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What Causes Burning Mouth Syndrome?

Posted on Mon, 29 Dec 2014

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!

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

Follow up: Dr. Krunal Karade (2 hours later)

Thank you very much. I appreciate your advice.

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

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?

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

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?

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

Follow up: Dr. Krunal Karade (28 minutes later)

Thank you so much for your advice!

Answered by Dr. Krunal Karade (2 minutes later)

Brief Answer:
Wish you good health.

Detailed Answer:
Most welcome .
Wish you good health.
Regards.

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. Prasad