Burning mouth syndrome (BMS) is a painful burning feeling in your mouth or on your tongue and lips. Although BMS can affect anyone, it’s most common in middle-aged or older women.

This burning feeling can continue for months or years. For many people, the pain begins in late morning, is strongest in the evening,
and often goes away at night. However, the symptoms are different for everyone. Some people feel constant pain, while for others, the
pain comes and goes.

Other symptoms of BMS include:
• tingling or numbness on the tip of your tongue or in your mouth.
• bitter or metallic taste.
• dry or sore mouth.

The primary cause of BMS is hard to diagnose.
Often it occurs with other medical
and dental conditions, such as allergies or
menopause. A single case of BMS may have
multiple causes, including:
• hormonal changes.
• dry mouth caused by medication.
• dry mouth caused by another disorder
such as diabetes or Sjögren’s syndrome.
• nutritional deficiencies.
• fungal infection in your mouth
(oral candidiasis).
• acid reflux.
• poorly fitting dentures.
• allergies to denture materials.
• nerve damage.
• anxiety and depression.
Diagnosis of BMS starts with a review of
your medical history, a thorough oral exam,
and a general physical. Tests may include:
• blood work to look for infection, nutritional
deficiencies, and disorders such
as diabetes or thyroid problems.
• oral swab to check for fungal infection.
• allergy testing (for denture materials,
foods, or other substances that may be
causing your symptoms).
Depending on the cause of your BMS
symptoms, possible treatments may
• adjustment to or replacement of irritating
• treating disorders such as diabetes, Sjögren’s
syndrome, or a thyroid problem.
• supplements for nutritional deficiencies.
• changing your medications (if possible).
• prescribing medications to:
• relieve dry mouth.
• treat fungal infection.
• help control pain from nerve damage.
• relieve anxiety and depression.
When no primary cause can be found, treatment
is designed to relieve your symptoms.
You can also try to:
• sip water frequently.
• suck on ice chips.
• avoid hot, spicy foods.
• avoid acidic foods, like citrus juices.
• chew sugarless gum.
• brush your teeth/dentures with baking
soda and water.
• avoid mouthwashes that contain alcohol.
• avoid alcohol and tobacco products.
Talk with your dentist and doctor about
other things you can do to help decrease the
problem of burning mouth syndrome

NOTE: This publication is for general information only. Ask your dentist for more details.
cathy says: 2011-04-12 02:38:00
BMS is a painful, little known phenomenon. As a 57 yr old female, I hae experienced numerous oral issues for some unexplained reasons. BMS can cause even eating to be painful. It is common for post-menopausal women to develop as hormone levels change and affect all the mucous membranes, not just vaginal. Chewing time released meds can contribute. Time release meds should never be chewed or broken as this can cause a sudden rush of too much medication at one time. I accidently found the cause of BMS after suffering for 2 yrs. I take psychotropic drugs for bipolar disorder. My doctor took me off zoloft cause it didn''t seem right for my condition. As soon as I quit the zoloft and went on cymbalta the BMS went away. Good luck to all that suffer.

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