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She had been previously diagnosed with gastro-oesophageal reflux disease (GORD), and her heartburn symptoms had been controlled until recently with lansoprazole 15\u2005mg daily. Her past medical history included irritable bowel syndrome and depression, for which she had been treated with mebeverine and paroxetine for a number of years. She was a non-smoker and did not consume alcohol. Clinical examination was unremarkable with no oral lesions on examination. Her routine laboratory tests, including autoimmune serology, haematinics and thyroid function tests were all within normal limits. She underwent a gastroscopy, which revealed moderate reflux oesophagitis, and following commencing omeprazole 20\u2005mg twice daily, her heartburn resolved. However, her oral burning symptoms were not affected and a diagnosis of burning mouth syndrome (BMS) was made. Following explanation and reassurance concerning the cause of her BMS symptoms, she chose not to receive treatment for this but to access cognitive behavioural therapy in the future if her symptoms worsened.<\/jats:p>","DOI":"10.1136\/flgastro-2014-100431","type":"journal-article","created":{"date-parts":[[2014,6,17]],"date-time":"2014-06-17T22:34:57Z","timestamp":1403044497000},"page":"218-222","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Managing a patient with burning mouth syndrome"],"prefix":"10.1136","volume":"6","author":[{"given":"Danny","family":"Cheung","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Sandwell General Hospital, West Bromwich, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nigel","family":"Trudgill","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Sandwell General Hospital, West Bromwich, 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