Burning mouth syndrome Definition Burning mouth syndrome (BMS) describes a painful sensation of the tongue, lips or palate. It also may involve a general sensation of discomfort of the whole mouth. It’s a “nonlesion” syndrome , exhibit no clinically detectable lesions, although symptoms of pain and burning can be intense. This is particularly frustrating problem for both patient and clinician, because there is usually no clear cut cause and no uniformly successful treatment is present. Etiology The etiology of burning mouth syndrome is varied and often difficult to decipher clinically. The following factors have been cited as having possible etiologic significance: • Microorganisms: especillay fungi (candida albicans) and possibly bacteria
(staphylococci, streptococci , anaerobes) • Xerostomia associated with sjogren’s syndrome, anxiety, or drugs • Nutritional deficiencies associated primarly with B vitamin complex or iron, and possibly zink • Anemias, namely pernicious anemia and iron deficiency anemia. • Hormone imbalance, especially hypoestrogenimea associated with postmenopausal changes. • Neuropsychiatric abnormalities, such as depression, anxiety, cancer phobia , and other psychogenic problems. • Diabetes mellitus • Mechanical trauma, such as an oral habit, chronic denture irritation, or sharp teeth • Idiopathic causes In some patients, more than one of these factors may be contributing to the problem of burning mouth syndrome. In many others, no specific cause can be identified. Other potential etiologic factors that might be explored are those related to dysgeusia , an occasional clinical feature of burning mouth syndrome. The mechanism by which such a varied group of factors causes symptoms of burning mouth syndrome is completely enigmatic. No common thread or underlying defect seems to tie these factors together. It is apparent that burning mouth syndrome occurs in a diverse group of patients, although many will be suffering from the depression or anxiety.
In most cases, fibrodysplasia ossificans progressiva is missed diagnosed. One of the most common missed diagnoses is cancer because of the tumor like knots when the doctors go in to try to remove the “tumor” they cause more damage because flare-ups typically develop after a person experiences trauma to the body, such as a fall, small bump or even a small burse. Also illnesses, such as the flu may also trigger flare-ups. In one case of FOP they did so much damage that they had to remove the patience arm. Experts estimate that the rate of misdiagnosis of FOP may be 80% or higher.
Mr. MacPherson presented to the emergency department with bilateral burns to his arms, hands, as well as his face following a kitchen grease fire. The patient complained of severe pain in the affected areas. Upon examination, his burns were blistered and edematous. In addition, erythema and fluid loss were present.
Schepis, Carmelo, Donatella Greco, and Corrado Romano. "Cardiofaciocutaneous (CFC) Syndrome." Australasian Journal of Dermatology 40.2 (1999): 111-13. Print.
J.P., a 58 year old female, presents to the Emergency Room on March 18th. She has a past medical history of cervical cancer, atheroembolism of the left lower extremity, fistula of the vagina, peripheral vascular disease, neuropathy, glaucoma, GERD, depression, hypertension, chronic kidney disease, and sickle cell anemia. She complains of right lower extremity pain accompanied by fatigue, a decreased appetite, increased work of breathing, burning urination, and decreased urine output for three days. Upon admission, a complete physical assessment was performed along with a blood and metabolic panel. The assessment revealed many positive and negative findings.
everyday aches and pains in the mouth. Metal wires, guiding teeth to a new shape,
The first accident occurred on a 61-year old woman who was at a follow-up appointment after a breast tumor was removed. She felt a burning sensation and told the operator “you burned me”. She developed swelling and reddening, but the AECL declared this a normal treatment reaction and not a machine malfunction. Her condition wor...
Dysphagia is a swallowing disorder that can cause discomfort when food gets stuck in the throat. It can be caused by a variety of medical conditions, such as: nervous system disorders, gastrointestinal conditions, prematurity, heart disease, cleft lip or palate, and head and neck abnormalities. A patient with dysphagia can be cared for by a family physician in a hospital, or a nursing home with the assistance of a speech-language pathologist (SLP), physician, nutritionist, etc. as long as he or she has been properly diagnosed. The prevalence increases with age and poses problems in older patients. Typically, the average age of onset is around 55 year olds, but dysphagia can occur in children as well.
Dysphagia is a significant and often life-threatening impairment that affects an individual’s ability to swallow safely. It occurs secondary to other primary medical and neurological diagnoses, such as stroke, traumatic brain injury, Parkinson’s disease, and myasthenia gravis (Groher & Crary, 2010). Epidemiological data indicate that as high as 10 million people per year are evaluated for dysphagia (Domench & Kelly, 1999; ASHA, 2008), and the prevalence of dysphagia is upwards of 22% in persons 50 years of age and older (Howden, 2004; ASHA, 2008).
