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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Tongue Irritation In An 86-year-old

86 year old male patient with tongue irritation. complaint feels like little bubbles bursting on tongue with sour after taste post bursting sensation causing need to constantly want to wipe tongue also mouth or lip twitching to avoid weird sensation, no relief after using magic mouth wash prescription. What to do? Recommend dental cleaning?
Tue, 27 Feb 2018
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Dentist 's  Response
Hello,

It seems that tongue irritation with a feeling of bubbles bursting on the tongue and sour taste with burning sensation can be due to inflammation of tongue known as glossitis. It can be due to side effect of the medication can be a deficiency of iron and vitamin B12, stress, physical trauma to the tongue, allergies, acid reflux etcetera.

I would suggest you consult an oral physician and get evaluated and a thorough clinical evaluation and investigations like blood tests can help in diagnosis. Treatment of underlying cause will relieve the symptoms.

As of now, you can start gargling with a numbing mouthwash containing Lignocaine to relieve the symptoms. You can also take a multivitamin tablet daily. Suck ice and do cool water rinses. Avoid spicy food. The attacks are associated with one or more of the following (all ipsilateral): conjunctival injection, lacrimation, nasal congestion, rhinorrhea, forehead and facial sweating, miosis, ptosis, or eyelid edema.

Treated with daily exercise with oxygen-rich air, analgesic, antidepressants, tryptamines, and antiepileptic drugs are useful. If not improved need nerve blocks, ablative procedure, and deep brain stimulation. Please consult your neuro physician he will examine and treat him accordingly.


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

Regards,
Dr. Honey Arora
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Suggest Treatment For Tongue Irritation In An 86-year-old

Hello, It seems that tongue irritation with a feeling of bubbles bursting on the tongue and sour taste with burning sensation can be due to inflammation of tongue known as glossitis. It can be due to side effect of the medication can be a deficiency of iron and vitamin B12, stress, physical trauma to the tongue, allergies, acid reflux etcetera. I would suggest you consult an oral physician and get evaluated and a thorough clinical evaluation and investigations like blood tests can help in diagnosis. Treatment of underlying cause will relieve the symptoms. As of now, you can start gargling with a numbing mouthwash containing Lignocaine to relieve the symptoms. You can also take a multivitamin tablet daily. Suck ice and do cool water rinses. Avoid spicy food. The attacks are associated with one or more of the following (all ipsilateral): conjunctival injection, lacrimation, nasal congestion, rhinorrhea, forehead and facial sweating, miosis, ptosis, or eyelid edema. Treated with daily exercise with oxygen-rich air, analgesic, antidepressants, tryptamines, and antiepileptic drugs are useful. If not improved need nerve blocks, ablative procedure, and deep brain stimulation. Please consult your neuro physician he will examine and treat him accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Honey Arora