What causes burning mouth syndrome?

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Posted on Mon, 29 Dec 2014 in Ear, Nose and Throat Problems
Question: Hi. I believe I have Burning Mouth Syndrome. I've been tested for vitamin B deficiency and Sjogren's syndrome which were negative. I have no blisters or bumps and no white patches on my tongue. This burning has affected my tongue, lips, and throat a bit. After researching it, I fit all the criteria. I'm postmenopausal, suffer from anxiety/depression, the burning gets worse as the day goes on almost unbearable by evening. I've had this for 3 months now and can't imagine having it for months or even years. My PCP hasn't even heard of it. She referred me back to my neurologist who treats my migraines and she could only suggest using Biotene mouthwash, but I don't have a dry mouth. Any suggestions would be much appreciated!
doctor
Answered by Dr. Krunal Karade 1 hour later
Brief Answer:
Your diagnosis of Burning Mouth Syndrome most likely .

Detailed Answer:
Hi,
Thanks for the query.

I have read your query , reviewed your medications and understand your concern.

After reading your clinical history it appears that your diagnosis of Burning Mouth Syndrome most likely .

Burning mouth syndrome (BMS) is a clinical diagnosis made via the exclusion of all other causes.
BMS etiology may be multifactorial.
There is no universally accepted diagnostic criteria, laboratory tests, imaging studies & treatment plan .

Common Investigation needed in your case CBC , ESR , Thyroid profile , Blood sugar level ,etc to find out any secondary causes .

This syndrome require long term treatment .

If I were your treating Doctor for this case , I would advice you
Alpha lipoic acid supplements ,
anesthetic antacid syrup like mucaingel &
Multivitamins minerals antioxidant syrup like zincovit .
You are already taking Hormone replacement therapy & anxiety/depression medications .

You will need to see your doctor to get a prescription .

Hope this information helpful to you .If you have any further questions I will be happy to help.
Regards.


Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Krunal Karade 2 hours later
Thank you very much. I appreciate your advice.
doctor
Answered by Dr. Krunal Karade 2 hours later
Brief Answer:
Wish you good health.

Detailed Answer:
Wish you good health.
Thanks.
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Krunal Karade 14 hours later
Hello again...I bought Alpha lipoic acid 600 mg. How much would you advise me to use daily? And can I take it with all my other meds or should I take it alone?
doctor
Answered by Dr. Krunal Karade 20 minutes later
Brief Answer:
You can take Alpha lipoic acid 600 mg / day

Detailed Answer:
Hi ,
Thanks for the query.

You can take Alpha lipoic acid 600 mg / day in single or two divided dose .
Yes , you can take it with all your medication .

Regards.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Krunal Karade 20 minutes later
If I find this dose is not effective, how high of a dose is acceptable to go up to?
doctor
Answered by Dr. Krunal Karade 9 minutes later
Brief Answer:
You can go upto 800 mg/day in divided dose .

Detailed Answer:
You can go upto 800 mg/day in divided dose .

BMS is multifactorial and may need long term medication. Don't use single drug above higher dose .

Use other drugs like anesthetic antacid syrup like mucaingel & Multivitamins minerals antioxidant syrup like zincovit also. Your local doctor will know about these drugs.

Regards.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Krunal Karade 28 minutes later
Thank you so much for your advice!
doctor
Answered by Dr. Krunal Karade 2 minutes later
Brief Answer:
Wish you good health.

Detailed Answer:
Most welcome .
Wish you good health.
Regards.
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Krunal Karade

ENT Specialist

Practicing since :2009

Answered : 1000 Questions

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