Peter Hibberd, M.D., is a doctor whose advice is based on more than 28 years of hospital outpatient and inpatient experience. He is an experienced emergency medicine physician, surgeon, and consultant. Dr. Hibberd is certified by the American Board of Emergency Medicine. He is also a fellow and active member of the American Academy of Family Physicians, an active member of the American College of Emergency Physicians, and a member and fellow of the American Academy of Emergency Medicine. Dr. Hibberd has earned numerous national and international professional certifications, memberships, and awards.
Tags: metallic | taste | mouth | disease | dysgeusia

What's Causing Metal Taste In My Mouth?

Tuesday, 18 Sep 2012 09:14 AM

Question: I wake up in the morning with a horrible metallic taste in my mouth. My doctor prescribed pantoprazole and an antacid, and it has helped, but only a little. Any suggestions?

Dr. Hibberd's answer:
A metallic taste in the mouth is a form of dysgeusia, an abnormality of the sense of taste. It appears your doctor is treating you for GERD (gastro-esophageal reflux). Sometimes a split dose of pantoprazole will help further, and sometimes a dose adjustment is also helpful until your symptoms settle. There are many possible causes of having a metallic taste in your mouth. The side-effects of certain medications can cause a metallic taste. Sometimes a sinus infection, allergies, dental abscess, poor oral hygiene, or the nausea or acid brash occasionally experienced by those with gastro-esophageal reflux could lead to a metallic taste. Some systemic diseases can cause a metallic taste in the mouth including cancer, hyperparathyroidism, renal failure, diabetes, Sjögren's syndrome, sarcoidosis, amyloidosis, vitamin B-12 deficiency, and zinc deficiency. Sometimes the exact cause is just not determined, in which it is known as idiopathic dysgeusia. If the symptom persists, go back to your doctor for further evaluation, medication adjustments, and possible referral to a gastro-enterologist.

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A metallic taste in the mouth can be caused by a number of different factors.
Tuesday, 18 Sep 2012 09:14 AM
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