Burning of the tongue and palate for 45 days, especially when it is present throughout the day and the palate feels rough/sandpaper-like, needs an in-person oral examination rather than just empirical medication. Possible causes include irritation/trauma, fungal infection, reaction to toothpaste or mouthwash, nutritional deficiencies, dry mouth, or a burning-mouth-type condition. Persistent burning symptoms are evaluated by an oral medicine specialist when the dental examination does not identify a clear cause.
Because this has persisted for more than a month, I would not assume it is simply a minor ulcer. A persistent oral lesion or unexplained mucosal change should be examined.
Next Steps
* Please visit a dentist/oral medicine specialist for a complete examination of the tongue, palate and rest of the mouth.
* The dentist should check for red/white patches, ulcers, fungal infection, trauma from teeth, dry mouth and any local irritants.
* Depending on the examination, blood tests such as CBC, iron/
ferritin,
vitamin B12/folate, blood glucose and
thyroid tests may be considered.
* If you recently changed toothpaste, mouthwash or other oral products, mention this to the dentist. Some ingredients/flavouring agents can cause oral irritation or contact reactions.
* Do not start antibiotics or antifungal medicines without examination, because treatment depends on the actual cause.
Health Tips
* Temporarily avoid spicy, acidic, very hot and crunchy foods.
* Avoid alcohol-containing mouthwashes and tobacco.
* Use a soft toothbrush and brush gently.
* Drink plenty of water and keep the mouth moist.
* If your toothpaste seems to worsen the burning, you can temporarily switch to a mild, SLS-free, flavour-free toothpaste.
* Avoid repeatedly touching or scraping the painful areas.