For people with liver diseases, bitterness in the mouth is a frequent unpleasant symptom. But even if the general state of health is estimated as good, and the bitter taste in the mouth is the only reason for concern, it is not worth ignored, since it can signal about serious health issues.
Why appears bitterness in the mouth?
The reason for the appearance of an unpleasant sensation in the mouth may depend on what moment it originated 2:
- In the morning. The problem may be in a bile bubble, liver, biliary ducts.
- After meal. In this case, suspicions fall on the inflammation of the mucous membrane of the 12rred intestine or the stomach problem.
- After severe physical exertion. Pain in the right hypochondrium and bitterness in the mouth, arising after jogging or weight lifting, can signal the problems with the liver and a bubble bubble.
If the liver hurts and felt bitterness in the mouth, be sure to consult medical attention. To diagnose, relying on only one symptom, is impossible. The doctor will conduct a survey and appoint additional analyzes. 2.
Bind in the mouth: if the causes in the liver
Binding in the mouth is a non-specific symptom for liver diseases. It can be both the only symptom and combined with other manifestations of liver disease, such as: jaundice coloring of the skin and mucous membranes, the increase in liver in size, swelling and increased bleeding.
If a medical specialist has established that bitterness in the mouth is associated with liver diseases, the treatment should be directed for causes and mechanisms of damage to hepatic cells. Binding in the mouth with diseases of the liver should not be treated as a separate symptom. It is necessary to carry out a comprehensive examination and determine what caused unpleasant sensations.
In case of liver disease, it is necessary to abandon the use of alcohol and normalize the diet. It is also recommended to monitor weight and avoid severe physical exertion. Treatment may include drugs that affect both the cause of the disease, for example, antiviral therapy for viral hepatitis, and symptomatic therapy - hepatoprotectors for restoring and maintaining the function of hepatic cells 4.
Problems with the liver and bitterness in the mouth: how to treat?
The appearance of bitterness in the mouth or other unpleasant symptoms can signal the problems with the liver and the need for its treatment. Heptra ®400 mg tablets - a non-pressed drug, the active substance of which is admethionine. This is natural for the organism of an amino acid, which is synthesized mainly in the liver, it is impossible to get from food 6.
Ademethionine is an important member of hepatic metabolism, which participates in more than 100 biochemical reactions. With chronic liver diseases, its level is reduced in it. 5. Fill the level of ademethionine in the body is possible, taking heptral tablets ®400 mg.
Reception Tablets Heptral ®400 mg replenishes the level of adhemationine in the liver and launches important biochemical reactions in its cells to restore from the inside 5.6 :
- removal of toxins;
- removal of bile acids;
- replenishment of the energy potential of cells;
- restoration of cell structure;
- Regeneration of liver cells.
It may start to restore the liver functions after the 1st week of reception, and the effect of its reception can be maintained up to 3 months after the end of treatment.
- the only hepatoprotector shown in high fatigue in people with liver diseases1
Causes of Gorky Tribus in the mouth
When using poorly prepared, burnt dishes in the mouth appear specific taste of bitterness. An unpleasant feeling decreases after drinking water, but the residual aftertaste can be maintained up to 30-40 minutes. The bitter taste on the mucous mouth occurs when eating nuts and seeds, which includes fatty acids, disintegrating with the formation of bitter chemical compounds. The symptom is not accompanied by pain or dyspeptic disorders.
Elderly people have gradual atrophy of the mucous membrane, as a result of which the ability to distinguish the tastes is lost. Therefore, during meals, a bitter taste is most pronounced, and the remaining taste quality products are not perceived. The elderly complains of bitterness that felt in the mouth regardless of the type of food associated with a decrease in the production of saliva and the activation of pathogenic microflora.
Nicotine and various harmful resins included in cigarettes are delayed on the mucous membrane of the mouth and determine the bitter taste. An unpleasant feeling allows to reduce chewing chewing chewing chewing or sucking mint candies. Also smokers note the decline in the ability to perceive the taste of food. If on the background of constant bitterness there is a metal taste in the mouth, you need to immediately consult a doctor.
The periodic development of the bitter taste in the mouth during the gestation is caused by natural causes. Due to the increased production of the hormone of progesterone, the arrival of bile in the intestinal lumen is disturbed, bile acids are thrown into the overlying gastrointestinal departments and determine the discomfort. A bitter taste in the first half of pregnancy can occur with pronounced toxicosis, an irritating taste is enhanced after an attack of vomiting.
Symptom is sometimes found in pathological conditions that are provoked by pregnancies. The most frequent etiological factor is the cholestasis of pregnant women. Binding in the mouth begins to bother a woman with 32 weeks of gestation. An irritant-bitter taste is accompanied by a strong skin itching, calf casing and urine darkening. If such signs appear, it is necessary to apply to women's advice.
Periodic disturbances of the coordinated operation of the gastrointestinal tract are registered by more than 80% of adults. The bitter taste is due to slow digestion, weakening the intestinal motility. An unpleasant feeling occurs immediately after eating against the background of gravity in the abdomen, meteorism. The feeling of bitterness can be stopped by a water intake with lemon juice, mint candies.
The clinical picture of dyspepsia is more characteristic of young, emotionally labile patients. Often, the bitter taste in the mouth and spasms in the stomach arise from schoolchildren and students during exams. The symptoms are short, in most cases the condition is normalized 1-2 days after the disappearance of the stress factor. If bitterness is accompanied by strong unbearable pain, diarrhea, a specialist consultation is necessary.
The lesion of the liver has various reasons, but manifestations of all clinical options are similar. The bitter taste in the mouth as the initial symptom of hepatitis is more often noted in chronic inflammation of hepatic parenchyma. An unpleasant feeling is developing in half an hour after meals, but it may appear in the morning. If the patient with the inflammation of the liver fell asleep during the day, waking up, he feels a sharp annoying taste in his mouth.
