The tongue burning is a very unpleasant feeling, which can spread to the entire oral cavity. Often the tongue is unchanged in color and shape, tingling or burning. This symptom may persist for months.

Burning initially in the morning can quickly spread to a stinging pain. Affected in many cases, the salivation and the taste sensation. The front 2/3 of the tongue is often affected in middle-aged women. There are many causes, often a diagnosis is made via the exclusion procedure.


Tongue burning can be caused by various triggers. Finding the cause is often difficult and requires accurate diagnostics. Quite harmless tongue burning can be caused for example by acid drinks, coffee or smoking. In underlying diseases such as multiple sclerosis or blood disorders, however, the symptom is also common.

In women, menopause can also be behind it. Since a far-reaching hormone conversion takes place here, the consequences can spread throughout the organism. Furthermore, drugs are the focus. Medicines such as antidepressants, antihypertensives or special disinfecting mouthwashes, for example Chlorhexamed® forte, often trigger this feeling.

A local cause of this symptom is a mismatched prosthesis, protruding crown margin, or tooth decay. They can injure the mucous membranes or cause an allergic reaction, causing the tongue to burn.

An allergy to cinnamon, nickel, tobacco or toothpaste can also be behind it. Patients with radiotherapy in the head and neck should be aware that the salivary glands can be affected. This leads to a reduced salivation and can thus trigger a tongue burn.

Finally, the psychological causes should be mentioned. Depression can not only cause psychological problems, but also cause physical impairment. Burning is triggered by stress or fear of much worse diseases.

Accompanying symptoms

The burning of the tongue is often preceded by itching or tingling. Sometimes burning can also turn into a strong pain stimulus. Often a disturbed taste sensation is associated with it. The food suddenly stops tasting and when food touches the tongue, it starts to hurt. Sometimes the salivary glands are also affected by the disease. Patients complain of decreased salivation or even dry mouth, which is associated with the burning of the tongue.

If inflammation is the cause of the disease, swelling or red, bleeding spots may occur. A fungal infection manifests itself in white, wipeable coverings. If, in addition to the burning sensation in the arms or legs, caution should be exercised. A visit of the family doctor should be done quickly to exclude the diabetes mellitus (diabetes mellitus). In rare cases, accompanying symptoms are completely absent, suggesting a mental cause. Further investigation of the causes would then be advisable.


The tongue burn can be caused by many different diseases. Depending on which doctor you visit at the beginning of the treatment, the diagnosis starts with different tests. The specialist is, however, the dentist. At the beginning, there is always anamnesis and clinical inspection of the tongue to confirm or rule out common diseases.

Also important at this point are the medications that are taken regularly, as these too can cause a burning sensation. This may be followed by blood tests and allergy tests. With whitish, wipeable coating a smear is taken to confirm a fungal infection. If all examinations go nowhere, a neurological clarification on psychological causes can make sense.


The therapy of this symptom should be specifically tailored to the cause of the burning. With a badly fitting denture, a tongue burn can occur due to an incorrect pressure load or a fungal attack. A professional cleaning of the prosthesis, possibly even the new production are then on. In a fungal disease, there are some antifungal drugs, also called antimycotics, which can help quickly and stem the fungal infection. Fungal attack in the mouth sometimes referred to as oral thrush.

In addition, good oral hygiene is always important as it contributes to a better mouthfeel. Sometimes, however, the symptoms can not be completely cured. The patients then have to make friends with the burning and try to lead a normal life. A psychological therapy or relaxation exercises are then useful. The most important element which contributes to the healing is the active cooperation of the patient. Without them, treatment becomes difficult.

Home remedies for tongue burns

In addition to medicines, various home remedies exist to relieve the burning of the tongue. If the mouth is dry, drink plenty of water or tea to keep the mucous membranes moisturized. Sage, lime blossom or Malventee are particularly suitable. Of course you can rinse with these teas for several times a day to improve it.

Moisturizing also chewing gum or lollipops. If you use these frequently during the day, you should choose a sugar-free variant to minimize the caries risk. Also homeopathic remedies such as Marum Verum or Mezereum are recommended against a tongue burn. You should avoid during the illness, however, coffee, acidic drinks or food, as well as spicy foods. These can even intensify a burning sensation. Even stimulants such as smoking or alcohol should be avoided in order not to irritate the mucosa even more.


