Hello, sidapt!
I am not sure from your question whether you also suffer from Acid
Reflux or you equate your "burning tongue" symptoms with only chewing
the acid relief pill. It seems unusual that the acid from chewing a
pill would still have such a strong effect four years later. Either
way, it seems as though you "may" now have a condition which, believe
it or not, is called "Burning Tongue" or "Burning Mouth Syndrome."
Burning Tongue Syndrome is a condition that continues to frustrate
doctors as well as patients. In many cases, the cause is unknown and
reliable treatment is hard to find. A comprehensive medical exam is
recommended to rule out a number of possible contributors to the
condition. The type of relief you seek is contingent on a medical
exam. Treatment may run the gamut from vitamin/mineral supplements,
giving special attention to the B vitamins, to prescriptions
medications and in some cases, antidepressants.
I suggest you read over the following references since your condition
could actually stem from other causative factors besides accidentally
chewing a pill. If anything rings a bell, at least you will have a
place to start. If not, I hope you will follow through with a good
medical diagnosis. You might want to start with a good Ear, Nose and
Throat doctor.
I am not a doctor and Google Answers is not to be a substitute for
medical advice. Therefore, I will provide you with the resources I
have found concerning a "burning tongue" and advise you to make an
appointment for a medical checkup so you can get a proper diagnosis.
==
From "BURNING TONGUE AND MOUTH." Brighton Dental Group.
http://www.brightondental.com.au/brighton/default.cfm?teeth=burntongue
"Glossodynia, or glossopyrosis, is not a specific disease entity but a
symptom of burning sensation of the tongue. It is a very common
condition, particularly in women more than 50 years old. Some of the
causes are oral thrush, iron or Vitamin B deficiency, a benign tongue
condition called geographic tongue, a common skin rash in the mouth
called lichen planus, dry mouth, diabetes, or less commonly hormonal
factors and allergic reactions. Treatment is aimed at management of
the underlying abnormality."
"However, in the vast majority glossodynia represents a manifestation
of anxiety and/or depression with no clinically visible changes. The
tongue is usually normal, although there may be slight redness at the
tip of the tongue occasionally. The complaint is often of a burning
sensation at the tip and sides of the tongue. Similar symptoms may
appear in any area of the oral cavity, such as the palate and lips,
and then the condition is called burning mouth syndrome. The condition
may show remissions and exacerbations and may persist for some time.
There is no specific treatment, although various antidepressant
medicines have been used successfully. Occasionally referral for
counselling is helpful."
====
Also read "Look for Organic, Treatable Causes of Glossodynia." (2000)
http://www.findarticles.com/cf_dls/m0CYD/17_35/65538300/p1/article.jhtml
The article highlights likely causes of burning tongue, including iron deficiency.
** "Those who complain of burning are more likely to have iron
deficiencies, Dr. Rogers noted."
===
From "Burning Pain of Tongue." ECureMe
http://www.ecureme.com/emyhealth/data/Burning_Pain_of_Tongue.asp
"Burning tongue is characterized by a constant burning sensation in
the tissues of the tongue. It can involve any portion of the tongue or
the mouth, including the tip of the tongue, sides of the tongue, parts
of the roof of the mouth (palate), and inside the lips and cheek
areas."
"BMS often affects women in their 50s and 60s more than men."
"The cause is unknown. Vitamins and mineral deficiencies, viral
infections, drugs and medications, and neurological disorders all need
to be considered as potential causes and ruled out."
"There are no single successful treatments."
===
From "Burning Tongue." Dental Resource.
http://www.dentalresource.com/ss10.htm
"A burning tongue can be caused from a variety of reasons, among them are:
1. A vitamin deficiency (usually vitamin B-12 and/or folic acid)
2. Deep fissures in the tongue can be conducive to a yeast infection,
3. dry mouth or
4. Can be a symptom of a systemic disease.
"For a dry mouth try to moisturize your mouth by keeping a water
filled plant mister at you bed side. A mist rather than a sip of water
does a better jobs moisturizing the mouth. Put a little lemon juice
into the water: it helps to stimulate the saliva glands. Consider
sugarless gums or candy to help try and moisturize your mouth.
