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Dr. Alex
Dr. Alex, Dentist
Category: Dental
Satisfied Customers: 1609
Experience:  I am a General Dentist and founder of the American School of Dental Assisting
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Hello Sir My mouth is very sore burning sensation swollen

Resolved Question:

Hello Sir: My mouth is very sore burning sensation swollen red gums especially on the bottom of mouth. I am also very red under my tongue and the whole edge of my tongue is red. I have a rash like a little patch of tiny spots on the roof of my mouth and tiny dots feels like sand on the inside of my botXXXXX XXXXXp. My gums sting and sensative to cold. Please advise me what to do for this stinging sensation! Thank you
Submitted: 8 years ago.
Category: Dental
Expert:  Dr. Alex replied 8 years ago.
Very good question.

It seems you have a condition called burning mouth syndrome.

Burning mouth syndrome causes chronic burning pain in your mouth. The pain from burning mouth syndrome may affect your tongue, gums, lips, inside of your cheeks, roof of your mouth, or widespread areas of your whole mouth. The pain can be severe, as if you scalded your mouth.

When the cause of burning mouth syndrome isn't known, the condition is called primary or idiopathic burning mouth syndrome. Sometimes burning mouth syndrome is caused by an underlying medical condition, such as a nutritional deficiency. In these cases, it's called secondary burning mouth syndrome.

Underlying problems that may be linked to burning mouth syndrome include:

    * Dry mouth (xerostomia), which can be caused by various medications or health problems.
    * Psychological factors, such as anxiety, depression or excessive health worries.
    * Nutritional deficiencies, such as lack of iron, zinc, folate (vitamin B-9), thiamin (vitamin B-1), riboflavin (vitamin B-2), pyridoxine (vitamin B-6) and cobalamin (vitamin B-12).
    * Allergies or reactions to foods, food flavorings, other food additives, fragrances, dyes or other substances.
    * Reflux of stomach acid (gastroesophageal reflux disease) that enters your mouth from your upper gastrointestinal tract.
    * Certain medications, particularly high blood pressure medications called angiotensin-converting enzyme (ACE) inhibitors.
    * Oral habits, such as tongue thrusting and teeth grinding (bruxism).
    * Endocrine disorders, such as diabetes and underactive thyroid (hypothyroidism).
    * Hormonal imbalances, such as those associated with menopause.
    * Excessive mouth irritation, which may result from overbrushing of your tongue, overuse of mouthwashes or having too many acidic drinks.

There's no known cure for primary burning mouth syndrome. You may need to try several treatment methods before finding one or a combination that is helpful in reducing your mouth pain. Treatment options may include:

    * A lozenge-type form of the anticonvulsant medication clonazepam (Klonopin)
    * Alpha-lipoic acid, a strong antioxidant produced naturally by the body
    * Certain antidepressants
    * B vitamins
    * Cognitive behavioral therapy
    * Special oral rinses or mouth washes
    * Saliva replacement products
    * Capsaicin, a pain reliever that comes from chili peppers

I recommend you speak to your dentist about this and get his/her recommendation for treatment.

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