Burning and discomfort in the mouth and tongue: causes and treatment

Everyone has had to deal with unpleasant sensations in the mouth, but not with a burning sensation. This symptom is not very common, which is why it takes many people by surprise. The patient is not entirely clear what to do and who to contact.

There are several causes of burning in the mouth and tongue

, and in order to correctly prescribe treatment, the specialist will first have to go through all possible options, prescribe a comprehensive diagnosis and identify the disease that provoked such symptoms.

Dental causes of burning sensation in the mouth

When the first symptoms appear, you should contact your dentist, because most often the reasons are related to his profile:

  • Oral candidiasis

    A burning sensation in the mouth and tongue after prosthetics or filling in most cases indicates poor quality of the procedure. The dentist could damage the mucous membrane during the operation or incorrectly manufacture the prosthesis itself. Some patients are allergic to the filling composition.

  • With candidiasis, the tip of the tongue stings the most, there is a feeling that the palate is burned, and there is a bitter taste. Sometimes there is pain in the throat area. The disease manifests itself due to the active proliferation of yeast fungus against a background of weakened immunity.
  • Stomatitis

    The cause of the disease can be glossitis. With this disease, due to the action of viruses and bacteria, the entire mucous membrane of the tongue experiences a strong burning sensation.

  • Aphthous stomatitis is another disease that causes a burning sensation in the mouth. With it, small ulcers form on the mucous membrane, which hurt when touched. There is an unpleasant sensation in the mouth, like a burn from hot drinks.

Why does my tongue sting?

Physiological reasons

In healthy people, a short-term tingling of the tongue is observed after eating certain foods: tomatoes, onions, garlic, herbs, spices, hot seasonings, pickles, marinades.
Often provoked by berries, sour fruits (lemon, kiwi, pineapple). Drinks that can cause the development of symptoms include kefir, some juices, strong tea, coffee, alcohol, primarily wine. Sometimes hot drinks or food cause superficial burns of the mucous membrane. In this case, the tingling is intense, complemented by tingling and burning. The sensation is also typical for heavy smokers and is associated with constant irritation of the tongue from tobacco smoke. Sometimes the disorder occurs while taking antidepressants, antibiotics, antiemetics, sedatives and hormonal drugs.

Glossalgia

It is a functional disorder, often develops against the background of gastrointestinal diseases, endocrine and neurological pathologies. Pinching, burning and rawness of the tongue during glossalgia can be periodic or constant, causing rapid fatigue when speaking, and is accompanied by dry mouth. Mostly it occurs in the area of ​​the tip and side surfaces. The symptom intensifies against the background of excitement, disappears or weakens when eating. External changes, as a rule, are absent.

Glossodynia

Along with tingling and tingling, patients may complain of a hairy sensation or “crawling sensation.” The symptom is more pronounced in the tip area and can spread throughout the entire tongue. The root rarely suffers. Characteristic is the spread of the affected area and an increase in the duration of discomfort as glossodynia progresses. Manifestations increase in the evening, sometimes bother you all night, and disappear during meals. The disorder is observed in the following diseases:

  • Lesions of the digestive system:
    gastritis, gastric ulcer, cholecystitis, pancreatitis, colitis.
  • Endocrine pathologies:
    diabetes mellitus, thyroid dysfunction.
  • Cardiovascular problems:
    hypertension, atherosclerosis, ischemic heart disease.
  • Neurological dysfunction:
    vegetative-vascular dystonia, functional disorders due to stress, neuroses, psycho-emotional exhaustion.

Tongue tingling

Desquamative glossitis

In most cases, the pathology is asymptomatic, however, some patients complain of changes in taste sensations, tingling, and pinching of the tongue. Diction problems are possible. Upon examination, multiple whitish areas are revealed, which, after peeling off the epidermis, turn into red spots. Desquamative glossitis can accompany the following conditions:

  • Gastroenterological problems:
    gastritis, enterocolitis, cholecystitis, hepatitis.
  • Autoimmune diseases:
    rheumatism, systemic scleroderma, SLE.
  • Chronic dermatoses:
    psoriasis, exudative diathesis.
  • Hypovitaminosis:
    deficiency of vitamins B1, B2, B5, B6, B12.

Sometimes it develops during pregnancy and worries patients with pathologies of the hematopoietic system and autonomic disorders. Some patients have a hereditary predisposition.

Dental diseases

A common cause of tingling, pain and burning are dental diseases: caries, tartar deposits. The symptom occurs when the edge of the tongue is damaged by a tooth fragment, prosthesis or crown; the damage is local in nature. Sometimes the cause of development is an individual reaction to the prosthetic material. In such cases, itching, irritation and redness of the mucous membranes are observed.

