[28F] Experiencing burning tongue sensation and sore throat

Patient Description

A 28-year-old female has been experiencing a constant burning sensation at the tip of her tongue, akin to the feeling of a burn from hot food, for approximately three weeks. She has been applying oral numbing gel daily for relief. The onset of the burning sensation followed a week after the patient treated a swollen taste bud with hydrogen peroxide. Concurrently, she has a sore throat, which she describes as similar to strep throat, but without the contagiousness or additional symptoms of strep, and it has been persistent for the same duration as the tongue discomfort. The sore throat is painful, particularly when swallowing, but does not fluctuate in intensity throughout the day. The patient denies fever, chills, or any other symptoms. She has no known allergies, adverse reactions to medications, or pre-existing conditions, and she is not currently on any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Oral Irritation or Burn: The use of hydrogen peroxide and the removal of a swollen taste bud may have caused some irritation or minor burns to the tongue. This could explain the burning sensation you're experiencing.

    • Treatment typically involves avoiding spicy or acidic foods, maintaining good oral hygiene, and using over-the-counter pain relievers or mouth rinses.
  • Glossitis: This is inflammation of the tongue, which can cause a burning sensation. It can be caused by irritants like hydrogen peroxide, infections, allergies, or certain deficiencies.

    • Treatment usually involves addressing the underlying cause and may include medications or dietary changes.
  • Oral Thrush: This is a fungal infection in the mouth that can cause a burning sensation on the tongue and a sore throat. It's more common in people with weakened immune systems, but it can occur in generally healthy people as well.

    • Treatment typically involves antifungal medications.
  • Acid Reflux: This condition can cause a sore throat and a burning sensation in the mouth. It occurs when stomach acid backs up into the esophagus.

    • Treatment usually involves lifestyle changes and over-the-counter or prescription medications.

What you can do

Given your symptoms, it would be best to consult a healthcare professional for a formal assessment. They may order tests or refer you to a specialist if necessary. In the meantime, you can try the following:

  1. Maintain good oral hygiene: Brush your teeth twice a day and consider using a mouthwash to keep your mouth clean.
  2. Stay hydrated: Drink plenty of water to help soothe your throat and keep your mouth moist.
  3. Avoid irritants: Spicy, acidic, or hard foods can further irritate your tongue and throat. Opt for soft, bland foods until your symptoms improve.
  4. Over-the-counter remedies: You can continue using the oral numbing gel for temporary relief. Over-the-counter antacids may also help if acid reflux is causing your symptoms.

What you should look out for

Please seek immediate medical attention if:

  • Your symptoms worsen or persist for more than a week despite home care.
  • You develop new symptoms such as high fever, difficulty swallowing or breathing, or white patches in your mouth or on your tongue.
  • You have severe, unexplained pain.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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1 yr ago

People Also Ask


What could cause a burning sensation on the tongue?

A burning sensation on the tongue can be caused by various factors including oral irritation, glossitis, oral thrush, or acid reflux. It may also result from nutritional deficiencies or allergies.


Can using hydrogen peroxide in the mouth cause irritation?

Yes, using hydrogen peroxide in the mouth can cause irritation or burns, especially if used inappropriately or in high concentrations. It can damage the delicate tissues of the mouth and tongue.


What are the symptoms of oral thrush?

Symptoms of oral thrush include white patches on the tongue or inside the cheeks, redness or soreness, a burning sensation, and sometimes difficulty swallowing. It is a fungal infection caused by Candida.


How can acid reflux affect the throat and mouth?

Acid reflux can cause a sore throat and a burning sensation in the mouth due to stomach acid backing up into the esophagus and mouth. This can lead to irritation and discomfort, especially when swallowing.


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