Gerd, Burning Mouth and Tongue

Posted by A on 01/19/2008

Ted: I have read the website along with so many other informative websites on GERD. I am 33 year old suffering from GERD from last two years. Last March my gall bladder was removed because it had stone. However there was no relief to my GERD symptoms. Since last two years I have been regularly taking either lansprazole, in between doctors have prescribed esomoprezole. I have experienced almost all the symptoms one usually has in GERD right from low level heartburn to extreme symptoms of continuous severe cough for weeks. I have lean body, check my diet a great deal and eat healthy sleep 4 hours after taking my last meal avoid sleeping or laying down during daytime. All in all I do almost everything what is prescribed, however from last few months I came across new and irritating symptom burning tongue and mouth, it started with acid taste in mouth when I used to get up in morning and then it used to remain throughout the day and slowly it took the shape of severe tongue and mouth burning. I consulted a doctor and he confirmed that it could be bcoz of GERD though did not make any tests. He changed my medicine from Lansoprazole 30 mg per day to Nexium 20 mg twice a day with Domperidon thrice before meals and advised vitamin B tablets for 15 days. I have been taking medicine from last more than 3 weeks and I feel a good 80% relief in burning sensation, Doctor has told me that I have to take this medicine for complete one month and only then he would advise me to go for Nissen fundoplication or not?

Please advice to me what I should do to lead a normal life and without going for a surgery? However if you think surgery is the best way to avoid any further complications in future please advice, of late I have also started experiencing itching on the skin around the mouth which comes and goes. At times I feel bitter fluid reflux itching in back of my throat. My tongue is usually covered with some white thick fluid.

I would be highly thankful if you advice me on future course of action to avoid any further complications and to lead a normal life. Thanks.

Replied by Ted
Bangkok, Thailand
383 posts

Dear Ash: The gall bladder's major function is to provide buffering of pH (usually acid), electrolytes and emulsification of fats. Whenever the gall bladder is remove the functions of those three are generally remove. Therefore an acid reflux such as GERD can be problematic. The cause of stones of gall bladder is commonly due to excess calcium and not enough magnesium in the food, as well as low level metabolic acidosis from eating too many acid forming foods (mostly white flour, bread, fried food, meats, etc.) and not enough alkaline forming foods such as vegetables. Once the gall bladder are removed, the problems of GERD may still exist despite active lifestyle. Therefore, prevention of gall stones, or reduction in gallstones through taking lemon and baking soda would have slowly reduce the stones as the citrates from the lemon has a tendency to dissolve the stones and excess blood calcium.

Most of the symptons are indeed relieved with the vitamin B complex, especially the thiamine B1 components since they indirectly control the pH through the controlling of the glucoses in the blood by normalizing them, hence helpful with the condition. However, the if the body does not have suficient bicarbonates, especially the potassium, than an acid mouth occurs. To get the mouth in an alkaline state is to balance the electrolytes. The best remedy, that is fairly safe is the 1/2 teaspoon of baking soda plus 1/4 teaspoon of potassium citrate, in 1/2 glass of water taken about twice a day. The potassium citrate has to be taken with the sodium to prevent the sodium and potassium imbalance. However, magnesium in my opinion is considered an electrolytes also, and I may add 250-500 mg of magnesium citrate taken only for 5 days out of a week. The B vitamin is still important. It takes about 3 weeks for the acid mouth to reduce in a severe case if taking the baking soda and potassium was continued, but most mild conditions the sour acid tastes of the mouth will go away within a day or two, whenever the sodium bicarbonate and potassium citrate were taken. A quick remedy, but not really resolving the real cause, but can relieve the symptoms is 1 teaspoon of baking soda in 1/2 glass of water used as a mouthwash whenever there is a problem about the acidic mouth. In most GERD symptoms I have found people with this has three common features:

1. Lack of bicarbonates and citrates 2.
B vitamin Deficiency
3. Amino acid imbalance.

The amino acid imbalance came because of improperly digested foods which will further worsen the GERD. Therefore, I would try to take some amino acid supplements. If an amino acid supplement cannot be found, a less effective, but acceptable whey protein might be of some help also. If the nutrition complete, I have observed the GERD usually goes away, but the ones I have experiencing here may be mild, and hence the conditions quite often goes into "remissions". Most layman prefer to say cure, but authorities don't like that word.

Therefore sodium bicarbonate, potassium citrate, magnesium citrate, vitamin B complex, and amino acid supplements are the major remedies for GERD, based on my experience.

Replied by Rhonda
Butner, N.c.

Hi, I had the problem for 30 years and it was total misery. I was diagnosed with severe acid reflux 30 years ago also, had all the painful things that comes with it also. Severe chest pain, choking on mucous sore and dry mouth the list goes on... I had nissenfundiplication surgery 2 years ago and I am much better, however there are still times that I have problems such as sore mouth and alot of mucous that makes me constantly clear my throat, I guess we have to take the good with bad.. Good Luck in making your decision hope all is well for you!!!! Rhonda