[19F] Experiencing burning sensation in cheeks after eating

Patient Description

A 19-year-old female reports experiencing a burning sensation in her cheeks that began approximately an hour and a half ago. The patient noted that the sensation worsened after consuming a meal from Subway. She has a history of under-eye eczema and suspects it might be related to her current symptoms. The burning sensation started under her eyes and is mostly localized to her cheeks. This is the first occurrence of such symptoms for the patient. She has not used any new skincare products or cosmetics recently and is unaware of any exposure to potential allergens or irritants. The patient has a family history of Hashimoto's thyroiditis and has been prescribed desonide cream for her eczema, which did not alleviate the burning sensation. Her current medication regimen includes naltrexone, levothyroxine, quetiapine, duloxetine, loratadine, and escitalopram. The patient has a history of rectal prolapse and IBS.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possibilities for the burning sensation in your cheeks:

  • Allergic Reaction: It's possible that something in the Subway meal or another recent exposure triggered an allergic reaction. Allergic reactions can cause skin symptoms like burning, itching, or redness.

  • Eczema Flare-Up: Since you have eczema under your eyes, the burning sensation could be related to a flare-up of your eczema, even if it doesn't appear as a rash.

  • Contact Dermatitis: This occurs when your skin reacts to something it has come into contact with, such as a new detergent, soap, or even a food ingredient. It can cause burning, itching, or redness.

  • Rosacea: This is a skin condition that can cause redness and burning sensations, especially on the cheeks. It often flares up with certain triggers like spicy foods, heat, or stress.

  • Medication Side Effects: Occasionally, medications can cause unusual side effects, including skin sensations. If you've recently started or changed a medication, this might be worth considering.

What you can do

  1. Avoid Potential Triggers: Try to identify and avoid any potential triggers, such as certain foods, skincare products, or environmental factors that might be causing the burning sensation.

  2. Moisturize: Keep your skin well-moisturized, especially in areas prone to eczema. Use a gentle, fragrance-free moisturizer to help soothe your skin.

  3. Cool Compress: Applying a cool, damp cloth to your cheeks may help alleviate the burning sensation.

  4. Track Symptoms: Use MDandMe to journal your symptoms, track any potential triggers, and monitor your progress. This information can be helpful for your healthcare provider.

  5. Consult a Healthcare Professional: If the burning sensation persists, worsens, or if you develop additional symptoms, it would be a good idea to consult with a healthcare professional to rule out any other potential causes and to receive appropriate care.

What you should look out for

  • Worsening Symptoms: If the burning sensation becomes more intense or spreads to other areas, seek medical attention.

  • New Symptoms: Be alert for any new symptoms, such as swelling, difficulty breathing, or a rash, which could indicate a more serious allergic reaction.

  • Persistent Symptoms: If the burning sensation does not improve or continues to recur, it's important to follow up with a healthcare provider for further evaluation.

Remember, while these suggestions can be helpful, they are not a substitute for professional medical advice. Always consult with a healthcare provider for a formal diagnosis and treatment plan.

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28 d ago

People Also Ask


What could cause a burning sensation in the cheeks after eating?

A burning sensation in the cheeks after eating could be due to an allergic reaction to something in the food, such as a specific ingredient or spice. It could also be a response to a food trigger that exacerbates a skin condition like rosacea.


Can eczema cause a burning sensation even if there is no visible rash?

Yes, eczema can cause a burning sensation even if there is no visible rash. This can happen during a flare-up where the skin becomes more sensitive and reactive, leading to sensations like burning or itching.


How can I differentiate between an allergic reaction and a skin condition like rosacea?

An allergic reaction often presents with sudden onset symptoms like itching, redness, or swelling, and may be accompanied by other symptoms like hives or difficulty breathing. Rosacea, on the other hand, typically causes persistent redness and burning on the face, often triggered by specific factors like spicy foods or stress.


Are there any medications that might cause a burning sensation as a side effect?

Yes, some medications can cause unusual side effects, including skin sensations like burning. It's important to review any recent changes in medication with a healthcare provider to determine if this could be a contributing factor.


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