In patients with chronic viral hepatitis B and with bitterness on the oral mucosa persist in 2-3 months, and in the case of fibrous rebirth of the liver - becomes a constant symptom. For toxic hepatitis typical, short-term uncomfortable flavoring sensations that disappear after intensive therapy. The bitter taste is aggravated by pain and severity in the right hypochondrium, nausea, vomiting with an admixture of bile.
Defeat of the biliary system
Violations in the work of biliary organs cause a disorderly uncontrolled secretion of bile, with which the appearance of a feeling of bitterness is connected. With a mild severity of the disease, the bitter taste is provoked only by the abuse of oily and fried food, alcoholic beverages. The symptom is nauseous, stupid pain on the right in the hypochondrium, the participation of the chair. The state is improving in a few days of a gentle diet.
With severe inflammatory or destructive changes in the biliary system, the bitter taste worries man constantly. In the mornings, strong bitterness and nausea, due to the stomach and esophagus, are felt. Characterized by the appearance of white or grayish feces, sometimes a painful skin occurs. The main reasons for the development of a bitter feeling in the mouth:
- Functional disorders : hyperkinetic dyskinesia, hypotonic definition of the sphincter Oddi.
- Inflammatory reasons : cholecystitis, cholegitis, cholecystocholangitis.
- Cholelithiasis .
- Parasitic invasions : opistorhoz, echinococcosis, giardiasis.
Pathology of branch bodies
Practical all disorders of the digestive tract are accompanied by an unpleasant taste in the mouth, as we provoke disorders of food digestion and the selection of bile in the 12-roster. In chronic gastritis and duodenites, a person periodically experiences bitterness in the oral cavity against the background of errors in the diet, nerve overvoltages. Bitter taste is more often associated with meals.
Pancreatitis and other pathological causes from the pancreas are manifested by a change in taste perception. There is an unpleasant bitter taste, which is often combined with a rotten smell of oral cavity. With the exacerbation of pancreatitis, the feeling of bitterness increases, nausea is noted, it is possible to vomiting with impurities of untapered food and bile. Also patients notice a grayish or yellow flare in the language.
The effect of the bacterial cause of the oral cavity causes the development of purulent stomatitis, yasers, which are accompanied by the appearance of bitterness in the mouth. The symptom worries constantly, the intensity of unpleasant taste sensations does not depend on meals. A specific bitter taste in combination with a fantastic smell of mouth is characteristic of deep caries.
Gorky taste is observed after medical manipulations in the mouth. When choosing a poor-quality material for a seal, it gradually begins to react with the enzymes of saliva and destroys, causing unpleasant taste. Such symptoms are usually found in the initial period after the installation of dentures. Binding is associated with the presence of a foreign object in the mouth. If the sign is accompanied by toothache, you need to visit the doctor.
The symptom occurs during damage to the flavoring cores of the brain. Patients complain about the bitter taste in the mouth, which appears without a visible cause and does not disappear after cleaning the teeth. For a clinical picture, a typical taste perversion: sweet is perceived as sour or salty and vice versa. Binding on the oral mucosa occurs after a stroke of a stroke, ancient brain injury. In the elderly, the sign is often due to Alzheimer's disease.
Complications of pharmacotherapy
Most often, the bitter taste develops against the background of treatment with antibiotics. These drugs suppress the useful microflora and disturb the activity of lysozyme saliva, as a result of which fungal microorganisms are activated. Patients celebrate permanent bitterness, burning in the mouth, which is enhanced while eating. The symptom provoke other drug reasons: the reception of chemotherapy products, antihistamine, colecinetics.
- Diseases of the respiratory system : Alveolit, pneumonia, purulent bronchitis.
- Endocrine diseases : hypothyroidism, hypocorticism, diabetes mellitus.
- Tumors : Hepatocellular carcinoma, stomach cancer, pancreatic head cancer.
- Unloading -Dietary therapy .
The most common causes of the appearance of a bitter taste in the mouth - diseases of the gastrointestinal tract, so the patient needs to appeal to the gastroenterologist. First, the collection of complaints and anamnesis of the disease is made, refineed the connection of bitterness with food habits or time of day. The following are special laboratory and instrumental studies, the most informative of which are:
- Sonography . The ultrasound method is shown to study the state of the digestive tract, identifying inflammatory-destructive changes, neoplasms. Conduct the sighting ultrasound of the liver and gallbladder. Elastometry is used to detail the state of hepatic parenchyma - a modern non-invasive method for determining the degree of fibrosis.
- Duodenal sensing . To prove the connection of the bitter taste with biliary diseases, 5 servings of bile are sequentially taken. The specialist estimates the number and speed of the arrival of bile in the intestines in natural mode and with pharmacological stimulation. Next, bacteriological research is performed.
- Endoscopic examination . EGDS is assigned to the diagnosis of diseases of the esophagus and the gastroduodenal zone. During endoscopy, pay attention to the integrity of the mucous membrane, the presence of inflammation sites or atrophy. Check the condition of the large duodenal chipboard and the initial departments of the 12-rosewind, carry out a biopsy.
- Analysis of Cala . Many of the diseases for which the bitter taste in the mouth is characterized by specific changes in feces. In case of violations of the breech separation function, a large amount of fat inclusions are found in the roasting masses, with damage to the pancreas of fertility contain undigested fibers and large carbohydrate molecules.
- Laboratory diagnostics . Women necessarily make a CGC test and sex hormones to exclude or confirm pregnancy. In the biochemical analysis of blood under cholecystitis, levels of bilirubin and enzyme alkaline phosphatase are elevated. In suspected viral causes of hepatitis, a serological study of markers is required.
