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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Burning, Irritated Tongue For Months. Taking Omeprezole, Using Asthma Inhaler. Solution?

I have been having "burning, red (raw), irritated tongue" for several months. I take over the counter omeprezole for severe heartburn (I was taking prescription Prilosec).... My doctor and I thought it could be "thrush" because I also use a 2x daily asthma inhaler Advair Discus, and I take when needed, Combivent resprimat inhaler. I believe it is mostly the Advair discus, but I'm rinsing my mouth every time...so, now I'm thinking it may be the omeprezole (20 mg) over the counter....
posted on Sat, 5 Oct 2013
Twitter Sat, 5 Oct 2013 Answered on
Twitter Sat, 5 Oct 2013 Last reviewed on
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General & Family Physician,  's  Response
Hello,

Thanks for posting on HCM,

It is possible that oral candidiasis is the culprit but by physically examining your tongue the doctor should be able to see the lesions as they are hardly unnoticeable. I think you might rather be having viral GI infection which could affect your tongue, oesophagus, stomach etc and present with symptoms of heartburn. Advair Diskus can cause adverse effect of oral candidiasis and viral GI infection. Those two possibilities are likely.
I feel you should consider stopping advair diskus and consider taking another alternative. You might require antiviral treatment such as acyclovir to get rid of this infection and also mouth was solutions. Spaying advair diskus and rinsing your mouth each time does not mean that part of it did not stick to your mouth or gut.
Just as a precaution, your doctor can initiate treatment with antifungal agent.

Hope this helps
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Burning, Irritated Tongue For Months. Taking Omeprezole, Using Asthma Inhaler. Solution?

Hello, Thanks for posting on HCM, It is possible that oral candidiasis is the culprit but by physically examining your tongue the doctor should be able to see the lesions as they are hardly unnoticeable. I think you might rather be having viral GI infection which could affect your tongue, oesophagus, stomach etc and present with symptoms of heartburn. Advair Diskus can cause adverse effect of oral candidiasis and viral GI infection. Those two possibilities are likely. I feel you should consider stopping advair diskus and consider taking another alternative. You might require antiviral treatment such as acyclovir to get rid of this infection and also mouth was solutions. Spaying advair diskus and rinsing your mouth each time does not mean that part of it did not stick to your mouth or gut. Just as a precaution, your doctor can initiate treatment with antifungal agent. Hope this helps