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Red burning tongue
Hi doctor,
My Mom has red Tongue and tongue burning and can't eat spicy, chilly from 3 years how to cure please help
Answers (12)
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MOST COMMON CAUSES
1. Vitamin Deficiencies (very common)
Especially: Vitamin B12, Iron, Folate (B9)
These cause: Red, smooth “glossy” tongue, Burning sensation, Fatigue / weakness.
Treatment:
Take a B-complex supplement
If B12 is low - B12 1500 mcg/day for 2–3 months
Iron supplements if iron is low (only after testing)
2. Fungal Infection (Oral Thrush)
Symptoms: Burning, redness, Sometimes white coating, Worse after eating spicy, sour foods
Treatment: Antifungal gel: clotrimazole 1%, miconazole gel, or nystatin drops,Rinse mouth after every meal, Avoid sugar for a few days
3. Allergy / Irritation
From: Toothpaste (SLS), mouthwash, Spicy food, acids, Pan masala / tobacco, Dental fillings or dentures
Treatment: Switch to SLS-free toothpaste (e.g., Sensodyne Fresh Gel / Himalaya), Stop irritants for 2–4 weeks
4. Chronic Dry Mouth
Due to: Dehydration, Anxiety, Mouth breathing, Diabetes,Side-effects of some medications
Treatment: Sip water frequently, Sugar-free chewing gum,Get blood sugar checked if needed
5. Acid Reflux (Silent GERD) Acid can irritate the tongue for years
Treatment: Avoid late meals, Reduce tea/coffee, Pantoprazole / omeprazole
6. Burning Mouth Syndrome - If all tests are normal and no infection/irritation is found.Common in stress, anxiety, hormonal changes.
Treatment: Alpha-lipoic acid, Clonazepam, Stress management
Next Steps
1. Get these blood tests (very important):
CBC
Vitamin B12
Iron profile
Folate
Fasting sugar
Thyroid (TSH)
2. Stop irritants for 2 weeks
Spicy food
Sour food
Mouthwash with alcohol
Tobacco/pan
Change toothpaste to mild one
3. Try these at home
Honey on tongue 2×/day
Glycerin application
Cold milk before sleep
B-complex tablet daily (e.g., Becosules-Z)
Health Tips
See a Doctor if
Burning for years with no relief
Weight loss, ulcers, white/red patches
Diabetic symptoms
Thrush not improving
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Need more history and symtomatology to properly evaluate your problem
Connect online
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This definitely needs careful evaluation as there can be multiple causes like Burning mouth syndrome, allergies, nutritional deficiencies, yeast infections, etc. Kindly get relevant tests done after consulting with an ENT specialist.
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Consultation for medication
Next Steps
Avoid hot food
Health Tips
Water
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Kindly consult with me on 94 two six eight six 78 nine six for detailed consultation.
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Please share details of her symptoms, results of tests done if any, what medicines she has taken so far?
Then I can help her to be cured.
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Hello,
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Take a glass of milk daily.
Thanks.
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If you want to discuss your problem in more detail, feel free to to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Neurobion forte once a day for 30 days
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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