What Causes Inflamed Lower Frenulum Under The Tongue And Soreness Of The Tongue?

Posted on Tue, 24 Dec 2013

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 23 Dec 2013 Answered on

Mon, 20 Jan 2014 Last reviewed on

Question : I take.10 synthroid and .15 hydrocortisone daily. I recently had blood test and cortisone without meds was .6 and my Free T4 was low at .98. I have suffered for over 1.5 months with dry mouth syndrome. I saw an ENT who told me to suck on lemon drops. The saliva production has improved, but the lower frenulum under tongue is always inflamed and I am left with a sore tongue. I have some sinus congestion. I am easily fatigued. I know this could be many things including the meds, bit I am tired of all this. It started suddenly after eating high sodium crackers with a glass of wine. The next day I had scalded tongue and throat. No one seems to know what's wrong.

Answered by Dr. Shehzad Topiwala (4 hours later)

Brief Answer: Endocrine Detailed Answer: The pituitary matter needs systematic and comprehensive assessment. One needs to ascertain your full hormone status via blood tests for : Total T4 Free T4 Total T3 T3 resin uptake TSH (although if you truly have pituitary deficiency, then this is of little value, but still for whatever it is worth, you can have this test done too) Prolactin FSH LH CBC CMP Diagnosing and managing pituitary problems requires considerable expertise. So it will require a detailed personal examination in addition to the above lab tests to determine the best course of action. This will allow the endocrinologist to guide you as to the appropriateness of the dose of synthroid and hydrocortisone. It may provide some idea if the symptoms that you are sharing could possibly be connected to the thyroid/adrenal/pituitary

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar