Burning Pain in Tongue and Throat After Antibiotic Treatment: Causes and Solutions - Surgery

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Burning pain in the tongue and throat?


Recently, after taking antibiotics for 12 days (Thiamphenicol capsules, Mortrin, Uropyridin) for a urinary tract infection, I started experiencing a burning pain in my tongue and throat on the ninth day.
The pain is particularly intense when eating, and my tongue feels painful to the touch.
My throat burns whenever I eat or drink, and I often feel a tingling sensation in my tongue, giving me an overall strange feeling in my mouth.
Friends have commented that my tongue appears purplish-red, and I have developed bad breath and sores at the corners of my mouth.
I asked my doctor if these symptoms could be side effects of the medication, but he said they shouldn't be.
What could this condition be? Should I finish the original medication and monitor my symptoms, or should I see a specialist? Thank you!

kk, 30~39 year old female. Ask Date: 2007/07/19

Dr. He Liangzhi reply Surgery


1.
Discontinue medication.
2.
Please visit an otolaryngologist.
3.
For urinary tract issues, please consult a urologist.

Reply Date: 2007/07/19

More Info


The burning pain in your tongue and throat after a course of antibiotics can be concerning and may have several underlying causes. It is important to understand that while antibiotics are effective in treating bacterial infections, they can also lead to side effects, including changes in the oral mucosa and gastrointestinal flora.

One possible cause of your symptoms is oral thrush, a fungal infection caused by an overgrowth of Candida species, which can occur after antibiotic treatment. Antibiotics can disrupt the normal balance of bacteria in the mouth and throat, allowing fungi to proliferate. Symptoms of oral thrush include a burning sensation, white patches on the tongue, and a sore throat. The "purple-red" appearance of your tongue, as described by your friends, could also indicate inflammation or irritation.

Another possibility is that you are experiencing a condition known as "antibiotic-associated diarrhea" or "antibiotic-associated colitis," which can sometimes manifest with oral symptoms. This condition arises when antibiotics disrupt the gut microbiome, leading to gastrointestinal symptoms that may also affect the mouth and throat.

Additionally, the burning sensation could be a result of a hypersensitivity reaction to the antibiotics you are taking. While it is less common, some individuals may develop an allergic reaction to certain medications, leading to symptoms such as burning, swelling, or irritation in the oral cavity.

Given that you are experiencing significant discomfort, it is advisable to consult a healthcare professional for a thorough evaluation. A visit to an ear, nose, and throat (ENT) specialist or a dentist may be appropriate, as they can assess your oral health and determine if there are any infections or other conditions present. They may also perform a swab of your throat or tongue to check for fungal infections or other pathogens.

In the meantime, there are several strategies you can employ to alleviate your symptoms:
1. Maintain Oral Hygiene: Rinse your mouth with warm salt water to help soothe irritation and promote healing. Avoid mouthwashes that contain alcohol, as they can further irritate the mucosa.

2. Stay Hydrated: Drink plenty of fluids to keep your throat moist and help flush out any irritants.

3. Avoid Irritants: Steer clear of spicy, acidic, or very hot foods that may exacerbate the burning sensation.

4. Consider Probiotics: Taking probiotics may help restore the balance of good bacteria in your gut and mouth, potentially alleviating some of the symptoms.

5. Pain Relief: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help manage discomfort, but consult your doctor before taking any new medications.

6. Monitor Symptoms: Keep track of your symptoms and any changes. If they worsen or do not improve after completing your antibiotic course, seek medical attention promptly.

In conclusion, while it is possible that your symptoms are related to the antibiotics you have been taking, it is crucial to have a healthcare professional evaluate your condition to rule out any serious issues and provide appropriate treatment. Do not hesitate to seek medical advice, especially if your symptoms persist or worsen.

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