"Xylifresh" is an excellent choice and is available in health food
stores. Use a moisturizing gel like "Oralbalance." Use a saliva
substitute such as "Glandosane", Consider a prescription of "Salagen"
(generic is Pilocarpine Hydrochloride, 5 mg, three times a day). Very
effective although some minor side effects so consult your physician
or dentist. Consider home application of topical fluoride via
custom-made fluoride trays."
"For a yeast infection consider a prescription anti-yeast medication
such as: "Nystatin", " Nizoral" or " Difflucan"."
"For severe burning of the tongue consider taking a prescription of
steroids. Use of the steroid "prednisone" should be monitored closely
by your physician or dentist."
===
From "What is Burning Tongue Syndrome? by Carl M. Allen, DDS, MSD.
Healthy Info.com (Nov. 2001)
http://www.healthyinfo.com/clinical/burning.tounge.shtml
What is Burning Tongue Syndrome?
--------------------------------
"Burning mouth syndrome is a relatively common condition which is
characterized by a complaint of an abnormal sensation of the lining of
the mouth which most patients describe as feeling like their mouth has
been scalded. Usually this sensation develops in the front part of the
mouth, typically affecting the inner surfaces of the lips, the roof of
the mouth, and the sides and tip of the tongue.
*In some patients, only the tongue will be affected, however, any
combination of these sites may be seen. Some patients may have
decreased taste ability or altered taste sensation. In all cases,
however, the lining of the mouth clinically appears normal."
Who gets burning mouth?
------------------------
"Most patients who develop burning mouth syndrome are post menopausal
women. We usually see about ten women for every man that has burning
mouth syndrome. Interestingly, men develop this condition, on the
average, about fifteen years earlier than women. This does seem to be
a relatively common problem which is seen all over the world. For
example, in Holland, patients with burning mouth syndrome have formed
a suppport group. This seems to be a condition which affects people of
all races and all socioeconomic backgrounds."
What causes burning mouth?
--------------------------
"Nobody knows. There are a few uncommon diseases which should be
tested for, such as anemia, diabetes and oral yeast infections. For
most patients with burning mouth syndrome, however, those tests turn
out to be normal. Some investigators have suggested that burning mouth
may be a problem related to the nerves in the mouth or that it may be
caused by a reduced amount of blood flowing to the mouth, however, no
one has proven those theories. We do know that burning mouth is not
related to anything serious, such as cancer or AIDS. Furthermore, it
is not contagious-it can't be passed from one person to another."
How do doctor's diagnose burning mouth syndrome?
------------------------------------------------
"Burning mouth syndrome is diagnosed by doing blood tests and blood
cultures to make certain that one of the other problems mentioned
previously is not present. If those tests are all negative, and if the
lining of the mouth appears normal, then we can make a diagnosis of
burning mouth syndrome."
How is burning mouth syndrome treated?
---------------------------------------
"Unfortunately, no one has developed a medically proven treatment for
burning mouth syndrome. I suppose the main problem is that we don't
know what causes burning mouth syndrome, therefore it is difficult to
develop a treatment for the problem. A variety of medications, such as
female hormone replacement therapy and vitamin therapy, have been
tried, however, such treatments either have no effect or their effect
is no greater than what we would expect to see with placebo
treatment."
How long will the burning sensation last?
-----------------------------------------
"Again, we cannot say for sure. We do know that with some patients,
the condition will resolve after a period of time, but no one can
predict how long that will be. For the most part, this problem is a
nuisance, and it is a frustrating situation for both patients and
doctors."
==
From "Canker Sores and Burning Tongue," by Douglas Hoffman, (Second page)
http://www.ivillagehealth.com/experts/ent/qas/0,,242110_173049-2,00.html?arrivalSA=1&cobrandRef=0&arrival_freqCap=2
(I have only excerpted the relevant information from the this article)
"Your second symptom is known as glossopyrosis, which translates as
"burning tongue." It is important to realize that glossopyrosis is a
term that describes a symptom (like vertigo for whirling dizziness, or
neuralgia for pain) and is NOT a diagnosis. Glossopyrosis, oddly
enough, almost always occurs in postmenopausal women. While this would
suggest a strong hormonal connection, many women with this problem are
on appropriate levels of estrogen supplements. Nevertheless, if my
patient is a postmenopausal woman and she is not taking an estrogen
supplement, I usually recommend that she ask her internist or
gynecologist if she is an appropriate candidate for estrogen therapy.