- Additional methods . It is necessary to inspect the dentist to detect carious cavities, chronic periodontitis and other pathologies that cause a feeling of bitterness in the mouth. To diagnose lesions of the biliary system, cholangiopancreatography is produced. Patients with burdened history should be examined by the neurologist.
Help before diagnosis
To reduce the unpleasant sensations during the diagnostic procedures, it is necessary to revise the diet: go to frequent fractional food, eliminate fatty dishes, alcohol. Careful oral hygiene is important with the help of toothpaste, dental filament, irrigator. Doctors advise to abandon smoking or reducing the number of cigarettes smoking per day.
With a strong bitter taste, it is necessary to regularly rinse the mouth with boiled water with the addition of lemon juice, you can eat mint candy or lemon slickel. The feeling of bitter helps reduce rational drinking mode with consumption of at least 1.5 water per day. If the symptom is accompanied by sharp pain in the abdomen, multiple vomiting or other dyspeptic disorders, a doctor should be immediately visited.
Therapeutic measures are selected taking into account the cause of the occurrence of bitterness in the mouth. An important component of therapy is a special diet that allows to improve the processes of digestion, physiotherapy techniques are also actively used. The main direction is drug-ethiotropic and pathogenetic therapy. Most often use:
- Choleretic means . Prescribed drugs that improve the colloidal properties of bile (choleretics) and stimulate its elimination of bulls (cellars). Medicines are recommended for cholecystitis and cholangitis to normalize the digestive function.
- Spasmolytiki . Funds relax the smooth muscles of the gastrointestinal tract, remove pain in the stomach, which often arise simultaneously with a bitter flavor. Analgesics from non-steroidal anti-inflammatory agents are shown to treat inflammatory diseases.
- Enzymes . Combined drugs of pancreatic enzymes and bile acids stimulate the operation of digestion, due to which bitterness disappears in the mouth. When hepatitis and infectious lesions of the liver must be combined with hepatoprotectors.
- Anthegermic drugs. Recommended for helminths that are affected by bile pathways and liver tissue, opisthorchose, echinococcosis. Specific antiparasitic medicines are effective for eliminating giardiasis.
- Antiviral tools . In the treatment of hepatitis caused by viruses in or C, separate protocols are used, which involve the use of assembly inhibitors and viral particles. Pegylated interferons are also assigned.
With a bile sickness with a small size of the accretions by the method of choice becomes an extracorporeal shock-wave lithotripsy. In the case of total damage to the gallbladder, open or laparoscopic cholecystectomy is shown. Periodontitis and pulpitis are treated by surgical opening of the cavity of the tooth channels, followed by washing with antibacterial solutions, the imposition of therapeutic pastes.
Bitterness in the mouth
The problems causing complaints like "wake up with bitterness in the mouth," most often lick in hepatobiliary diseases - the pathologies of the gallbladder, bile ducts, liver. In the bustling bubble - the main reservoir produced bile liver - its accumulation is accumulated so that food is digested in the small intestines. When the bile through the gall canal does not fall where it follows in the duodenum, it is formed to be formed.
And this may be when the formation of stones in the bustling bubble or in biliary tracts. Medical diagnosis is known - biliary disease. At the same time, bitterness in the mouth of cholecystitis - the inflammation of the gallbladder is also associated with the loss of the concrections in the gallbladder. And in patients with chronic cholecystitis, it can be combined in the mouth and a temperature of 37 ° C, which is an indicator of the sloping inflammatory process in the gallbladder.
Among the symptoms of dyskinesia of biliary tract, that is, the functional disorder of their abbreviation is also marked in the mouth after sleep. This symptom is also caused by a gastroduodenal reflux, in which bile enters the cavity of the stomach due to the violation of the function of the sphincter between the stomach and the duodenum (the gastric gatekeeper). In this case, even bitterness in the mouth will be felt at night when the stomach is in a horizontal position and relaxed. Other symptoms of gastroduodenal reflux: bitterness in the mouth and heartburn, moving in vomiting by briches, bouts of nausea, bitterness in the mouth and belching, as well as pain at the top of the abdominal cavity (under the ribs).
Bind in the mouth after eating
If the food is too fatty or acute if the portion of eaten behind one is too big, then bitterness in the mouth after a meal is a regular physiological result of the overload of the stomach, the pancreas and the entire digestive system.
A stomach hurts and bitterness in the mouth after about an hour after eating - a sign that gives a reason to suspect the irritable stomach syndrome, which develops due to eating food, which is difficult to digest (all the same fat and acute) or functional dyspepsia. Openings after meals accompanies bitterness in the mouth and hurts the liver - a consequence of the reinforced work of this organ, synthesizing the bile acids necessary to digest oily foods (as well as alcohol neutralization).
If you, not abusing unhealthy food, feel bitterness in the mouth after meals, then any gastroenterologist, to which it is necessary to contact this problem, first of all, it will assume that you have either gastritis or dyskinesia of biliary tract, or gastroesophagial (gastrointestinal esophageal) or gastroduoden reflux.
Binding in the mouth with gastritis - inflammatory damage to the mucous membranes of the stomach - combined with such clinical signs as heaviness in the stomach after meals, extinguishing the contents of the stomach, nausea, heartburn, pain of different intensity. Patients with gastritis also often observe bitterness in the mouth and white.
For refluxes (inverse movement of the contents of the stomach or duodenum), bitterness in the mouth and heartburn - due to the bile and partly pancreatic enzymes in the esophagus.
With a long-flowing inflammation of the gallbladder - chronic cholecystitis - very often bitter in the mouth appears when eating. This disease manifests itself with such symptoms as bitterness in the mouth, nausea and weakness, as well as pain in the hypotherapy on the right side.
A systematically emerging airborne exhaust air and bitterness in the mouth is due not only to elementary overeating, but may indicate a narrowing of the enlightenment of the esophagus, the inflection of the stomach, as well as the violation of the operation of the gastroesophageal sphincter (valve between the esophagus and the stomach).
