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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Bitter Taste In The Mouth Despite Using Biotene Gel?

I have a patient experiencing a bitter taste in her mouth, last year she complained of a metallic taste and her Md told she it was due to anxiety. Pt is on Statins and antianexity meds. She complain that her tongue is sore or hurts when she rubs her teeth. Her mouth is dry so biotene gel and spray besides water wad suggested. Is there any other underlining disease?
Mon, 25 Sep 2017
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Dentist 's  Response
Hi..
Thanks for the query...

Bitter taste in mouth along with sore tongue is all appearing to be due to Dry mouth or Xerostomia that can be most probably due to the side effect of medication which she is taking..
Anti-anxiety medication can cause dry mouth and the other symptom are seen secondary to it..
So my suggestion is that her medicine doses should be titrated or the drugs should be changed so that they can cause lesser side effects..
For now she can chew sugarfree chewing gum and use oral lubricating gel like Oralgel.
Continuing Biotene mouthwash..
Avoid any regular mouthwash as they have drying effect in mouth and can worsen the symptoms..
If symptoms are still severe drugs like Pilocarpine can be advised for stimulating salivation..

Hope this helps..

Regards.
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What Causes A Bitter Taste In The Mouth Despite Using Biotene Gel?

Hi.. Thanks for the query... Bitter taste in mouth along with sore tongue is all appearing to be due to Dry mouth or Xerostomia that can be most probably due to the side effect of medication which she is taking.. Anti-anxiety medication can cause dry mouth and the other symptom are seen secondary to it.. So my suggestion is that her medicine doses should be titrated or the drugs should be changed so that they can cause lesser side effects.. For now she can chew sugarfree chewing gum and use oral lubricating gel like Oralgel. Continuing Biotene mouthwash.. Avoid any regular mouthwash as they have drying effect in mouth and can worsen the symptoms.. If symptoms are still severe drugs like Pilocarpine can be advised for stimulating salivation.. Hope this helps.. Regards.