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What Causes Palate Pain, Difficulty In Swallowing And Burning Tongue?

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Posted on Mon, 9 Jun 2014
Question: Palate pain for last 4 days....hard to swallow or spit. Eating painful. Have had burning tongue ever sinse visiting a ENT doctor in January. Have pieces of "jaw bone" coming through my gums in back lower left of mouth.
doctor
Answered by Dr. Sowbhagya (1 hour later)
Brief Answer:
hello swollen tonsils and lymph node, calculus.

Detailed Answer:
Hello thsnx for the queiry.i went through your symptoms,to start with palatal pain could be due to abscess due to periapical are periodontal, unable to swallow may be due enlarged lymph node secindary to infected teeth are swollen tonsils...and 'pieces of jaw bone' is calculus or tartar coming out of gum...if i were your treating doctor i would suggest u do salt water gargle thrice daily.drink warm water.u may also need antibiotics and analgesic.. And for calculus removal i advise oral prophylaxis-scaling...please consult a oral physician for a check up and treatment..hope it helps..most welcome fir any further queiries...take care...
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Sowbhagya (15 hours later)
Your comments are a little hard to understand due to English and medical terms.
It seems to me that the burnt feeling tongue (which you didn't seem to consider), and the ulcer and rawness of my palate and the hard boney pieces protruding through gums (trying to work their way out) in back of my mouth (back further than teethe) are all tied to a particular cause. The protrusions do not appear to be tartar that you can just scrape away. It is hard pieces with sharp edges and points. Salt is very painful to the back roof of my mouth (palate). I have had antibiotics for the terrible inflammation in my gums where the hard pointy pieces are trying to come through. The antibiotics greatly reduced the inflammation and pain, but something is still going on and getting worse.
doctor
Answered by Dr. Sowbhagya (3 hours later)
Brief Answer:
bony spicules,burning mouth syndrome

Detailed Answer:
Hello thanx for following up of your queiry..sorry for the inconvenience you faced in following my suggestion ..palatal pain due to bony sharp things could be due to buccal or palatal alveolar plate - bony spicules..do you have previous extraction in that region??then u may need alveoloplasty,trimming of sharp bony spicules..burning tongue could be due to loss of papilla, or vitamin deficiencies or due to anemia.. So please get a complete blood tests and do consult a oral medicine and general physician for a thorough check up and treatment..hope it helps...take care..
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Sowbhagya (19 hours later)
What would cause loss of papilla? It happened right after ENT prescribed Fluticasone and omeprazole. She had taken a picture of throat and said swollen. After taking her prescription, tongue felt burnt and food didn't taste right and crusty food painful. I had wisdom teethe removed where the spicules are but that was 35 years ago. I pulled out one of the spicules, but now two more are coming through. I have checked iron, zinc, B6, B12 which is all normal. Been to GP, Dentist, Endodontist, periodontist and now considering oral surgeon. The raw palate with small lesion is the third and most recent phase of what ever is going and the other two have not gone away which makes me feel there is and underlying cause that no one has figured out yet. Thanks for your suggestions. I have done all but the surgery. Since a piece of spicule work its way out, periodontist hoped the other two would also. No clue what to do for tongue or now palate.
doctor
Answered by Dr. Sowbhagya (13 hours later)
Brief Answer:
antibiotics usage,rule out local causes

Detailed Answer:
Hello, Thanks for follow up.

Loss of papilla can occur following medications especially antibiotics and analgesic usage. Were you on any other medicine besides the two. As the symptoms developed following medications, it may have been a cause.

Further even nutritional deficiency may cause loss of papillae and burning sensation. I see you already been tested for a few. And though the results are normal, I would put you on zinc supplement. Many of my patients with taste alterations have improved with zinc.

Besides the two (drug induced and nutritional deficiency) palatal ulcers may be due to secondary infection - bacteria or fungus. Trauma might be a cause too. You can discuss about those with your local doctor / oral surgeon. I would also want your hemoglobin and blood counts checked.

I hope it helps..

Take care..
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
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Answered by
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Dr. Sowbhagya

Dentist, Oral and Maxillofacial Surgery

Practicing since :1999

Answered : 788 Questions

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What Causes Palate Pain, Difficulty In Swallowing And Burning Tongue?

Brief Answer: hello swollen tonsils and lymph node, calculus. Detailed Answer: Hello thsnx for the queiry.i went through your symptoms,to start with palatal pain could be due to abscess due to periapical are periodontal, unable to swallow may be due enlarged lymph node secindary to infected teeth are swollen tonsils...and 'pieces of jaw bone' is calculus or tartar coming out of gum...if i were your treating doctor i would suggest u do salt water gargle thrice daily.drink warm water.u may also need antibiotics and analgesic.. And for calculus removal i advise oral prophylaxis-scaling...please consult a oral physician for a check up and treatment..hope it helps..most welcome fir any further queiries...take care...