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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes burning mouth syndrome?

Have you heard of Burning Mouth Syndrome - randomly onset in one day, waking up with a white coated tongue every morning. It is swollen. After I brush, it is red for the rest of the day and hypersensitive to salt, sugar and spice. My lips swell, then recede. I have switched to Biotene toothpaste and a spray to give my mouth relief, even though it stings. Food is impossible to eat. Bananas and peanut butter BURN because of the sugars. Anything with texture is impossible to chew. I am doing iron infusions weekly (have had three) as I was diagnosed as anaemic in April with very very low ferritin levels. Internal Medicine specialist and my doctor have never heard of this. I found this BMS on my own and have done research. I do not know if this is hormone related. I am 50, have not started any peri-menopausal symptoms yet. I sleep well. Was vegan/vegetarian for about three years. B12 and Thyroid are normal. Docs thought maybe a vitamin deficiency. Have been supplementing with B100 Complex and Cal/Mag, as it almost feels like a nerve issue. Have been to the dentist, did panoramic xrays - everything is normal. Found medical papers on BMS online. Not much research. Maybe I will try an anti-depressant? Anti-inflammatory? Nothing gives me relief. Please help me.
Thu, 15 Jun 2017
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Dentist 's  Response
Hello,

Your symptoms are pointing toward burning mouth syndrome but as you get a white coating ever morning, therefore I suspect oral thrush to be a cause for all the symptoms that you are facing. Due to yeast Infection or oral thrush there can be a raw inflamed surface of tongue left under after scraping leading to stinging and burning. So, for a confirmation you should get a clinical examination done by an oral physician and a microscopy of scrapings from the tongue as well as mouth swab culture.

Once the cause will be narrowed down then treatment will be advised appropriately. For now gargle with specialized mouthwash like Magic mouthwash and suck ice pops. Avoid scraping the tongue too vigorously. Drink plenty of cool water. Take soft and bland foods.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Honey Arora
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