As medical practice shows, bitterness in the mouth and belching after meals in many cases are the first signals of inflammatory processes in the duodenum and pancreas. So, bitterness in the mouth with pancreatitis is dry mouth and bitterness, as well as the appearance of a yellow plaque in the language. Gastroenterologists advise to keep in mind that very similar symptoms at the initial stage of the pancreas adenocarcinoma.
Nausea and bitterness in the mouth
With complaints about the fact that in the mouth, bitterness and sick, therapists, gastroenterologists, endocrinologists face daily. First of all, bitterness in the mouth and vomiting enters the complex of symptoms of almost all diseases of the digestive system listed in the previous sections. A bitterness in the mouth and diarrhea is characteristic of enteritis, chronic form of colitis and colitis of infectious etiology.
Infectiousons noted that the attacks of nausea and bitterness in the mouth during hepatitis cannot be attributed to the specific symptoms of this disease, however, before the appearance of the yellowness of the scler and the skin (during the first week from the moment of infection), patients have bitterness in the mouth and temperature to + 39 ° C, Chills, nausea, vomiting, muscle pain and right under the ribs, loss of appetite and sleep disorders. In addition, almost everyone in hepatitis (as well as the inflammation of the gallbladder or duodenum) there are burglaries in the mouth and the underlined tongue of yellow or yellow-brown tongue. And with any forms of hepatitis, there is a bitterness in the mouth, nausea and weakness.
Frequent attacks of nausea, dryness and bitterness in the mouth (that is, almost complete picture of chronic cholecystitis) appear when the bile liver ducts are affected by such a type of helminths like losers, which can be picked up by using a steady river fish infected with eggs. This parasitic disease is called opisthorchosis, and with it, a person appears in the mouth and the liver hurts.
And with infectious mononucleosis (caused by the Herpes IV type virus), a person is asymptomatic ailment in a few days, in a few days, it turns into an explicit disease, in which the temperature rises, the lymph nodes are increased by several times increase, the throat is very hurting and the hurts in the mouth. Unbearable.
Permanent bitterness in the mouth
Permanent bitterness in the mouth can be felt on a variety of reasons. For example, with cholecystitis, the gear of the gallbladder, liver failure. In the chronic deficiency of folic acid (which is needed to regulate the level of hydrochloric acid in gastric juice) and vitamin B12 (contributing to the absorption of protein food) problems with digestion may appear, in particular, bitterness in the mouth and constipation.
As biochemical studies show, a long-continuous bitter taste can be in violation of the sensitivity of the taste receptors of the language due to lack or excess zinc in the body. In the first case, the taste sensitivity decreases and is defined as hypathyism, in the second - increases (hypergevism). And the whole thing in the zinc, which interacts with the fermented carbanese IV enzyme and regulates the formation of saliva, and also provides synthesis of alkaline phosphatase - the enzyme of cell membranes of flavoring receptors.
Binding in the mouth in diabetes with one experts is due to the exacerbation of taste receptors on the soil of distal sensorin polyneuropathy (which can be touched upon and nerve fibers transmitting flavor signals); Others believe that the violation of the balance of electrolytes of potassium and sodium is guilty - due to the decrease in the functionality of the adrenal cortex.
By the way, about neuropathy. In some cases, permanent bitterness in the mouth is not connected with digestion, but with neuromatic pathologies, when the afferent fibers of the language or vagus nerves are damaged. The wandering nerve may be damaged when he is defeated by herpes viruses, with a lisp, the tumors of the oblong brain. And the languagehiller nerve can be squeezed with a tumor of appropriate localization, for example, in a pharynx, cap, or at the base of the skull.
It should be noted that bitterness in the mouth and headache, as well as bitterness in the mouth and dizziness may be satellites of arterial hypotension (reduced blood pressure). But not primary - idiopathic, and secondary, which arises with such pathologies as the ulcer of the stomach, hepatitis, pancreatitis, diabetes, tuberculosis, alcoholism.
In avid smokers, the question often arises: why, as soon as she threw smoking, bitterness appeared in the mouth. If no other symptoms are heartburn, nausea, vomiting - no, then there is nothing to illness. And the answer lies in the fact that among several thousand harmful and simple tobacco pyrolysis substances, there are 3-pyridicarboxylic acid in cigarette smoke, it is nicotinic acid, it is nicamide, it is also vitamin RR or B3. When this vitamin is not enough in the body, the person feels burning language and bitterness in the mouth. Therefore, having taken the right decision to quit smoking, you should replenish the body with vitamin RR, using bread from rye flour, beef liver, turkey meat, sea fish, buckwheat, beans, mushrooms, beets, peanuts.
But the temporal seal and bitterness of the mouth say that the body negatively perceives sealing material, which dentists are used with multi-stage treatment of caries. All these materials are artificial dentine, polycarboxylate cement, Vinoxol - contain oxide or zinc sulfate, and how this chemical element affects taste receptors, has already been mentioned above.
In addition, bitterness and burning in the mouth note nearly 40% of postmenopausal women, and researchers believe that this is due to a decrease in estrogen levels.
Bind in the mouth in pregnant women
During pregnancy, bitterness in the mouth has at least two reasons. The first is hormonal: a decrease in the gastrointestinal stroke motorcy and the digestive process contributes to estrogens and progesterone, the production of which is significantly increasing. In addition, after a week after fertilization of the egg, it begins to produce human chorionic gonadotropin (HCG). All these hormones block the contractile activity of muscle tissues of the uterus, but their "blockade" applies to the entire muscles of visceral organs, which leads to time dyskinesia of biliary tract, the atony of the gallbladder and intestines.
