How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr. Bob Your Own Question
Dr. Bob
Dr. Bob, Medical Doctor
Category: Medical
Satisfied Customers: 5330
Experience:  20 Years in Internal Medicine, Neurology and Sports Medicine
61817858
Type Your Medical Question Here...
Dr. Bob is online now

I have a sore tongue and peculiar taste in my mouth for

Customer Question

I have a sore tongue and peculiar taste in my mouth for months.Had an extraction last October dentists can't see anything wrong what could be causing this? Have been to doctor to eliminate stomach acid ..vitamin deficiencies etc
Submitted: 10 months ago.
Category: Medical
Expert:  Dr. Bob replied 10 months ago.

Hi Carrie. Do you have any redness, sores or whitish film on your tongue?

Customer: replied 10 months ago.
Some whitish coating but it seems to be the left side and top of tongue which is sore. Sometimes worse than others but I can't identify specific triggers
Customer: replied 10 months ago.
That should read ..tip of tongue
Expert:  Dr. Bob replied 10 months ago.

The list of possible causes of glossitis is long. It sounds like your doctors have ruled out at least several of them. One commonly overlooked cause is lichen planus. This is an immunologic condition that affects skin or mucosal surfaces, such as the mouth and tongue. Two manifestations of lichen planus include a white, lacy pattern that affects the mucosa of the tongue and an erosive form that appears as shallow ulcerations. Candida can coexist with lichen planus and requires treatment with an antifungal agent. Reticular lichen planus does not require treatment. Ulcerative lichen planus can be treated with topical steroids, such as fluocinonide dental paste or clobetasol gel (Temovate) applied twice per day for two to three weeks. Biopsy is indicated if the diagnosis is unclear.

Expert:  Dr. Bob replied 10 months ago.

Another fairly common diagnosis that is often made late is burning tongue syndrome. A burning sensation of the tongue can represent a primary syndrome, or it can be secondary to a condition that leads to the denudation of the normal tongue surface. Burning tongue has an unknown etiology and seems to affect women seven times more often than men. It is often marked by a fairly sudden onset of a sensation similar to that of a scalded tongue that becomes more frequent over the course of the day. The tongue often appears normal. It is benign and typically resolves spontaneously after a few years. Only alpha-lipoic acid, clonazepam (Klonopin), and cognitive behavior therapy have been shown to reduce symptoms in controlled trials. In very difficult cases, an approach similar to that for any chronic neuralgic pain can be helpful, and there may be a role for nerve stabilizing medications such as gabapentin or pregabalin.

Dr. Bob and other Medical Specialists are ready to help you
Customer: replied 10 months ago.
Thank you for your help...I'll look into these possibilities
Expert:  Dr. Bob replied 10 months ago.

You're welcome.

Related Medical Questions