Yes, thyroid disease may cause burning mouth syndrome. Burning mouth syndrome is a severe, painful condition characterized by burning sensations in the tongue, lips, palate (roof of the mouth), gums, inside of the cheeks, and the back of the mouth or throat. The feeling is often described as a scalding or tingling sensation. It is more common in women than in men. It is found more in women during or after menopause, however, this syndrome is poorly understood, and researches are still going on.
- If a patient has hypothyroid, it may cause a dry mouth called xerostomia, which may present with decreased saliva production.
- In hyperthyroidism, patients burning mouth syndrome is one of the common symptoms.
Regardless of whether burning mouth syndrome is caused by your thyroid directly or as a complication caused by thyroid-related dry mouth, treating the underlying thyroid issue should address burning mouth syndrome.
What are the common causes of burning mouth syndrome?
Burning mouth syndrome can be classified as either primary or secondary.
- Primary burning mouth syndrome: When no clinical or lab abnormalities can be identified, the condition is called primary or idiopathic burning mouth syndrome. It may be mostly related to problems with the taste and sensory nerves of the peripheral or central nervous system.
- Secondary burning mouth syndrome: In this condition, burning mouth syndrome is caused by an underlying medical condition, which may include:
- Dry mouth
- Oral conditions, such as infections (oral thrush)
- Nutritional deficiencies or lack of vitamins
- Allergies or reactions to foods
- Acid reflux
- A side effect of certain medications
- Unhygienic oral habits
- Endocrine disorders, such as diabetes or underactive thyroid (hypothyroidism)
- Excessive mouth irritation, which may result from overbrushing the tongue, using abrasive toothpaste, overusing mouthwashes, or having too many acidic drinks
- Psychological factors, such as anxiety, depression, or stress
How is burning mouth syndrome treated?
Treatment of burning mouth syndrome depends on whether the patient has primary or secondary burning mouth syndrome.
Primary burning mouth syndrome: There's no known cure for primary burning mouth syndrome. Treatment depends on symptoms and is aimed at controlling them. Treatment options may include:
- Saliva replacement products
- Specific oral rinses or lidocaine
- Capsaicin, a pain reliever that comes from chili peppers
- An anticonvulsant medication called clonazepam (Klonopin)
- Certain antidepressants
- Medications that block nerve pain
- Cognitive-behavioral therapy to develop strategies to address anxiety and depression and cope with chronic pain
Secondary burning mouth syndrome: Treatment depends on any underlying conditions that may be causing your mouth discomfort. For example, treating an oral infection or taking supplements for a vitamin deficiency may relieve your discomfort. Once any underlying causes are treated, burning mouth syndrome symptoms may get better.
Lifestyle modifications and home remedies:
- Drink plenty of fluids to help ease the feeling of dry mouth, or suck on ice chips
- Avoid acidic foods and liquids, such as tomatoes, orange juice, carbonated beverages, and coffee
- Avoid alcohol and products with alcohol, as they may irritate the lining of your mouth
- Don't use tobacco products
- Avoid spicy and hot foods
- Avoid products with cinnamon or mint
- Try different mild or flavor-free toothpaste, such as one for sensitive teeth or one without mint or cinnamon
- Take steps to reduce stress
Oral manifestations of thyroid disorders and its management: (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3169868/)
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capsicumThe medicinal property of capsicum comes from capsaicin, an oleoresin and the active compound in chili peppers. Capsaicin may be taken orally in food, lozenges, and other products, and applied on the skin as topical creams and lotions, or used as a nasal spray. Capsaicin may be used to treat post-herpetic neuralgia, nerve pain from nerve diseases, joint pain due to osteoarthritis, minor muscle pains, itching (pruritus), post-mastectomy pain syndrome, and others. Common side effects of capsicum include local burning sensation, contact dermatitis, bleeding, hives (urticaria) with topical use, flushing, sweating, cough, nasal discharge (rhinorrhea), mucous membrane irritation, eye irritation, and others.
Common Medical Abbreviations & Terms
Doctors, pharmacists, and other health-care professionals use abbreviations, acronyms, and other terminology for instructions and information in regard to a patient's health condition, prescription drugs they are to take, or medical procedures that have been ordered. There is no approved this list of common medical abbreviations, acronyms, and terminology used by doctors and other health- care professionals. You can use this list of medical abbreviations and acronyms written by our doctors the next time you can't understand what is on your prescription package, blood test results, or medical procedure orders. Examples include:
- ANED: Alive no evidence of disease. The patient arrived in the ER alive with no evidence of disease.
- ARF: Acute renal (kidney) failure
- cap: Capsule.
- CPAP: Continuous positive airway pressure. A treatment for sleep apnea.
- DJD: Degenerative joint disease. Another term for osteoarthritis.
- DM: Diabetes mellitus. Type 1 and type 2 diabetes
- HA: Headache
- IBD: Inflammatory bowel disease. A name for two disorders of the gastrointestinal (BI) tract, Crohn's disease and ulcerative colitis
- JT: Joint
- N/V: Nausea or vomiting.