Therefore, some women think that bitterness in the mouth is a sign of pregnancy. Of course, this is an erroneous point of view, just in pregnant women in early time there is such a strong toxicosis and bitterness in the mouth that they console themselves the inevitability of these unpleasant manifestations when entering the child. Although in pregnancy, bitterness in the mouth is indeed one of the signs of toxicosis, which is expressed in the specific interaction of acids that are part of the bile.
In addition, the pancreas in pregnant women produces more glucagon. This polypeptide hormone, on the one hand, acts as an intestinal relaxant, and on the other, activates the synthesis of ketone bodies in the liver. From this during pregnancy, bitterness appears in the mouth.
The second reason is anatomical: an increase in the uterus leads to the displacement of digestive organs and the entire gastrointestinal tract with the usual physiological positions, which can provoke bitterness in the mouth in pregnant women.
And among the most likely reasons for which bitterness appears in the mouth after childbirth, doctors call a decrease in estrogen levels, as well as a violation of adrenal cortex functions and increased cortisol production - in response to postpartum stress.
Bind in the mouth
In principle, bitterness in the child in the child arises for the same reasons as in adults, although, according to pediatricians, inflammatory hepatobiliary diseases (cholecystitis, etc.) are significantly diagnosed in children. But the disorders of bile ducts in the liver, problems with the bruise bubble, in which the child suffer bitterness in the mouth, nausea and weakness, are quite often detected.
Binding in the mouth in young children can appear due to food intoxication or in the mouth of the lead of the lead dyes (which are used in the manufacture of poor-quality toys). Parents need to be borne in mind that in children 6-12 years old, the bitter taste in the mouth can be associated with parasitic diseases: echinococcosis, ascarisosis, opisthorchose, giardiasis, toxocoroz.
So, bitterness in the mouth with a cough, very similar to the bronchitis, or bitterness in the mouth after coughing - a consequence of the giardiasis or toxocorosis, that is, in the body of intestinal giardia, which can affect the liver, or toxocaras, which falls into various fabrics and organs. So watch if the child does not hurt the belly after oily food, does he have no cold and high sweating, there is no constipation or diarrhea, and does not lose your child in weight due to a decrease in appetite.
Bind in the mouth after antibiotics
Binding in the mouth after antibiotics - the side effect of drugs of this pharmacological group is due to several factors. First, the active substances of many antibiotics are metabolized and removed from the body of the liver and act on it as toxins. And while the liver is cleared of them, the complaints are inevitable for the fact that bitterness in the mouth and hurts the liver.
Secondly, it felt bitterness in the mouth after antibiotics due to violation of the digestion process due to dysbacteriosis. By destroying pathogenic microorganisms, antibiotics are simply straightened with useful - bifido- and lactobacteriums, bacteroids, clostrids, tebacteria, Escherichia coli intestinal chopsticks, which make up the bond intestinal microflora. All these microorganisms, helping the liver and intestines, split and remove metabolites; Many vitamins and enzymes produce; Participates in the exchange of substances. In general, after antibiotics that destroy this microbiocenosis, the body has to "bring themselves to normal."
For example, antimicrobial and antiparasitic remedy for metronidazole and bitterness in the mouth, as well as its synonym Trichopol and bitterness in the mouth are associated with the fact that the use of these drugs causes cessation of DNA synthesis by cells not only pathogenic anaerobic microorganisms - Trichomonad, Gardnerell, Balantium, Giardia, Entembrella, but And in the same way lead to the end the existence of bond microorganisms.
Froxilla and bitterness in the mouth: antibiotic group of macrolides, fromylide (clarithromycin) is effective in damage to the respiratory tract, soft tissues and skin gram-positive and gram-negative bacteria of the genus Legionella, Mycoplasma, Chlamydia, Ureaplasma, Listeria, and others. The principle of its action is bacteriostatic, that is, Bacteria cells stop protein synthesis, and they die. Everything else, in accordance with the pharmacodynamics of antibiotics, occurs according to the metronidazole scheme. And the list of side effects is also not different. Reception of these drugs causes severe bitterness in the mouth.
Erispal and bitterness in the mouth: This drug is not an antibiotic; According to the mechanism of anti-acudative impact in bronchial spasme, it refers to antihistamine. According to the reviews of most patients who used Erispal (Fenspirid), appointed by the doctor with bronchial asthma, the drug causes severe bitterness in the mouth, although this side effect is not specified in the medicine instructions.
In addition to antibiotics and antihistamine (antiallergic) funds, the burglar in the mouth is the side effect of some antifungal and nonsteroidal anti-inflammatory drugs, antidepressants, as well as antitumor cytostatics used in oncological disease chemotherapy.
Binding in the mouth may indicate violations of the digestive organs. Strong or constant bitterness in the mouth - reason to consult a doctor.
From time to time, an unpleasant bitter taste may occur in the mouth. As a rule, this is due to a sharp emission of bile in the gastrointestinal tract. In this case, some bile can get into the esophagus and cause a feeling bitterness in the mouth . Often bitterness in the mouth is felt in the mornings, because bile can get into the stomach during sleep (especially if you sleep on the left side, and dinner included fat food).
Bile - the secret generated by the liver and necessary for digesting food. The bile busty falls from the liver into the gallbladder, which performs the function of the accumulative tank. During the active digestive phase, bile from the gallbladder enters the duodenum. Some substances have choleretic properties, that is, increase the production of bile. Eating products with choleretic properties (for example, cedar nuts), can provoke a sharp increase in the admission of bile in the intestines and, as a result, the appearance of bitterness in the mouth. Some medications are also in the same action - both medicine and traditional medicine (trousers, sea buckthorn oil, etc.).
but bitterness in the mouth should not be ignored . Her appearance suggests that the digestive system is not all right. For example, a bitter taste can appear after receiving fat (heavy) food. Fat food stimulates bile. Normally, the allocated bile should not fall into the stomach and the esophagus, and it should be distinguished exactly as much as necessary for the digestive process in the intestine. The appearance of bitterness testifies that it is not. And it is necessary to understand what caused the reason. If bitterness in the mouth occurs often or is preserved for a long time, then with a visit to the doctor it is better not to postpone.
