My burning mouth has been with me for a long time, after thyroidectomy it startet. It is neurological in nature, very unpredictable, to me.
Did the docs remove the 4 parathyroid glands when they removed your thyroid ? This commonly happens.
I'm surprised they didn't check or warn, you may have Hypoparathyroidism.
One of the possible causes of Hypoparathyroidism ;
"Physical assessment also includes asking a patient about a previous neck surgery, particularly thyroid surgery, or looking to identify a scar indicating such surgery. Neck surgery — as well as cancer radiation treatment to the neck or face — is known to be one of the causes of acquired hypoparathyroidism, as it can damage the parathyroid glands."
Here's a good article, covers symptoms, signs, treatment , extensive list of symptoms ;
https://patient.info/doctor/hypoparathyroidism-pro
Typical blood test results in hypoparathyroidism:
- Low serum calcium.
- High serum phosphate.
- Low PTH.
- Normal alkaline phosphatase.
symptoms ;
Presentation
This is essentially with the symptoms of hypocalcaemia. Hypocalcaemia typically presents as perioral numbness, paresthesia, neurocognitive deficits, weakness and carpopedal muscle spasms. Life-threatening complications, such as cardiac arrhythmias, laryngeal spasm, tetany and seizures, can also occur[
9].
Hypocalcaemia may be an asymptomatic laboratory finding or a life-threatening metabolic disturbance[
10]. Symptoms include:
- Muscle pains.
- Bone pain: bone turnover is abnormally low and bone mineral density is typically increased[11].
- Abdominal pain.
- Paraesthesiae (tingling, vibrating, burning and numbness) of the face, fingers and toes.
- Facial twitching.
- Carpopedal spasm.
- Stridor.
- Convulsions (usually grand mal).
- Syncope.
- Emotional lability, anxiety and depression, confusion.
- Memory impairment.
- Lethargy
- Headaches.
- Brittle nails.
- Dry hair and skin.
- Painful menstruation.
- Clinical signs
- Chvostek's sign: detects latent tetany:
- Tapping of the fifth facial nerve in front of the ear with the patient's mouth slightly open causes contraction of the facial muscles.
- Not specific, as about 25% of the normal population have a positive response.
- Trousseau's sign: occlude the arterial circulation of the forearm, using a blood pressure cuff inflated to the systolic blood pressure for three minutes. Carpopedal spasm is induced.
- Raised intracranial pressure with papilloedema.
- Cataracts.
- Dental abnormalities and enamel dysplasia.
- Brittle nails with transverse grooves.
- Dry, rough skin.
- Hyperreflexia