- p.o.: By mouth. From the Latin terminology per os.
- q.i.d.: Four times daily. As in taking a medicine four times daily.
- RA: Rheumatoid arthritis
- SOB: Shortness of breath.
- T: Temperature. Temperature is recorded as part of the physical examination. It is one of the "vital signs."
glandular productsGlandular products are nutritional supplements used to enhance the function or mimic the effect of an organ. Glandular products can be used to treat hypothyroidism, low adrenal function, autoimmune disorders, adrenocortical insufficiency, hyperkalemia, ulcerative colitis, liver disorders, vascular insufficiencies, pancreatic disorders, and others. Common side effects of glandular products include allergic reactions, hyperthyroidism symptoms, iron overload, infection, and others.
Hyperthyroidism is an excess of thyroid hormone due to an overactive thyroid gland. Symptoms can include increased heart rate, weight loss, heart palpitations, frequent bowel movements, depression, fatigue, fine or brittle hair, sleep problems, thinning skin, and irregular vaginal bleeding.
Graves' disease is the most common cause of hyperthyroidism. Many other health problems or taking excess thyroid hormone medication can cause an overactive thyroid gland. Treatment for the condition is with medication, radioactive iodine, thyroid surgery (rarely), or reducing the dose of thyroid hormone. No diet has been shown to treat hyperthyroidism or its symptoms and signs.
HypothyroidismHypothyroidism is any state in which thyroid hormone production is below normal. Normally, the rate of thyroid hormone production is controlled by the brain by the pituitary gland. Hypothyroidism is a very common condition and the symptoms of hypothyroidism are often subtle but may include constipation, memory loss, hair loss, and depression. There are a variety of causes of hypothyroidism, and treatment depends on the cause.
iodineIodine is a trace mineral used by the body to produce thyroid hormones. Iodine is an essential component of thyroid hormones thyroxine (T4) and triiodothyronine (T3) produced by the thyroid gland. Excessive iodine may lead to reduced thyroid function (hypothyroidism) by feedback inhibition of thyroid hormone production and conversion of triiodothyronine (T3) to less active thyroxine (T4). Common side effects of iodine include metallic taste, fever, thyroid suppression, headache, joint pain (arthralgia), diarrhea, acne (high dose), hives (urticaria), fluid in lungs (pulmonary edema), swelling of tissue under the skin and mucous membranes (angioedema), and high blood count of eosinophil immune cells (eosinophilia).
levothyroxineLevothyroxine is a synthetic form of thyroid hormone used to treat hypothyroidism (underactive thyroid), myxedema coma, pituitary TSH suppression, and organ preservation. Common side effects of levothyroxine may include fatigue, increased appetite, weight loss, heat intolerance, fever, excessive sweating, increase in pulse rate, increase in blood pressure, irregular heart rhythm (arrhythmia), palpitations, rapid heartbeat (tachycardia), chest pain (angina pectoris), congestive heart failure, heart attack (myocardial infarction), and others. Consult your doctor if pregnant or breastfeeding.
potassium iodidePotassium iodide is an oral medication that has been used for a long time as an expectorant to break up mucus and make it easier to cough up and eliminate phlegm. Potassium iodide is also used to inhibit thyroid hormone production in patients with an overactive thyroid (hyperthyroidism) and thyrotoxicosis. Common side effects of potassium iodide include nausea, vomiting, diarrhea, stomach pain, gastrointestinal irritation or bleeding, metallic taste, iodide poisoning syndrome (iodism), and others. Use of potassium iodide during pregnancy can cause fetal harm.
Thyroid CancerThere are four major types of thyroid cancer: papillary, follicular, medullary, and anaplastic thyroid cancer. Tumors on the thyroid are referred to as thyroid nodules. Symptoms of thyroid cancer include swollen lymph nodes, pain in the throat, difficulty swallowing, hoarseness, and a lump near the Adam's apple. Treatment usually involves chemotherapy, surgery, radioactive iodine, hormone treatment or external radiation and depends upon the type of thyroid cancer, the patient's age, the tumor size, and whether the cancer has metastasized.
thyroid desiccatedThyroid desiccated is a dried form of thyroid, a naturally occurring hormone, used for replacement or supplemental therapy in people deficient in thyroid hormone (hypothyroidism). Common side effects of thyroid desiccated include chest pain, palpitations, irregular heart rhythm (cardiac arrhythmia), high heart rate (tachycardia), shortness of breath (dyspnea), abdominal cramps, diarrhea, constipation, vomiting, weight loss, increased appetite, excessive sweating (diaphoresis), hair loss (alopecia), fever, headache, heat intolerance, muscle pain (myalgia), cramps, impaired balance/coordination/speech (ataxia), tremor, and others. Consult your doctor if pregnant or breastfeeding.
Thyroid NodulesThyroid nodules are the most common endocrine problem in the United States. The term thyroid nodule refers to any abnormal growth that forms a lump in the thyroid gland. The vast majority of thyroid nodules are benign.
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