Causes of bitterness in the mouth
Binding in the mouth may be a symptom of various diseases.
Most often it is caused by diseases of organs responsible for developing and moving bile in the body, such as chronic cholecystitis (inflammation of the gallbladder), cholelithiasis (In this case, the formation of stones interferes with the correct ottok of bile), biliary dyskinesia (Violation of their motor skills). Sometimes patients who have previously had bitterness in the mouth due to the RMB or inflammation of the gallbladder, and which was made cholecystectomy (operation to remove the gallbladder), are surprised by the return of the symptom. But the bitter taste in the mouth can be in the absence of a gallbladder, because the bile is still produced and can get into the stomach, and from it in the esophagus. If a person removed the gallbladder, but did not change the food habits, the return of problems with digestion and bitter taste in the mouth is very likely
Burfy in the mouth may occur with various disorders of the digestive system, for example, when chronic gastritis or chronic pancreatitis
Liver diseases can lead to a change in saliva composition, as a result of which burglary may also appear in the mouth.
Another group of causes of the feeling of bitterness in the mouth is the diseases of the oral cavity (stomatitis, language inflammation). The bitter taste can be a reaction to dentures if they were chosen incorrectly (the individual intolerance of the material from which they are made) were not taken into account.
Sometimes bitterness in the mouth is caused by other reasons: toxicosis (in pregnant women), acute poisoning, oncological diseases.
Additional symptoms with bitterness in the mouth
Bind in the mouth can be accompanied by additional symptoms. If he felt gravity or pain in the right side, it may indicate the diseases of the liver or gallbladder. If bitterness in the mouth is accompanied by nausea, heartburn, belching, then the cause of the stomach disease can be. In the event that the reason is the diseases of the oral cavity, the feeling of bitterness can accompany the unpleasant smell of mouth.
Bind in the mouth - reason to appeal to the doctor
If you have been bothering borrowing in the mouth, for example, the bitter taste of saliva or the feeling that you caught a bitter meal, do not delay the visit to the doctor. Strong bitterness in the mouth is a sufficient symptom to seek medical attention. It is worth remembering that in the early stages of many diseases of the bitterness in the mouth may be the only symptom, and the neglected disease is treated much more difficult.
What doctor to go with a complaint about bitterness in the mouth?
If there is no reason to suspect that the cause of bitterness in the mouth - the diseases of the oral cavity, then it is necessary to contact a gastroenterologist. It is a gastroenterologist who can establish why the feeling of bitterness arises. For this, most likely, he will need to hold a number of studies.
Information from this section cannot be used for self-diagnosis and self-treatment. In case of pain or other exacerbation of the disease, diagnostic studies should appoint only the attending physician. To make a diagnosis and proper appointment of treatment, you should contact your attending physician.Bind in the mouth: the causes of the appearance, under what diseases there are diagnosis and methods of treatment. Definition Very often, when such a symptom appears, as a taste of bitterness in the mouth, patients are in no hurry with a visit to the doctor, and trying to cope with him on their own, snatching or drinking an unpleasant feeling, as well as using all sorts of rinsing. In order to effectively get rid of bitterness in the mouth, one should consider varieties and the possible causes of its appearance. Varieties of bitterness in the mouth In most cases, bitterness in the mouth is felt in the morning - immediately after awakening. After hygienic events, she can disappear until the next morning.
Sometimes the bitter taste resumes after physical work, sharp slopes or horizontal position.Binding may occur after taking medicines (antibiotics, analgesics, anti-inflammatory, anticonvulsant, hypolypidemic, antihypertensive, sleeping pills) or certain products (for example, cedar and almond nuts), which indicates the absence of its connection with diseases. Sometimes patients, especially elderly, complain about the bitter taste of any food. Possible causes of the appearance of bitterness in the mouth To the appearance of bitterness in the mouth can lead Oral hygiene disorders and inflammatory diseases
(most often the gums). In these cases, the residues of food, accumulating between the teeth and in the pockets of the gums, begin to decompose and give an unpleasant taste, accompanied by a putrid smell.A rather frequent cause of the taste of bitterness is a cluster on the mucous membrane of the mouth of products of burning tobacco mixtures (resins).
However, the main reason for the complaints on the bitter taste is associated with the reflux (cast) bile in the esophagus and the oral cavity.Usually, this symptom is not the only one, sometimes it is accompanied by vomiting bile, belching, pain and feeling of bloating in the area of the stomach. The pain is also possible at the top of the abdomen and in the right hypochondrium, sometimes it is irradiated in the back and / or the right sublock area. The pain does not change and is not reduced after the intestinal emptying, with the change of body position, after receiving antacids (with heartburns). The reason for the abrasion of bile in the esophagus most often serves a violation of motility (dyskinesia) of the gastrointestinal tract and the biliary tract. Bile is needed to emulsify fats, which causes its products and admission to the duodenum. With a violation of Motoriki, bile from the duodenum falls back to the stomach (duodenogastral reflux). And in cases where the lower esophageal sphincter is also open, bile enters the esophagus (duodenogrostorezophageal reflux) and the oral cavity, causing a feeling of bitterness. This occurs in a duodenal ulcer, obesity, diabetes, low-calorie diet, during pregnancy, as well as when feeding through a naughty probe (through the nose, a thin tube in the stomach is carried out in order to be able to deliver liquid food. It is necessary if the patient is not Maybe eating in the usual way.).