Xerostomia

Due to an insufficient amount of saliva, the tongue dries out, and a feeling of tingling, tightness, and tingling occurs. The disorder is aggravated by eating hard, dry foods or talking for a long time. Over time, the changes progress, and the discomfort becomes permanent. To reduce the severity of symptoms, patients often drink water or rinse their mouth. Taste sensations are reduced or distorted. Xerostomia can be diagnosed in the following cases:

  • Endocrine pathologies:
    hyperthyroidism, diabetes mellitus.
  • Diseases of the salivary glands:
    tumors, mumps, calculi.
  • Dehydration:
    fever, increased sweating, repeated vomiting or diarrhea.
  • Infectious diseases:
    HIV, some other viral infections.
  • Other reasons:
    condition after radiation therapy, frequent or prolonged stress.

Oral candidiasis

Pinching, discomfort, tingling are detected in the chronic form of the disease. Acute candidiasis is often manifested by pain and burning. The unpleasant sensations are widespread, covering the tongue and oral mucosa. The affected areas are covered with a dense gray coating, which, when removed, reveals a bright red inflamed epithelium. With hyperplastic candidiasis, the mucous membranes become painful and rough. Atrophic candidiasis is localized, the lesions are located next to the dentures and are areas of erythema with clear boundaries.

Allergic reactions

The most common etiological factor for tingling is food allergy. The symptom can also be observed in a reaction to pollen, house dust, animal dander and other allergens. Severe itching predominates, which forces the patient to “scratch” the affected area with his teeth, may be supplemented by tingling of the tongue, and is accompanied by sneezing and lacrimation.

What disease can cause a burning sensation in the mouth?

If there is fever and general malaise, as well as other additional symptoms, the source should be sought in more serious diseases:

  • The cause of a burning sensation in the mouth and throat is sometimes hidden in disorders of the gastrointestinal tract (GIT). Most often, people suffering from colitis or pancreatitis have to deal with this symptom.
  • The patient may only feel that his mouth is baking and bitter. This is how the body reacts to serious stress; in such a state, the human body can behave unpredictably.

A feeling of dryness and burning in the mouth is one of the most common signs of both types of diabetes.

  • Hormonal imbalance, especially at the very beginning of menopause, can cause burning in the gums. In this case, bitterness is sometimes felt on the tongue.
  • Sjögren's syndrome does not appear so often, but still it should not be written off. The disease is called dry syndrome, since for no apparent reason it causes a disruption in the secretion of external glands, which ultimately leads to xerostomia - lack of saliva.
  • Sometimes an acute deficiency of nutrients, primarily folic acid and vitamin B12, leads to the symptom. Usually in such cases it is the palate in the mouth that burns.

External reasons why it may bake in the mouth

Sometimes unpleasant sensations on the palate and tongue appear due to the occurrence of a serious illness, and it happens that the mucous membrane stings due to the influence of external factors that are easy to eliminate:

  • Most often, the cause of baking in the mouth is mechanical damage to the mucous membrane.
    People can injure their tongue and lips while eating; less often, poor-quality dental care leads to damage to the oral mucosa.
  • If the palate and tongue are burned by hot food or drinks, the discomfort will continue for at least a few more days. Sometimes the burning sensation continues after the tissue has healed.
  • You may develop an allergic reaction to oral care products. For many, this symptom is caused by the presence of sodium lauryl sulfate in toothpaste. It dries out the mucous membrane, which gradually provokes itching and a feeling that the person’s whole mouth is on fire. It is better to put such pastes away.

  • Taking some medications can also have unpleasant side effects. The most common causes of burning are iodine-containing medications, antihypertensive drugs when taken uncontrolled, and vasoconstrictors.

A feeling similar to that of a burn to the mucous membrane is often a side effect of chemotherapy.

Diagnosis of burning in the mouth

In most cases, burning of the oral mucosa is not at all associated with diseases of the teeth and gums. Despite this, if you feel itching, you should first contact your dentist, especially if you have recently had prosthetics or fillings done.

The specialist will examine the oral cavity and, if dental problems are detected, prescribe the necessary treatment. In addition, the dentist can give recommendations on how to eliminate dry mouth, because it is the precursor to discomfort. In this case, even traditional methods will be useful.

If the dentist was unable to cure the patient, he will have to undergo a series of tests and examinations by a neurologist, gastroenterologist, otolaryngologist and endocrinologist. First of all, blood is collected and a swab is taken from the tongue. Once the original disease is identified, the patient will be prescribed the correct treatment.

Functions of the sky and structural features

The palate is a vault that separates the oral cavity from the nasopharynx. The structure of the palate consists of two sections - hard and soft. This organ performs an important function - it prevents food from entering the nasopharynx from the oral cavity.

