... the dentist punctured my maxillary sinus, exposed the bone and I fought a two month infection with many antibiotics and steroids. All of a sudden after infection healed, my tongue and roof of mouth burn so badly I am currenly on pain pills short term with the most devastating pain I have ever had. I can't even stand to get out of bed except to eat (cold) food. Anyone have any tried and true cures? Obviously I can't stay on vicodin. Thank you
I did find this on the net and felt this just might help you.
Treatment triggers improvement in symptoms for many people with burning mouth syndrome. But the type of treatment depends on the underlying cause.
Dry mouth (xerostomia). Treating the cause of your dry mouth — Sjogren's syndrome, use of medications or some other cause — may relieve burning mouth symptoms. Drinking more fluids or taking a medication that promotes flow of saliva may help.
Other oral conditions. If the cause is oral thrush, treatment is with oral antifungal medications such as nystatin (Mycostatin) or fluconazole (Diflucan). If you wear dentures, your dentures may also need to be treated.
Psychological factors. For a burning mouth that may be caused by or associated with psychological factors such as anxiety and depression, your doctor may recommend tricyclic antidepressants or benzodiazepines, or psychiatric therapy, or both together.
Nutritional deficiencies. You may be able to correct nutritional deficiencies by taking supplements of B vitamins and minerals such as zinc and iron.
Irritating dentures. Your dentist may be able to adjust your dentures so they are less irritating to your mouth. If your dentures contain substances that irritate your oral tissues, you may need different dentures. You may also improve symptoms by practicing good denture care, such as removing dentures at night and cleaning them properly.
Nerve disturbance or damage (neuropathy). Your doctor may suggest medications that affect your nervous system and control pain, including benzodiazepines such as clonazepam (Klonopin), tricyclic antidepressants such as amitriptyline or nortriptyline (Pamelor, Aventyl), or anticonvulsants such as gabapentin (Neurontin). For pain relief, your doctor may also suggest rinsing your mouth with water and capsaicin — the active ingredient in hot peppers, which may also be called capsicum.
Allergies. Avoiding foods that contain allergens that may irritate the tissues of your mouth may help.
Certain medications. If a medication you're taking is causing a burning mouth, using a substitute medication, if possible, may help.
Oral habits. Tongue-thrusting and teeth-clenching (bruxism) can be helped with mouth guards, medications and relaxation techniques.
Endocrine disorders. If a burning mouth is associated with conditions such as diabetes or hypothyroidism, treating those conditions may improve your symptoms.
If doctors can't identify the cause of your symptoms, they may still recommend trying oral thrush medications, B vitamins or antidepressants. These medications have proved effective in treating burning mouth syndrome.
Burning mouth syndrome can be painful and frustrating. The good news is that it's a treatable condition. Although it may take time, you can usually improve your symptoms by working with a team of health professionals to find a treatment plan that's right for you.
In the short term, you may gain some relief by avoiding irritating substances, such as alcohol-based mouthwashes, cinnamon or mint products, and cigarette smoke. Chewing on ice chips or sugar-free gum also may help. So can keeping your dentures out all night and brushing your teeth with baking soda instead of toothpaste. Ask your doctor for other tips to manage your pain and discomfort.
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In my case I've had burning tongue severly for 3years and finding no relief even in the form of hydrocodone. Also seen 14 docs including 5 nueroligics. Accidentally I ended up in ER with panic attack and was prescribed Xanax which immediately took the pain away. I would certainly look into benzo type medicine because it does work for some people. I took myself off hydrocodone and even though withdrawal was unpleasant it was never as bad as the tongue that felt like I was chewing hot jalepenos ALL the time. Good Luck!!!
That is just about how mine started, the docs put me on a combindation of Alprazolam and Venlafaxine... that combindation has been the only thing that keeps it at bay. Alprazolam is a form of xanax and the Venlafaxine is generic for effexor which is a antidepressent, which I was against at first. But both my dentist and doctor agreed with this combindation and it worked for me.
I hope my treatment works for your situatuion. My BMS may have been caused by Type II diabeties and has been with me since late 2009. But after visits to GP, Allergist, Dentists, Oral Surgeons and biopsies and no definitive answers, except "it's not cancerous but could become that way", my 2010 internet search lead me to "Dermatology Whiz" Dr. R. Rogers. Gee, Dermatology--no one (Dr.) thought of that one! Dr. R. Rogers has lead and participated in many tests of BMS and discover Aplha Lipoic Acid was not a cure but relief of symptoms(in my case: mouth inflamation, deep tongue ulcers (could become cancerous), burning secretion, lost voice, and headaches with a temperature. I started 2010 with 600 mg ALA per day and am now up to 2400mg: 1200mg morning /1200mg evening. It Works! THANK YOU!!! DR. ROGERS!!! All of my symptoms are reduced and under control. Dr. Rogers said that ALA seems not to have any bad side effects on humans--so take as much as you need.
The only bad effect I have is urine that smells metallic--I can live with that.
Recently I started drinking two cups of Oolong tea per day. It coats the effected area of my mouth. And purportedly will reduce symptoms of dermatitis... still testing... hopeful. Good luck--these are low, low costs alternatives to high cost drugs. Lets us know if any one of the responses work for you.
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