Feeding through a naughty probeAbrost bile also occurs due to its stagnation in the duodenalist (duodenostasis) after removing the gallbladder. The overflow of the duodenum leads to the excitation of the vomit and causes nausea, vomiting and bitter taste in the mouth. The feeling of bitterness in the mouth due to the violation of the motility of biliary tract is also accompanied by a number of systemic diseases whose treatment is engaged in a rheumatologist. Dyskinesia of the biliary tract is characteristic of hormonal disorders (including hormone therapy). In disruption of the work of the brain, in particular with the damage to the oblong brain, dyskinesia is caused by a violation of the nervous and endocrine regulation of the biliary (biliary) path.
What doctors to contact when the appearance of bitterness in the mouthWith the appearance of a feeling of bitterness in the mouth, first of all it is necessary to carry out the rehabilitation of the oral cavity, visiting the dentist.
In the absence of dental problems, you should contact
Therapist for obtaining directions to the necessary research. After the patient's survey and obtaining blood test results and urine treatment can continue
Diagnosis and examination when bitterness appears in the mouth
If the inspection does not identify the problems of a dental nature, as well as the signs of rheumatological (system) diseases, the doctor prescribes a patient clinical and biochemical blood tests for assessing the level of hepatic enzymes (ALT, AST), bilirubin and alkaline phosphatase, general urine analysis.
However, the main method of diagnosing duodenogastral and duodenogrostroesophageal reflux serves the daily intragastric and intrapure-water pH-metry. The diagnosis confirms the increase in the acidity (pH) of the gastric body above 5, not related to meals. Duodenogastral reflux is considered pronounced if episodes of casts exceed 10% of the monitoring time.
What to do when the bitterness occurs in the mouth?
It is necessary to make sure that the feeling of bitterness does not arise in connection with the reception of drugs and is not associated with smoking. If bitterness appears in the mouth after eating or exercise, in particular slopes, you need to change the power mode by reducing the time between meals and reduce portions.Do not immediately go to bed or make slopes after eating. It is not necessary to eat in the hugs or in a tense atmosphere, since stress causes spastic phenomena that provoke reflux.
- The regulation of the activity of the hepatobiliary system is very often helped by the restoration of normal weight - obesity always leads to a violation of the liver function, its fatty infiltration, cholestase, cholangitis and gallstone disease. If despite the measures for the prevention of reflux, the feeling of bitterness becomes a constant symptom, the visit to the doctor cannot be postponed. Not diagnosed on time Gastroduodenal and Gastroduodenoesophageal reflux proceeds to the gastroesophageal reflux disease, to treat much more difficult.
- Treatment of diseases accompanied by bitterness in the mouth
Information from this section cannot be used for self-diagnosis and self-treatment. In case of pain or other exacerbation of the disease, diagnostic studies should appoint only the attending physician. To make a diagnosis and proper appointment of treatment, you should contact your attending physician.
If the feeling of bitterness is caused by the gum disease, poor teeth hygiene and oral cavity, the solution to the problem can be achieved by hygienic measures.
With diseases such as diabetes mellitus, as well as rheumatological diseases, pathogenetic therapy is necessary.
If the feeling of bitterness in the mouth is due to biliary disorders, the treatment provides for the normalization of the activities of the gallbladder, biliary tract and the sphincter Appa. In these cases, the doctor may prescribe drugs of several groups. In the complex, they must enhance the secretion of bile and motorcycle bubble (drugs of ursodeoxycholic acid and plant of vegetable origin), as well as to have antispasmodic effect on the Sphinteer Appa. It is also necessary to normalize the processes of digestion using enzyme preparations. The dyspepsia state requires the restoration of the intestinal microflora, for which the doctor can assign probiotics. Improving the rheological properties of bile using a diet and drinking regime has a positive effect on the operation of the gastrointestinal tract.
From the diet exclude bold, fried, smoked, sharp and alcohol. When aggravating the disease, it is impossible to use products that have a choleretic action (thermally untreated vegetable oils, citrus, apples, bananas, kuragu, etc.). Sources:
Causes of bitterness in the mouth
Scherbenkov I.M. Opportunities for therapy diskinesia biliary tract. Medical Council, magazine. No. 1, 2013. P. 47-51.
Sereda N.N. Gastroesophageal reflux disease. Siberian Medical Journal. No. 4, 2014. P. 133-139.
Information is verified by an expert
Lishova Ekaterina Aleksandrovna
Higher medical education, work experience - 19 years
Bitter taste in the mouth appears when you consume something appropriate, for example, chicory or black coffee. The presence of chronic bitter taste, regardless of what you eat or drink is not normal and indicates one or more diseases. This taste indicates that human has changes in the body. This may be the unsuccessful consequence of the reception of medicines or the effects of environmental factors that interfere with the feeling of the right taste, causing an unpleasant feeling of bitterness.
Perhaps this is the result of infectious disease, chronic inflammation or injury.
Read on to learn more about the causes of bitterness in the mouth, when you should contact your doctors and why this symptom should be eliminated.
- Bitter taste may be the result of a wide range of pathologies and even everyday situations. This can happen after eating, after coughing or occur constantly, depending on the cause. Many types of drugs prevent the feeling of the right taste and cause an unpleasant bitter feeling. Such a sense is usually temporary and passes when eliminating the main reason.
- Consumption of certain products or habit of smoking tobacco products can lead to such consequences. Weak teeth health and bad hygiene are other potential causes of a sharp aftertaste in the mouth. A person with such a hygiene is inclined to a variety of infections and diseases (inflammation of gums or dental infection, gingivitis, which can provoke problems with the aftertaste). It is important to follow the purity of the toothbrush and clean the teeth regularly.
- The next reason for the occurrence of a bad taste is disgusting (DYSGEUSIA) - a medical term for a weakened feeling of taste. This can lead to a disruption of receptors and a feeling of metal, salt or bitter tastes. Disgenging is caused by infections (for example, cold, influenza, sinusitis), inflammation, injury or environmental factors. Radiation therapy for the treatment of head cancer and neck can also provoke a bitter taste in the mouth. Sometimes women in the early stages of pregnancy discover that their feeling of taste seems to have changed. Depending on the cause of poor taste, there may be other additional symptoms, such as nausea or dry mouth.
