Mouth burn

Heartburn / Burning Mouth Syndrome (BMS)

  1. Definition
  • Persistent burning pain located superficially in the oral mucosa without an obvious explanation.
  • Occurs daily (min. 2 hours) for more than 3 months.
  • The condition is most prevalent in the age group 60+, most often in women.

2. Symptoms

  • Burning or stabbing pain localized on the tongue, palate or inside of the lips.
  • The pain typically increases during the day and is worst in the evening. They can be aggravated by stress, fatigue, tension and talking.
  • Sensation of dry mouth and/or altered taste (bitter or metallic taste).
  • Many patients also have sleep disorders, suffer from anxiety or depression.

3. Etiology

  • The cause is not known.
  • Due to damage to the nerve cells in the oral cavity. Other explanations can be psychological problems, hormonal disturbances, fungal infections etc.

4. Investigation

  • The diagnosis requires the presence of long-lasting (min. 3 months), daily (min. 2 hours), burning pain in an otherwise normal-looking oral mucosa.
  • Investigation will usually take place in collaboration with a doctor.

5. Treatment

  • BMS is a benign condition and treatment focuses on alleviating the symptoms.
  • The pain can be relieved by eating food (though not strongly spicy food), ice cream, cold drinks and lozenges.