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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Burning Sensation And Dryness In Lower Inner Mouth

Hi, I am a 53 year old woman. About 5 months ago out of the blue I experienced a burning sensation and dryness in my lower inner mouth. It feels like it has been scalded yet I did not burn it with any hot materials. Some days it tingles, other days it feels numb. Over time this sensation has occurred in other areas of my mouth. Sometimes my lips only burn, other days the roof of my mouth, other days the left or right side, but every day the lower inner lip burns or tingles and it is painful. While there is a redness there and the inner lower mouth is quite dry to the touch, there is no obvious signs of inflammation that can be causing the level of pain experienced. I have been tested for thyroid, diabetes, vitamin B and iron deficiencies but results are normal. My dentist says my teeth and gums are in excellent shape so they are not responsible for the pain I am experiencing. Can you shed any light on my symptoms.
Thu, 11 Feb 2021
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General & Family Physician 's  Response
Hi,

Your symptoms seem to be related to Primary Burning Mouth Syndrome (BMS) It is present more in women and mostly in Postmenopausal women. The reason may be hormonal and to be more specific , it may be due to decreased level of estrogen. Low estrogen level may also cause decreased salivation and hence, a feeling of dryness also.

Primary BMS usually resolves itself in few days to few months and sometimes a bit longer also. In the meanwhile, to ease the symptoms, you may try:
- Sucking small ice chips to lessen the burning sensation
- Drinking or sipping cold liquids
- Avoiding acidic foods like citrus fruits
- Avoiding drinks and foods that trigger the burning sensations particularly spicy foods and hot beverages
- Avoiding smoking and alcohol if that worsens your symptoms
- If burning worsens after brushing the teeth, then switch to a tooth paste specifically meant for sensitive teeth and gums.
- Practice relaxation techniques to relieve stress by Yoga or meditation

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Satnarain Bansal, General & Family Physician
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Suggest Treatment For Burning Sensation And Dryness In Lower Inner Mouth

Hi, Your symptoms seem to be related to Primary Burning Mouth Syndrome (BMS) It is present more in women and mostly in Postmenopausal women. The reason may be hormonal and to be more specific , it may be due to decreased level of estrogen. Low estrogen level may also cause decreased salivation and hence, a feeling of dryness also. Primary BMS usually resolves itself in few days to few months and sometimes a bit longer also. In the meanwhile, to ease the symptoms, you may try: - Sucking small ice chips to lessen the burning sensation - Drinking or sipping cold liquids - Avoiding acidic foods like citrus fruits - Avoiding drinks and foods that trigger the burning sensations particularly spicy foods and hot beverages - Avoiding smoking and alcohol if that worsens your symptoms - If burning worsens after brushing the teeth, then switch to a tooth paste specifically meant for sensitive teeth and gums. - Practice relaxation techniques to relieve stress by Yoga or meditation Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Satnarain Bansal, General & Family Physician