Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

175 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes burning sensation in lips and face with blisters on tongue?

Answered by
Dr.
Dr. Dariush Saghafi

Neurologist

Practicing since :1988

Answered : 2044 Questions

default
Posted on Mon, 26 Oct 2015 in Brain and Spine
Question: hello my question is this ive had burning sensatio on my face for couple of days and ive had blister on tounque white one on the tip then they went away after couple of days. now i just have burning sensation on lips and blister non painful on toinque with mild sore throat it been like this for about a month
doctor
Answered by Dr. Dariush Saghafi 1 hour later
Brief Answer:
Interesting photo and symptoms

Detailed Answer:
Good morning. I am a neurologist and can tell you that your symptoms sound very typical for a herpes zoster type of infection. When I first saw the "blister" you refer to I thought that it actually looked very similar to other smaller entities that were yet behind and to the left of the main one you are pointing to....making me believe they may have been simply papillae of the tongue (i.e. taste buds).

However, the more I look at them under high power the more I am inclined to believe that the other blisters are like that one which would make perfect sense if they were all herpetic lesions.

I'm not sure about the white coating on the tongue as well. You didn't mention anything about it but it covers a large portion of the tongue. Is that normal for you or do you have some type of thrush infection and could that be what's causing this problem and NOT the "blister." Have you tried brushing that white coating off? Are you a smoker? Do you have diabetes. Did you recently kiss anybody who might've had a herpetic infection on the lips or inside the mouth (even without knowing it?).

An ENT person should be able to look at what you're pointing to as the blister as well as the other ones that I can see on high power magnification to tell you whether or not these are simply enlarged taste buds on the back of the tongue...or herpetic lesions as well as find out about the white coating.

I can also see where the upper portion of the pharyngitis and soft palate are reddened. Have you had a strep test done? I would highly recommend that as well as a Monospot and HSV types 1 and 2 titers in blood. Your doctor may also go ahead and order other bloodwork at the same time that could along with your symptoms of facial burning by looking at vitamin B12, folate, vitamin D, D2, D3, FREE T4, TSH, ESR, and CRP, as well as a CBC with differential.

If appropriate for short term relief you can speak to your doctor about trying either GABAPENTIN or LYRICA for pain relief since this often gives good results for these types of symptoms until it's determined whether or not your problem is infectious or not.

I hope this addresses your concerns. If so, may I ask for the favor of a HIGH STAR RATING on our interaction and some brief written feedback.

Write to me in the future at: bit.ly/drdariushsaghafi for additional comments, concerns, or to upload more information that you would like me to look at as well.

If there are no further concerns or questions please do me the favor of CLOSING THE QUERY on your end so that the transaction can be archived and utilized by colleagues for other patients with similar symptoms. Do let me know in the future what the final outcome of any workup would be as well and I'll be happy to comment again on any questions or concerns.

This query required 19 minutes to read, research, and compile an envoy to the patient.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Dariush Saghafi 10 minutes later
no the white is not normal for me as too i cant tell if those bumps are blisters bt they dont hurt i nust feel like i have somethng in my throat in the middle.. ive tried brushing it off and it dont ive been like this for about a month...no idont smoke or do i have diabetes the only thing that i knw is that i have hpv it was detected in 2010 when i had a pap done after my second child . bt i will make and appt
doctor
Answered by Dr. Dariush Saghafi 5 hours later
Brief Answer:
Don't brush too hard then- the white plaque is probably oral thrush

Detailed Answer:
If that's the case then, don't brush too hard over your tongue since that white plaque will not come off.

It is very possible that your tongue coating is thrush (fungal infection) which can easily explain the sore throat. Whether or not the enlarged bumps are herpetic lesions or simply your taste buds would need more careful and personal up close examination by someone who can get a good light source in there and look at everything up close.

My guess is that you will need some type of oral rinse as well as a throat swab to rule out other concomitant infections. If it turns out that the bumps are herpes lesions then, you will also likely receive an antiviral such as acyclovir, valciclovir, or ganciclovir.

I hope this addresses your concerns. If so, I'd appreciate a HIGH STAR RATING on our interaction and a bit of written feedback.

