Burning and tingling sensations on my tongue - #291
Good day. Earlier this year, I started experiencing burning and tingling sensations on my tongue. I have undergone numerous tests: gastroscopy revealed only chronic gastritis, an ultrasound of my internal organs was normal except for a bend in the gallbladder, and they found chronic pharyngitis. An MRI of the brain was done to check if the glossopharyngeal nerve was affected, but everything came out normal. I’ve also had migraines for a long time, and now I’ve developed additional headaches, mostly a pressure in my temples. My blood pressure sometimes increases. Antidepressants were prescribed to me, but I am gradually lowering the dose now since they have had no effect at all. The burning sensation on my tongue is still there, and my headaches have worsened. I do not have depression and never have. My life is calm and stable. I should also mention that I sometimes experience constipation, for which lactulose helps. I’ve already taken a lot of different medications. Please help me, as the headaches and burning sensation on my tongue have become unbearable.
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Doctors’ responses
Based on your symptoms, it seems you may be experiencing a combination of Amlapitta (chronic gastritis), Shira Shoola (migraines), and possibly Jihva Daha (burning sensation on the tongue) due to aggravated Pitta dosha. The bend in your gallbladder may also contribute to digestive issues, which can aggravate Pitta and lead to headaches and burning sensations. To address this holistically, I recommend balancing Pitta by avoiding spicy, sour, and overly salty foods while focusing on a cooling, Pitta-pacifying diet that includes coconut water, cooling herbs like coriander, and aloe vera juice. For your migraines and tongue discomfort, applying a paste of Chandana (sandalwood) or Madhuka (licorice) on the tongue can help. Regular consumption of Avipattikar Churna before meals may relieve both constipation and the burning sensation caused by Pitta imbalance. Incorporating calming practices like Shirodhara (oil flow therapy) and using cooling oils such as Brahmi or Shatavari can help alleviate headaches and reduce stress. Additionally, Nasya with Anu Taila could address the chronic pharyngitis. Ensuring regular bowel movements is crucial, as constipation can worsen the symptoms. A tailored regimen with dietary, lifestyle, and herbal support would help manage these conditions in the long term.
Hello Anjali, these are symptoms of impaired digestion and increase in the severity of Pitta dosha in the body along with inflammation. What other tests have you done? Like CBC, ESR, CRP, Liver function tests etc. to determine inflammation in the body? I suggest you to consume less of spicy, dry, salty, fried, fermented and processed foods like chilli, pickles, papad, bhajjia etc, avoid tea/coffee/alcohol/curd. Please check if your tongue is coated in the mornings , which suggests indigestion. How is your sleep ? Do a diet detox for a week with only plant based cooked food with very minimal oil. Have only warm water to drink boiled with 1/2 tsp of coriander and 2 inches of dry ginger. Have these medications- 1. Tab Kamdudha 2-2-2 after meals. 2. Tab Prasham 1 tablet on empty stomach in morning and one after dinner. 3. Avipattikar churna - 1 tsp mixed in warm water after an hour of dinner.
Okay, sounds like you’re dealing with quite a mix of issues there. The tongue burning and headaches might indeed be frustrating, especially with everything feeling stable otherwise. Let’s dig into this with a bit of Ayurveda wisdom, maybe it can shed some light.
First, that burning and tingling sensation of the tongue could be linked to Pitta imbalance — you know, those fiery energies — especially since you’ve got a background of chronic gastritis too. When Pitta’s off balance, it can manifest not just in the digestive area but also in odd sensations like burning on the tongue. Meanwhile, chronic pharyngitis also aligns with a Pitta and sometimes Vata issue, which means soothing these excesses might just help your system cool down.
Consider cooling dietary measures: more cucumbers, melons, leafy greens — basically foods that don’t stoke that internal fire. Avoid spicy, fried, or extremely salty foods. Less caffeine too.
Migraines and headaches, on the other hand, sound kind of Vata-aggravated alongside Pitta; stress or irregular routines might have you feeling more pressure. Drinking warm milk with a pinch of nutmeg can help as Vata-pacifying evening ritual, soothing before bed.
For constipation, it’d be great to incorporate Triphala at night, just a teaspoon with warm water. This might help with regularization without relying on lactulose.
Don’t forget about daily oil pulling with coconut oil, even just 5 minutes, it can calm that burning tongue — acts as a cooling agent. While you’re at it, Shirodhara or scalp massage with cooling oils like brahmi/amla could ground Vata and drown out some of that temple pressure.
Ayurveda strongly advocates Dinacharya (daily routine) for balance, so finding a consistent sleep, eating and waking time might feel tedious but can really realign things.
Still, given the headaches are worsening, I’d say don’t abandon the possibility of needing more immediate medical advice. Maybe check in again with your doc to ensure there’s no glaring issue being overlooked. Finding an Ayurvedic practitioner could help too, as they will spend time tailoring treatments to your needs.
Definitely keep it gentle and don’t rush to embrace every recommendation, see what sags works for you, and remember we’re here to balance, not overload you 😅.

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