What is in our Vitamins? Featuring Avenleigh (5 yo)
The Pharmacist Answers Podcast
Avenleigh wants to know what is in our vitamins and why do we take them, so she asks the pharmacist!
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Episode 117 - Voice Troubles
The Pharmacist Answers Podcast
Laryngitis, known as inflammation of the larynx, is the most common cause of hoarseness and voice loss. It is very common in viral infections, such as a cold, flu, or adenovirus. Acute laryngitis is caused by an illness, while chronic laryngitis may be a secondary symptom of another problem.
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Episode 116 - Voice
The Pharmacist Answers Podcast
Notes coming soon!
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Episode 115 - Gag Reflex
The Pharmacist Answers Podcast
The gag reflex, as well as other pharyngeal reflexes, protect you from choking and ingesting improper things. If it does not follow the proper swallowing procedure, rarely does it get permission to enter.
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Episode 114 - Bad Breath
The Pharmacist Answers Podcast
Halitosis, aka bad breath, can have many causes. Some bad breath you can prevent with the choices you make, but some bad breath can be a sign of a more serious issue or disease.
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Episode 113 - Dysphagia
The Pharmacist Answers Podcast
While dysphagia can be very uncomfortable and lead to some unwanted side effects, the biggest concern is with the risk of aspiration, or breathing food or drink into the lungs, that leads to pneumonia.
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Episode 112 - Swallowing
The Pharmacist Answers Podcast
You never think to swallow until you start talking about swallowing. The voluntary swallowing process must be initiated before the involuntary swallowing reflexes take over. This includes when you go to the dentist and while you are sleeping!
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Episode 111 - Tonsillectomy
The Pharmacist Answers Podcast
The what, why, and how of a tonsillectomy. While a tonsillectomy is a frequent surgery for kids and adults, it is still surgery and requires preparation and care before during and after.
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Episode 110 - Tonsils
The Pharmacist Answers Podcast
Your tonsils are in the back of your throat. You can see them, you can feel them. They help protect you but can be a big pain while they do it.
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Episode 109 - Metallic Taste
The Pharmacist Answers Podcast
Over 250 medications can causes changes in taste. A metallic taste is the most common. Some are secreted in the saliva, others disrupt receptors or signals.
info_outlineBurning Mouth Syndrome
Burning Mouth Syndrome is defined as a burning sensation with no underlying cause. It may include dry mouth sensations with no true symptoms of dry mouth. BMS is accompanied by unremitting burning or pain but no mucosal changes or signs of injury or swelling.
3 Categories
- Increases throughout the day after waking
- Stays the same morning, during the day, and at night
- Has no pattern
Common Symptoms
- Bilateral pain of the tongue
- Chronic pain labeled as moderate to severe, or a 6-10 on the pain scale.
- Worsened by talking, stress, fatigue, or hot, spicy, or acidic foods.
Subjective Descriptions
- Dry mouth
- Change in ability to taste
- Accompanied by a headache
- Decreased appetite
- Improved by cold foods or drinks
Those who suffer from BMS may see temporary relief with topical analgesics (i.e. lidocaine or benzocaine) but see no improvement from systemic medications. Fifty percent of the cases have no apparent cause but do have some correlation with depression. This is a case of "the chicken or the egg". Are people with depression more likely to have symptoms of BMS? Or are people with BMS more likely to become depressed?
Before someone can be said to have Burning Mouth Syndrome, many other issues must be ruled out.
- Deficiencies (iron, folate, B vitamins, zinc)
- Dry mouth
- Nerve damage
- Hypothyroidism
- Type 2 Diabetes
- Nocturnal habits (clenching, grinding, tongue-thrusting)
- Infection (thrush, herpes, HIV)
- A hiatal hernia (GERD)
- Medications (ACE inhibitors, anticholinergics)
- Myeloma (a blood cancer involving plasma cells)
Pepto Lips
Pepto-Bismol, aka Bismuth subsalicylate, has been used for decades for a variety of stomach complaints.
Bismuth is a good binder of toxins, in a similar way that carbon is in activated charcoal. And yes, bismuth is one of those elements on the periodic table. Subsacylate activates into salicylic acid (related to aspirin) and works to decrease inflammation of the gastric lining.
When bismuth binds with sulfur that is naturally in your saliva, it becomes bismuth sulfide, which has a black color and can stain your tongues and lips temporarily. Pepto overuse is the obvious cause of black lips.
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