In addition, receptors on the surface of the palate are associated with the larynx and take part in articulation and influence the timbre of the voice and the pitch of sounds. Thus, the inflammatory process of the upper palate disrupts all the functions of this important organ, and therefore requires mandatory treatment.

Treatment of burning sensation in the mouth and tongue

The emphasis is on eliminating the cause of the burning sensation in the mouth, but additional measures necessary to alleviate the symptoms are also prescribed.

Treating the underlying cause of pinching

If it becomes clear that the cause of the burning sensation in the mouth lies in a serious disease, first all efforts will be directed specifically at eliminating it. A therapist or specialist doctor may prescribe the following treatment:

  • If an allergy is detected, the patient is prescribed antihistamines. It is recommended to completely avoid contact with the allergen.
  • In case of a lack of nutrients, which has led to unpleasant sensations in the mouth and tongue, special medications are prescribed. Moreover, preference is given not to complexes, but to those products that contain only the necessary substances. In this case, these include B vitamins and folic acid.

    Fungal diseases should be treated with antibiotics and disinfectant rinses.

  • If problems with hormonal levels are detected, a thorough examination is first carried out, which can take more than one month. All this time, the patient is prescribed medications that relieve the burning sensation in the throat and tongue, and only at the very end are hormonal medications prescribed.
  • For diabetes, medications are also recommended that can alleviate the patient’s condition. The main treatment is medication and diet, which you will have to follow for the rest of your life.
  • If the mucous membranes of the mouth, tongue and lips “burn” due to stress or dry syndrome, the patient will have to visit a neurologist, and sometimes even a psychologist. Usually in such cases it is most difficult to eliminate dryness and burning, since the causes of such symptoms are not completely clear.

Treatment for burning mouth at home

Treatment is divided into two stages: addressing the underlying cause and taking steps to relieve symptoms.

One without the other will be ineffective. To relieve the patient from burning of the oral mucosa, the following recommendations are usually given:

  • Regular rinsing of the mouth with diluted antiseptics: Chlorhexidine, Furacilin, Miramistin. The composition is not so important, the main thing is that the product gets rid of bacteria.
  • If there are damage to the mucous membrane, it is necessary to treat them with iodine-based ointments or other drugs that promote rapid healing.
  • You can get rid of a burning sensation in the mouth using ointments with an anesthetic effect. Remedies such as Kamistad and Lidocaine are excellent for pain relief.
  • If your mouth is dry, the symptom can be treated with folk remedies. Rinsing with the addition of sea buckthorn oil will help best.

The list may be longer if there are other symptoms, such as fever or general malaise.

How to prevent burning in the future

In order not to encounter a burning sensation of the tongue and oral mucosa, you need to follow preventive measures:

  • Try to sleep at least 7-8 hours a day. This will protect you from stress and weakened immunity - phenomena that often provoke a feeling of heat on the mucous membrane.
  • Any bad habits, be it cigarettes or alcohol, must be eliminated from your lifestyle.
  • Follow the basics of proper nutrition. Include as many fresh fruits and vegetables in your diet as possible. This is useful not only for teeth and gums, but also for the gastrointestinal tract.
  • Maintain good hygiene. Simply brushing your teeth regularly is not enough; you need to visit a specialist once every 6 months, use mouth rinses, dental floss and other aids.
  • Pay attention to the composition of hygiene products. If you have sensitive gums and teeth, try to choose toothpastes and rinses with gentler ingredients that do not cause a burning sensation in the mouth.
  • Limit your use of chewing gum. Choose only those that do not contain sugar or xylitol.
  • Reduce your intake of bitter, hot and sour foods.
  • Avoid treating damaged areas with products based on alcohol, potassium permanganate and brilliant green.

When you notice the first unpleasant symptoms, contact a specialist for proper diagnosis and timely treatment.

Causes of glossalgia and stomalgia

The development of the condition is influenced by local and general factors. Local ones include:

  • Damage to the mucous membrane due to low-quality dentures, abundant deposits of tartar, and sharp chips on the teeth.
  • Burning of the tongue and palate with the development of galvanosis caused by the presence of dentures made of different metals in the dentition.
  • Development of allergies to plastic prostheses.
  • Trauma to the oral cavity during orthopedic procedures.

These factors do not always cause glossalgia, so they cannot be unambiguously called the causes of the disease, and in the treatment of burning tongue, their elimination is only part of a set of procedures.

Common factors include:

  • Diseases of the nervous system of any nature.
  • Gastrointestinal pathologies.
  • Endocrine diseases.
  • Menopause.
  • Diseases of the cardiovascular system and vascular disorders.
  • Advanced syphilis or neurosyphilis.
  • Encephalitis.

The development of common diseases almost always leads to disruption of the nervous system, which, in turn, provokes the occurrence of glossalgia. The “trigger” can be severe stress, serious nervous overload, or physical fatigue.

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