Dentinal hypersensitivity is characterized by a short, sharp pain in response to stimuli. Dentinal hypersensitivity, which is more commonly seen in adults in the 20 – 40 – year old age group, has several etiological factors. Gingival recession and enamel loss both contribute to the prevalence of this condition, resulting in the exposure of dentin.
-Characterized by the elongation and hyperkeratosis of the filiform papillae, resulting in this hairlike appearance. The elongated papillae usually exhibit brown, yellow, or black pigmentation. Most patients are asymptomatic, but occasionally patients complain of irritation, gagging, or an altered taste. Patients are usually heavy smokers with poor oral hygiene and some have vitamin deficiencies, GI problems, or radiation therapy. Cures range from just brushing the tongue to corticosteroid therapy.
Burns are caused by many different factors. Heat burns are caused by fire, steam, hot objects, electricity, ultraviolet rays and hot liquids (Living With Burn Trauma). According to “Prevention,” an online article, the “Leading causes of fire and burn death and injury for older adults are smoking, cooking, scalds, electrical, and heating.” When one is burned, a instinct called “fight or flight” catalyzes. “Fight or Flight” causes one’s breathing and pulse to increase. When this happens, their adrenal glands release a hormone that causes pain to diminish causing some to vaguely remember their accident (Living With Burn Trauma). Many times because a victim begins to breathe rapidly, they can experience respiratory complications from the burns often resulting in respiratory failure (“First Aid and Emergencies”).
This was his second episode since 10 days ago where he develop the same pain at his right flank. He suddenly experienced severe pain 8 hours before admission when the pain shifts to his right lower quadrant of his abdomen. The onset is at 6.30 am before worsening at 10 p.m to 2 p.m. He described the pain as continuous sharp pain and gradually increased in severity. There is no radiation of the pain. The pain was exaggerated on movement and touch. There were no relieving factor and he scale the severity as 7/10. He experienced fever for 1 day prior to admission. It was a mild grade continuous fever. He does not experienced chills and rigor. The patient does not experience any nausea or vomiting, no dysphagia, no pain during micturition and no alteration in bowel habit. He experienced loss of appetite but not notice any weight loss.
When an SLP examines a four-year old child with tongue thrust, he or she should examine the tongue. During speech and/or swallowing, the tongue will move forward in an exaggerated way. At rest, the tongue may also lie forward too far and may protrude between the teeth during speech or swallowing and at rest. Teeth are another structure that should be kept in mind. The position of the tongue in a child with tongue thrust can cause labioversion of the incisors (teeth tilt towards lips). Anterior open bite is another characteristic of tongue thrust. Enlarged tonsils and adenoids are a third possible sign of tongue thrust. These can cause blocked airways, which results in an open-mouth breathing pattern.
Finally, a disease that can be caused by smoking is Leukoplakia. Leukoplakia is when thick white spots start to appear on the inside of your mouth. This can include the bottom of the mouth, the lip, or the inner cheek. If you wait too long to be examined, the spots could become cancerous. This is because of the irritation of the mucous membrane in the mouth. What causes these spots are jagged teeth that rub against the mouth, making it irritated and when the alcohol in certain drinks can react to the mucous in your mouth. But the main cause of this disease is when chewing tobacco is placed between the cheeks and gums. Some symptoms of the disease include when your mouth is thicker in certain areas, when your mouth has white spots, and
All dental patients who present to the dental office with a chief complaint of “pain” may not have an odontogenic etiology for their pain. A differential diagnosis of nonodontogenic pain includes myofascial pain, pain of neurovascular origin, toothache of cardiac origin, episodic neuropathic toothache, atypical odontalgia, of a sinus toothache, and toothache of psychogenic origin1. A review of the characteristics of pain from an odontogenic source would be useful in order to recognize any aberrations. Characteristics of pain from an odontogenic source include a dull, achy, throbbing with occasionally sharp pain. Other characteristics of pulpal pain include an identifiable condition that would explain the symptoms and local anesthesia to the affected tooth eliminates the pain. Signs of periodontal pain are an identifiable periodontal condition that explains the symptoms of a dull, aching, or throbbing pain. Also, under a load of occlusal pressure during chewing, the tooth feels sore and discomfort is only felt when biting pressure is released. Local anesthesia to the affected periodontal