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Burning mouth syndrome (BMS) is a burning, tingling or scalding sensation in the mouth, lasting for at least four to six months, with no underlying known dental or medical cause. [ 3 ] [ 7 ] No related signs of disease are found in the mouth. [ 3 ]
Saliva is an important component of the taste mechanism. Saliva both interacts with and protects the taste receptors in the mouth. [5] Saliva mediates sour and sweet tastes through bicarbonate ions and glutamate, respectively. [6] The salt taste is induced when sodium chloride levels surpass the concentration in the saliva. [6]
Acute atrophic candidiasis may feel like the mouth has been scalded with a hot liquid. [5] Another potential symptom is a metallic, acidic, salty or bitter taste in the mouth. [5] [8] The pseudomembranous type rarely causes any symptoms apart from possibly some discomfort or bad taste due to the presence of the membranes.
Angular cheilitis typically starts with a red dry patch on the corners of the mouth. It can be on one or both sides, with a dry, scaly appearance, according to the Cleveland Clinic.
Xerostomia is the subjective sensation of dry mouth, which is often (but not always) associated with hypofunction of the salivary glands. [3] The term is derived from the Greek words ξηρός (xeros) meaning "dry" and στόμα (stoma) meaning "mouth". [4] [5] A drug or substance that increases the rate of salivary flow is termed a sialogogue.
Reflux episodes often occur at night and one may develop a bitter taste in the mouth. The throat can be severely irritated when acid touches the vocal cords and can lead to spasms of coughing. To prevent throat irritation from reflux, one should lose weight, stop smoking, avoid coffee beverages and sleep with the head elevated.
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