- When you have a cold, sinusitis or other disease, the body naturally releases the protein produced by various cells in the body. It is believed that this protein can affect taste receptors, causing increased sensitivity to bitter tastes. Radiation and chemotherapy annoy flavoring receptors, resulting in many products, including water, acquire a metal or bitter taste.
One of the most little-known causes of bitterness in the mouth is considered to be a cedar walnut syndrome. This is not allergies, but some people can react to cedar nuts that leave bitter or metal taste in the mouth after about 12-48 hours after swallowing them. Scientists do not quite know exactly why this happens, but they suspect that it has some kind of relationship to pollutants (any chemical used in the processing of nuts).
Symptoms of bitterness in the mouth
An unpleasant sensation in the mouth or in the language has not only a pronounced violation of taste. Since a person has a feeling of bitterness in the oral cavity, everything so that it does not eat, has an unpleasant taste (it does not matter that it is a cake, milk, vegetables). However, this is not the only symptom. There are a number of other indicators, which indicate that with your taste receptors are not all right and in your body a minor failure.
Other symptoms include:
burning in the stomach and esophagus a few hours after meals;
problems with swallowing;
chronic dry cough;
- sore throat.
- When you accepted certain types of drugs, remnants of the means are displayed in saliva. In addition, if substances or additive have bitter or metal elements, they can leave bitter taste in the mouth. You should know that there are a number of drugs that cause bitterness. If such a taste appeared after their reception - it is absolutely normal, as a rule, it is not for long. The usual culprits of this problem are antibiotic tetracycline and lithium used to treat some mental disorders. Also, their number includes some hearty preparations, vitamins and additives containing zinc, chrome or copper. There are also certain polyvitamins and additives, the use of which can cause a bitter taste in the mouth. They are mainly distinguished by the high content of heavy metals, such as zinc and copper. Iron-containing substances leave an unpleasant feeling, but all this will disappear when the tools will stop consumed.
- When is the bitterness in the mouth?
- The presence of a bitter taste in the mouth is often not a serious problem, but it can prevent your daily life and influence the diet. Bulfle in the mouth happens from a specific syndrome, which is called "burning mouth syndrome." This syndrome causes a feeling of burning or burn in the mouth, which can be very painful. These symptoms may occur in one part of the mouth or throughout the mucous membrane. It is also able to cause dryness and bitter or metal taste. The burning syndrome occurs both in men and women, especially those who are experiencing menopause or are within its limits. Sometimes burning and bitterness in the mouth does not have an identifiable cause. Doctors suspect that this can be due to damage to the nerves in the mouth. Syndrome also binds to the basic conditions or methods of treating such conditions as: diabetes; cancer; Hormonal changes during menopause. Estrogen's female hormone, which fluctuates during pregnancy, can also change taste receptors. Many women inform about bitter or metallic taste in the mouth when they are pregnant. It usually leaves a little later or after the birth of a child.
- One of the common causes is the insufficient number of saliva in the mouth. Without proper production of saliva, the taste is quite capable of changing. Products may be too bitter, for example, or less salted. In addition, the lack of saliva makes it difficult to swallowing or the ability to speak, and people with this disease can notice that they develop the inflammation of the gums.
- Also, the specific bitterness happens with other diseases and syndromes. For example, if a patient has an acid reflux, which occurs when the lower esophageal sphincter is weakened and allows food and acid from the stomach back to the esophagus and mouth.
- What diseases may be associated with a bitter taste?
- The feeling of bitter in the mouth says that you are doing the wrong way of life. The following diseases may be the main cause of uncomfortable sensations:
- problems with the gall bubble;
- hernia of the esophageal hole of the diaphragm;
- peptic ulcer;
mouth injury or nose;
The use of dental devices, such as braces or braces. Remember that this is not a comprehensive list, and it is strongly recommended to consult with your doctor in case of constancy of such symptoms. They are associated not only with the use of drugs or any temporary interventions, as well as indicate a number of serious diseases caused by unhealthy food or frequent use of alcohol and tobacco products. .
There are significant evidence that the improper perception of taste can provoke serious health problems, even if they do not have them before. Doctors identified that in the absence of treatment, such a problem has a negative effect on the quality of human life. For example, stroke damages taste and completely changes the patient's feeling when eating. Often it can lead to malnutrition and failure to eat. This kind of violation also provokes what some are too salted for improving taste, but over time it entails coronary problems. Some patients suffer from depression and cease to engage in their usual social activities. Thus, treatment of the causes of bitter taste in the mouth is very important to improve the quality of life. In many cases, even the adoption of small steps to help stimulate taste receptors or improve the taste of food, can help in controlling the feeling of bad taste in the mouth. Testing a bitter taste can each of us and happens this is quite often. The taste should not be a direct cause for concern. Most of the causes of bitterness are treatable, and a person can cope with this symptom on its own until the doctor diagnoses the cause. As soon as it is found, and the treatment will begin, taste receptors must return to the norm, and the bitter taste in the mouth will disappear. For example, if the patient has a gastroesophageal reflux, it can be useful to take a healthy lifestyle and dietary measures suitable for reducing the symptoms of disorder. If these sensations are not allowed for a short time, the patient needs to seek medical attention. .
Sources Lapina T.L. Bind in the mouth: Interpretation of the gastroenterologist / T.L. Lapina, A.O. Buovers // Clinical perspectives of gastroenterology, hepatology. - 2013. - №3. .
Article author: Velvikova Nina Vladislavovna
- infectious, gastroenterologist, pulmonologist
- Common experience:
- 35 years
1975-1982, 1mmi, San Gig, Higher Qualification, Infectious Physics