Persistent Burning Sensation on Tongue and Sore Throat: Possible Causes and Solutions - Otolaryngology

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Persistent burning sensations on the tongue and a sore throat can be distressing and may arise from various underlying causes. Given your symptoms, which have persisted for nearly a month despite seeing multiple specialists and adhering to a regimen of medications and dietary adjustments, it is essential to consider a comprehensive approach to diagnosis and management.


Possible Causes
1. Oral Mucositis: This condition involves inflammation of the mucous membranes in the mouth, which can lead to burning sensations and pain. It can be caused by various factors, including infections, irritants, or systemic diseases.

2. Allergic Reactions: Allergies to certain foods, dental products, or environmental factors can lead to oral burning sensations. If you have recently changed any products or introduced new foods, this could be a contributing factor.

3. Nutritional Deficiencies: Although you mentioned taking B vitamins and vitamin C, deficiencies in other nutrients, such as iron or folate, can also lead to oral symptoms. A thorough nutritional assessment may be warranted.

4. Gastroesophageal Reflux Disease (GERD): Acid reflux can cause irritation in the throat and mouth, leading to a burning sensation. If you experience heartburn or regurgitation, this could be a significant factor.

5. Infections: Viral infections, such as herpes simplex virus, or fungal infections like oral thrush, can cause burning sensations and sore throat. A swab or culture may be necessary to rule out these infections.

6. Burning Mouth Syndrome (BMS): This is a chronic condition characterized by a burning sensation in the mouth without an obvious cause. It can be associated with anxiety, depression, or hormonal changes, particularly in postmenopausal women.

7. Irritation from Medications: Some medications can cause dry mouth or irritation of the oral mucosa, leading to discomfort. Reviewing your current medications with your healthcare provider may help identify any potential culprits.


Recommended Solutions
1. Further Evaluation: Since you have already seen a dentist and ENT specialists, consider consulting a gastroenterologist to evaluate for GERD or other gastrointestinal issues. A referral to an oral medicine specialist may also be beneficial.

2. Oral Hygiene: Maintain excellent oral hygiene, using a gentle toothbrush and non-irritating toothpaste. Rinsing with a saline solution or a baking soda rinse may help soothe the mucosa.

3. Hydration: Ensure adequate hydration to keep the mucous membranes moist. Consider using a humidifier at night to alleviate dryness.

4. Dietary Adjustments: Continue to avoid spicy, acidic, or abrasive foods that may exacerbate your symptoms. Incorporate soft, bland foods that are less likely to irritate the oral cavity.

5. Stress Management: If anxiety or stress is a contributing factor, consider relaxation techniques such as mindfulness, yoga, or counseling.

6. Follow-Up: Regular follow-ups with your healthcare providers are essential to monitor your symptoms and adjust treatment as necessary. If symptoms persist or worsen, further diagnostic testing, such as blood tests or imaging studies, may be required.

In conclusion, persistent burning sensations on the tongue and sore throat can stem from various causes, and a multidisciplinary approach may be necessary for effective management. It is crucial to continue working closely with your healthcare providers to identify the underlying issue and develop an appropriate treatment plan.