(As you may know, estrogen supplementation is controversial in women
who have a personal history of breast cancer, or even a strong family
history of breast cancer.)
There are many other possible causes of glossopyrosis:
B vitamin deficiency
---------------------
"Several of the B vitamins have been implicated, and many people have
speculated about deficiencies of other vitamins or minerals
(especially folate). Consequently, I usually recommend that the
patient take a multivitamin and mineral daily supplement, if she is
not already doing so."
Oral yeast infection (thrush)
------------------------------
"While this is often obvious on examining the mouth, it can, on
occasion, be a very subtle infection.
Sensitivity to toothpaste, mouthwash or denture-cleaning agents
---------------------------------------------------------------
"Most of these substances contain a detergent called sodium lauryl
sulfate. Some patients note great improvement of their symptoms if
they eliminate these substances entirely. You can find some very
creative alternatives. (You can, for example, brush your teeth or
dentures with baking soda. It is nasty-tasting stuff, but it does the
job quite well.)"
GERD (gastroesophageal reflux disease)
--------------------------------------"
Reflux (backflow) of stomach acid and digestive enzymes into the
esophagus and mouth can theoretically cause glossopyrosis."
Idiopathic causes
-----------------
"When doctors don't know what has caused a problem, they say the cause
is "idiopathic." That sounds much better than "I don't know."
Unfortunately, many cases of glossopyrosis are idiopathic. Doctors
have devised a variety of "magic cocktails" for such cases. These
cocktails include substances such as steroids, antifungal drugs,
antibiotics, antihistamines, Milk of Magnesia and artificial flavors
and colors."
==
From "Burning mouth syndrome." (Released Sept. 3, 2003)
http://heartburn.about.com/gi/dynamic/offsite.htm?site=http://www.eurekalert.org/pub%5Freleases/2003%2D09/aogd%2Dbms090303.php
"Burning mouth syndrome (BMS), a painful disorder affecting mostly
women, is a constant and aggravating source of discomfort for more
than 1 million adults. Patients' experience a burning sensation in
their mouth, palate, lips and tongue, as well as partial or complete
loss of taste, dry mouth and thirst."
"New findings explain how anxiety and depression may be a precursor
that triggers this difficult-to-diagnose syndrome, according to a new
report that will be published in the September/October 2003 issue of
General Dentistry, the Academy of General Dentistry's (AGD) clinical,
peer-reviewed journal."
"Oral habits of anxiety and depression may include repetitive tongue
thrusting and bruxism (teeth grinding) which can irritate the mouth
and lips and have been reported to cause BMS symptoms in up to 70
percent of patients suffering from this chronic disorder."
"Pinpointing the pain source can be a trying task for patients and
their health care providers," explains Andres Pinto, DMD, lead report
author, who states more females in their 20's and 30's are also
experiencing this syndrome, oftentimes due to stress."
"Other overall health conditions linked to BMS include anemia,
gastroesophageal reflux disease, undiagnosed diabetes, nutritional
deficiencies, hormonal imbalance and a yeast or candida infection in
the mouth."
"If you have BMS, analyze your overall health and note any
life-altering events or stressors that occur," encourages Lois Duerst,
DDS, FAGD, spokesperson for the AGD."
"According to Dr. Pinto, some patients experience relief after
stopping their oral habits brought on by stress."
Do You Have BMS? Check For:
---------------------------
* Burning sensations in mouth area
* Dry mouth
* Altered taste perception
* Changes in eating habits
* Irritability
* Depression
* Changes in medications
Possible Treatments:
---------------------
* Antifungal therapy
* Vitamin and mineral replacements
* Creams or lozenges containing capsaicin
* Hormonal replacement
* Antidepressants
* Mental health counseling
* Intraoral appliances
===
From "Burning tongue." National Center for Emergency Medicine Informatics.
http://www.ncemi.org/cse/cse0410.htm
-------------------------------------------------------------------------------
Symptoms
---------
"The patient is very uncomfortable with a burning sensation of the
tongue or mouth. There may be xerostomia (reduced salivary flow),
dental disease, geographic tongue, candidiasis or no visible
explanation for the pain.
What to do:
-----------
Treat specific causative factors such as candida infections or dental problems.
Provide symptomatic relief with a one-to-one mixture of Benadryl
elixir and Kaopectate, or prescribe viscous lidocaine. f the etiology
is uncertain, refer the patient for a comprehensive medical
evaluation.