Don't forget that you can always contact me at: bit.ly/drdariushsaghafi for additional comments, concerns, or to upload more information such as labs or culture reports if you get them in the near future.

If there are no further concerns or questions please do me the favor of CLOSING THE QUERY on your end so that the transaction can be archived and utilized by colleagues for other patients with similar symptoms.

I'd love to know what you end up finding out on things if you'd care to share.

This query required 10 minutes to read, research, and compile an envoy to the patient.



P.S.

I would recommend you avoid any oral to oral or oral to body contacts etc. for the time being until you know more about what this is and how to treat it....there very well may be a contagious or transmissible entity here and you don't want anyone else getting the problem.

Cheers.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Lab Tests

Recent questions on  Strep test

doctor1 MD

My kids keep catching step throat. Are there any over the counter meds or vitamins I can give them to prevent strep?

doctor1 MD

I caught a cold from my grandson but it has been over a week now and it isn't going away. I am coughing up brown mucus and have a very sore throat rom coughing so hard. I can go for a while without coughing but once it hits I can't stop until I...

doctor1 MD

I have a bit of a sore throat

doctor1 MD

Hi. My daughter is 8 years old and we recently found out that she has ulcers inside her vagina , along the vaginal walls, she also has swelling that you can t even see inside the hole , it s blocked. She has been in pain for over 4 weeks, she can t even touch to wipe herself as she is also raw at the opening. We were told she tested positive for Strep , so she had to take antibiotics 2x a day for 10 days. We have also done fungal treatments creams and a pill for adults you only take once(can t remember what is was called) and nothing has helped her. The doctor has taken 3 Extreamly painful swabs and she is testing neg for everything else. She said if it s viral she will have to call in the big guns , what does that mean, what could this be?

doctor1 MD

Did I have rheumatic fever? I never went back after my last massive dose of antibiotics (which cured all), but I had positive strep test, extremely high white blood cell count, swollen throat, bloody nose, mucous in eyes, blood in stool , lesions on my arms and legs that wouldn t heal, a horrible rash on my upper thighs, and a constant fever. This went on for weeks until I finally went to doctor for the antibiotics, but should I get an EKG? I m worried about future problems with rheumatic fever...if that s what it was. My doctor wouldn t diagnose this, just treated it.

doctor1 MD

HI, i'm 33, female, non smoker non drinker. i've been sick for around 6 wks now. Initially i thought i had a bad cold, but most likely was the flu as i was runnig high fevers and completely in bed for 4 days straight. for the remainder of the week, i developed a terrible wet cough and felt incredibly lethargic. the following week i visited my nurse in teh office, and a strep test proved positive. she put me on amoxicillin for 10 days. i had both my children and husband checked to make sure, all are negative for strep. 10 days later, no more sore throat, but i'm stil incredibly tired, and 3 days later came down with a fever again and cough started getting worse again. fever lasted around 2 days, then broke and i seemed to be getting better, but sure enough 5 days later i was sick again with the nasty cough still there as well as fevers, bodyache, runny nose etc. i went back to the doctors, and he said there was a little congestion in my lungs. he prescribed me a z-pack. i'm on day 3 today, feeling very nauseous form the meds, but overall no improvement. stilll coughing, still having body aches, still having a runny nose. help pls!

doctor1 MD

I have 6 bumps across the back of my tongue. The roof of my mouth aches at times. The left side of throat (lypmp node is swollen). I get hoarse after talking too long. Finally got a doctor to do strep test. It was positive. My first symptoms was red raw small bumps around the outer part of my tongue all the way round. Gargle with salt water. Dissipated. About 4-5 days later went back to doctor with complaints of feeling bad. This is when strep test done, Wednesday. Rocephin shot and Rx. Cefdiner300mg given. The roof of my mouth still hurts. Really no change. I do not feel as bad such as flu like symtoms which occurred when my throat started hurting. Does strep cause the bumps. No puss pockets noted just raised bumps. These may have been there all along since they are so far back on my tongue.

Could I have had a viral infection causing the bumps that got infected?