An exact time can not be specified for the tongue burn unfortunately. The course, however, depends on the type of underlying disease. For example, if the cause is a misplaced prosthesis, the problem can be quickly addressed and resolved. The same applies to allergies or fungal infestations. However, if the reason can not be found easily, tongue burning can become a tedious task. Often then only a reduction of the symptoms but no freedom from symptoms is achieved.

Vitamin B12 deficiency

Vitamin B12 is a vitamin, which is necessary for the cell regeneration, above all the blood cells, and the function of the nervous system. A severe deficiency is noticeable only after some time, but then can have far-reaching consequences.

The blood formation is disturbed and causes anemia, also called anemia. This can cause Hunter glossitis. This is an inflammatory change of the tongue mucosa, which is accompanied by a transformation of the tongue mucosa. The conversion gives the tongue a very smooth, red surface, in which no furrows are present. They are called therefore also lacquer tongue.

In addition to false sensations, this disease is mainly associated with the symptom of the burning tongue. As therapy it is recommended to fight the cause, in this case a vitamin B12 intake. It is present in many animal foods, especially meat and cheese, which is why vegan people often have problems with this condition. Since it can not be given in tablet form, a balanced diet is extremely important

Tongue burning caused by the thyroid gland

Hypothyroidism can also trigger a tongue burn. Hyperthyroidism, also known as hypothyroidism, does not function properly and produces too little hormone. Initially, only mild symptoms appear, which only slowly deteriorate. Therefore, this disease is usually recognized late. The effect of the hormones is manifold. For example, the heart, insulin release and central nervous system are controlled by it. Receptors are present throughout the body. For this reason, a deficiency effect has an effect on the salivary composition and thus triggers a tongue burn.

Tongue burning through stress

Stress, especially mental stress, is a neurological symptom. Like anxiety or depression, it can make you unconsciously bite, squeeze or grind your teeth. In addition to temporomandibular joint discomfort or muscle tension, tongue burning is also a common symptom. Remedy in this case, a psychological therapy. Especially behavioral therapies have proven themselves. Here one is led by a therapist to discard old patterns of behavior to learn new ones. This form of therapy is thus "help for self-help". One learns to derive oneself from the problem and thus to alleviate the symptoms.

Tongue burning through smoking

Smokers may develop an inflammatory reaction due to the constant contact of the mucous membrane with toxic fumes. Nicotine and tar in this case irritate the tongue mucosa, causing the symptom. In addition, smokers are also more likely to have leukoplakia. Leukoplakia is a non-eradicable white lesion that often occurs on the cheek mucosa. Also on the tongue she occasionally occurs. Apart from the fact that this change does not look nice and can cause a burning sensation or pain, it can change over time and become cancerous.

Tongue burning after eating

Also through various foods and stimulants, the tongue can be irritated and cause a burning sensation. Especially strong acid foods or coffee are among the triggers. Also, ananans sometimes leads to Zunngenbrennen. Responsible for this is a particular enzyme, the bromelain. The job of Bromelain is to digest meat protein. For this reason, when you eat pineapple, the tongue is irritated by the enzyme and it can cause small inflamed areas, which sometimes even bleed. One can prevent this only by eating ripe pineapple, as it contains less bromelain. However, the tongue burning disappears after some time by itself.

Tongue burning due to fungal attack

The fungal infection of the oral cavity is known in the jargon as oral thrush or Candida infection. In this infection, a fungus can spread quickly in the mouth due to a weakened immune system. In addition to individual red, inflamed mucosal areas, a whitish coating is visible. This coating can usually be removed with simple means. If you examine it under the microscope, you can quickly get a confirmation of the gaze diagnosis.

Through the sores, then the feeling of tongue burning can spread. One should consult a doctor to determine the cause of the fungal disease. Furthermore, this can also prescribe a drug that helps with the healing and accelerates it.

Tongue burning through HIV

In HIV infection, the immune system is severely impaired. It can happen that other pathogens easily play and spread faster than usual. Above all, a fungal attack hits HIV-infected people frequently. Confusion prevails among many as to whether this symptom occurs in the acute phase of the infection or later. In all likelihood, it can be said that this HIV symptom appears later, when there is some pre-existing damage to the immune system, as fungal infection in normally healthy individuals is usually not as potent.

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