Discussion
----------
"Burning tongue or burning mouth symptoms are usually caused by
xerostomia, candidiasis, other chronic infections, referred pain from
the tongue muscles, dental disease, reflux of gastric acid,
medications, noxious oral habits, blood dyscrasias, nutritional
deficiencies, allergies, inflammatoriy disorders, psychogenic factors,
or unknown causes. Geographic tongue results from loss of filiform
papillae from patches on the dorsal surface of the tongue. The
location of the patches may appear to shift over a period of weeks. It
is usually not painful and does not require specific treatment."
===
The following information from a message board indicates that a
dental exam might be the first order of business in tackling your
problem.
From "BURNING TONGUE." The Neurology and Neurosurgery Forum (1997)
http://www.medhelp.org/forums/neuro/archive/2158.html
"Burning in the tongue and on the lips can result from stomatitis, in
which case the examining dentist or physician should see abnormalities
on oral examination. If no such abnormalities are evident, the
disorder is termed the "burning mouth syndrome". No specific cause of
this syndrome has been identified. It is believed to result from an
interplay of local, constitutional, and psychogenic factors. Dry
mouth, ill-fitting dentures, abnormal tongue movements, depression,
anxiety, nutritional factors, and systemic disease are some of the
things that can be treated in an attempt to alleviate the symptoms.
Dentists are the best experts to consult for this bothersome problem."
==
"GLOSSODYNIA (BURNING TONGUE)." Brookwood ENT Associates.
http://www.brookwoodent.com/gloss.html
"Many patients present to the otolaryngologist complaining of burning
of the tongue. In the majority of such patients, a careful history
reveals a dental abnormality (cracked or broken tooth, missing
filling, new bridge or crown) that the patient explores with the tip
of the tongue. Usually the remainder of the tongue appears normal. If
there is no such history, consideration should always be given to the
development of sensitivity to fluoridated toothpastes, mouthwashes,
irritating or spicy foods, or certain drugs, such as thiazides. In
those cases, though, the symptoms and findings are more generalized
along the tip and sides and top of the tongue. Such patients should be
treated by eliminating the use of toothpaste and substituting sodium
bicarbonate as a dentifrice. The use of mouthwashes should be
discontinued. All but essential medications should be discontinued for
a period of time. A bland diet and elimination of alcoholic beverages
should also be observed as a trial. The patient's general health and
nutrition should be examined closely, and in some cases where a
history of poor nutrition exits, the diet should be supplemented with
therapeutic multivitamin preparations."
"Despite exhaustive efforts to find a cause for glossodynia, in some
cases such efforts are to no avail and the symptoms continue."
===
If you have any interest in a more natural approach, please take a
look at the following articles:
"Tongue disorders." Herbs 2000.com
http://www.herbs2000.com/disorders/tongue_disorders.htm
"Burning Mouth and Tongue."
http://alternative-medicine-and-health.com/conditions/burningmouth.htm
===
A message board which has a string of posts regarding a Sore and
Burning tongue may be found at
http://askwaltstollmd.com/archives/bracing/32261.html
===
Finally, a recent article points to the success of antidepressants for
the relief of symptoms of burning tongue.
Read "Burning tongue or burning mouth?" VOL 113 / NO 4 / APRIL 2003 /
POSTGRADUATE MEDICINE
http://www.postgradmed.com/issues/2003/04_03/cc_apr.htm
"Typically, patients with glossodynia have anxiety, depression, or
somatization. Unfortunately, neither topical agents (eg, lidocaine
hydrochloride solutions, gargles containing alcohol, antihistamine
liquids) nor vitamin, mineral, or nutritional supplements consistently
provide relief. A wide array of psychotropic agents--from
benzodiazepines to selective serotonin reuptake inhibitors and
tricyclic antidepressants--may be effective treatment."
===
I know this might be "less of an answer" than you had hoped for.
Unfortunately, burning tongue is a common but mysterious condition
that has no easy answers. Even medical doctors disagree on the cause
and proper cure for burning tongue. It may take a while for you to
find the right treatment to alleviate the burning sensation.
I wish you the very best of luck. I know this must be a very painful
and frustrating condition. Perhaps it will help a bit to know that you
are not alone.
If I can clarify anything further for you, please let me know.
Sincerely,
umiat-ga
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