Glass B J
Ear Nose Throat J. 1989 Oct;68(10):776, 779-81.
Severe xerostomia may be a primary cause of glossodynia. If radiation therapy and systemic disease are ruled out as causes of xerostomia, the wide variety of pharmacologic agents found in prescription medications, over-the-counter medications, common dietary components, and recreational drugs must be considered. The xerostomic side effect of a medication may be unavoidable; however, it may be minimized by alterations in diet, environment, or elimination of optional concurrent medications. When evaluating the patient with glossodynia, the practitioner must be aware of the many types of offending agents that contribute to a decrease in salivary flow. A clinical referral to a dentist to manage the oral complications of xerostomia is appropriate, although the patient's physician is the one who may make any changes in prescribed medications.
严重口干可能是舌痛的主要原因。如果排除放射治疗和全身性疾病是口干的病因，那么就必须考虑处方药、非处方药、常见饮食成分和消遣性药物中发现的各种各样的药剂。药物引起的口干副作用可能无法避免；然而，通过改变饮食、环境或停用非必需的同时服用药物，这种副作用可能会减到最小。在评估舌痛患者时，医生必须了解导致唾液分泌减少的多种致病因素。虽然患者的医生才是可能对处方药做出任何更改的人，但将患者转诊给牙医以处理口干的口腔并发症是合适的。
