also experiencing this last March but it went away. I am a smoker. I had a blood test performed end of March. Test good in all respects though I had to increase my med. for thyroid deficiency from 100mg to 125. I will be 60 years old in two weeks. Height 5'9" 150 pounds.

Answered by Dr. Paparaja S (40 minutes later)

Brief Answer:
Stomatitis

Detailed Answer:
Hi,

I had gone through your question. I feel this could be stomatitis secondary to smoking, stress, sleep deprivation. I recommend the following home measures before visiting a doctor:
1) Quict smoking.
2) Avoid coffee, tea and carbonated beverages.
3) Drink plenty of water.
4) Avoid spicy food.
5) Triamcinolone with local anesthetic based gel for local application.

I think you should be fine with these remedies. If you don't get better in a week or so, you may visit a local doctor for further examination.

Hope I have answered your question. If you have any questions, I am happy to help.
Wish you a good health and speedy recovery.
Regards,
Dr Paparaja S MBBS MS
Consultant ENT Surgeon

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Paparaja S (47 minutes later)

Regarding Stomatitis: to clarify, I am not experiencing generalized mouth soreness but more localized within mouth: tongue especially but also in area where mouth and throat meet, that is back of mouth. I see no redness or swelling and no irritation (inflammation) on side of mouth, under tongue, lips or roof of mouth. The soreness is more accurately described as irritable than painful. Tongue feels just like it does when one burns their tongue from taking in overly hot food. Also, I often am dry in the mouth when sleeping, which irritates the condition. With this additional knowledge do you still consider the problem to be stomatitis?

Also, on what basis are you determining that I am sleep deprived.

Thanks in advance.

Answered by Dr. Paparaja S (9 hours later)

Brief Answer:
Could be burning mouth syndrome

Detailed Answer:
Hi,
Thanks for the follow up and very detailed and informative history.
This may not be stomatitis. Your complaints and description suggestive of burinig mouth syndrome.
In my earlier discription i had mentioned sleep deprivation as one of the cause for stomatitis. Just listed the causes.

I recommend you the following.
1) Drink sips of water frequently.
2) Suck on ice chips.
3)Avoid irritating substances like hot, spicy foods; mouthwashes that contain alcohol; and high-acid foods such as citrus fruits and juices.
4)Avoid alcohol and tobacco.
5) Multivitamin supplements.
6) Local anesthetic based gargle for relief.

Take care

Wish you a speedy recovery.

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj