Déjà un grand merci d'avoir accepté de te présenter.
Pour le reste, je trouve que tu as une hygiène de vie (hormis la clope peut être
) au top
Tu as également mis en place pas mal de chose.
Quand je pense à ton burn out, je me remémore aussi le fait que j'ai eu moi aussi un gros coup de mou au taff..et mes pbs ont commencé deux mois après.
Le stress et ses actions sur les hormones a forcément un impact.
Pour les brulures, il y a peu de solutions : la glace ou le chewing gum permet d'oublier (mais moi j'ai aussi des pbs de machoire donc difficulté pour machouiller)
Pour les aliments : le miel est parfois cité comme provoquant les brulures, le chocolat aussi
Le paradoxe : c 'est que pour traiter ce mal, on évoque de plus en plus la capsaicine comme traitement (c'est du piment !!)
certains utilisent du tabasco
j'en profite pour mettre ce lien qui peut t'intéresser..c'est en anglaishttps://www.organicfacts.net/home-remed ... ongue.html
En tout cas lit aussi les infos du site mere de ce forum.
J'espère que d'autres personnes te communiqueront leurs trucs et astuces...mais ce forum est souvent calme...trop.
Topical application of capsaicin (0.025% cream) has been used in BMS as a desensitizing agent and is thought to inhibit substance P. Reduced patient tolerance and increased toxicity limits its use in some patients. Trials have also been made on rinsing with 0.15% benzydamine hydrochloride, 3 times a day, having an analgesic, anesthetic, and anti-inflammatory effect, but with inconsistent results. Some other gets relieved from pain by using mouth rinse made of Tabasco sauce with water or alternatively one made of hot pepper and water in a dilution between 1:2 and 1:1. The topical application of clonazepam (by sucking a tablet of 1 mg), an agonist of gamma amino butyric acid receptors, 3 times a day for 14 days found some success in some.
The most commonly used local anesthetic agent, lidocaine was tried by few and they have not been shown as an effective treatment due to their short duration of analgesic action. Topical application of 0.5 ml Aloe vera gel at 70%, 3 times a day combined with tongue protector is found to be effective for reducing the burning and pain sensation of tongue. Topical lactoperoxidase (biotene mouthwash) and 5% doxepin were attempted and found to be ineffective.
Numerous studies have assessed systemic therapies for treating BMS with varied outcome. The use of tricyclic antidepressants such as amitriptyline, desipramine, imipramine, clomipramine and nortriptyline (starting dose of 5-10 mg/day and gradually increases to 50 mg/day) are useful in treating BMS. Some authors contraindicate these drugs in patient with dry mouth as they can worsen the condition.
Selective serotonin reuptake inhibitor antidepressants like sertraline (50 mg/day), paroxetine (20 mg/day) for 8 weeks, duloxetine at a dose of 30-60 mg/day, a dual action antidepressants that inhibit both serotonin and noradrenaline result in a significant improvement of oral burning sensation. Antipsychotics such as amisulpride, levosulpiride at a dose of 50 mg/day for 24 weeks proved to be effective and shows a better patient compliance when used in short duration.
Alpha-lipoic acid (ALA) at a dose of 600 mg/day, either alone or in combination for 2 months, acts as an antioxidant and a powerful neuroprotective agent that prevents nerve damage by free radicals, regenerating other antioxidants such as vitamin C and E, able to increase the intracellular levels of glutathione, thereby significantly reduces the symptoms in patients with idiopathic dysgeusia. Patients undergoing ALA therapy must be advised concomitant gastric protection medication.
Systemic capsaicin (0.25% capsules, 3 times a day, for 1 month) proves to be effective in reducing pain intensity. However, it should be used cautiously as it results in gastric pain in some individuals. Benzodiazepines at low doses are useful in patients with anxiety disorders. Clonazepam (0.5 mg/day) and alprazolam (0.25 mg to 2 mg/day) are commonly used in the treatment of BMS pain and it acts by probably disrupting the underlying neuropathologic mechanism.
Supplementation with vitamin BC capsules, B12, folic acid and minerals like iron, zinc can significantly lower the mean serum homocysteine level and boost up the blood hemoglobin level with reported complete remission of oral symptoms.
Hormone replacement therapy (conjugated estrogens like premarin, 0.625 mg/day for 21 days and medroxyprogesterone acetate like farlutal, 10 mg/day from day 12 through day 21, for three consecutive cycles) can relieve oral burning symptoms and improved cytologic features, especially in peri- and post-menopausal women.
Cognitive behavior therapy has been beneficiary in some individuals. Successful treatment of BMS patients with combined psychotherapy and psychopharmacotherapy has also been reported.
Burning mouth syndrome is a painful and often frustrating condition to the patients. The exact cause of BMS often is difficult to pinpoint and is probably of multifactorial origin and may be idiopathic. The etiopathogenesis of BMS seems to be complex. Diagnosis and management of BMS is not an easy task for oral health care professionals. A thorough understanding of the etiology and psychological impact of this disorder, combined with novel pharmacological interventions is required for better management.