Causes for the sour and bitter taste in the mouth[6]
Introduction:
Once in a while, we all experience that feeling of a bitter and sour taste in the mouth. This can happen because of the food or beverages that we have consumed in the last couple of hours.
However, if a sour taste or bitter taste in your mouth is occurring frequently, it should not be ignored, as that’s indicative of a larger health issue.
The human digestive system is a complex one and is easily affected by changes occurring in one or more systems or organs of the body. This means, there are various reasons for that sour or bitter taste in your mouth. Each one of those reasons has its own method for diagnosing and treating it. These can be divided into four major reasons.
Reasons for Sour or Bitter Taste in your Mouth
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GERD – Gastro Esophageal Reflux Disease
In people who are suffering from gastro-esophageal reflux disease or GERD, the LES opens abnormally allowing food to enter the esophagus from the stomach.
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Medications
Medications being taken for other ailments can leave residual medicine in the mouth, or affect the taste receptors in the brain or tongue. These can cause a sour taste in the mouth.
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Zinc Deficiency
Zinc is one of those minerals that the body needs in small quantities for good health.
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Other Causes
There are innumerable other conditions or causes for the sour and bitter taste in the mouth.
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#1 – GERD – Gastro Esophageal Reflux Disease
Food passes from the mouth to a narrow tube called the esophagus and from there to the stomach where the process of digestion begins. There is a small valve at the beginning of the stomach which ensures food does not go back into the esophagus from the stomach. The valve is called the lower esophageal sphincter or LES. In people who are suffering from gastro-esophageal reflux disease or GERD, the LES opens abnormally allowing food to enter the esophagus from the stomach.
GERD causes various symptoms such as:
Heartburn
Chest pain
Sour or bitter taste
Bad breath
Burning sensation in the throat
Difficulty in swallowing
A lump like feeling in the throat
Coughing
Hoarse voice
Chest pain
Also Read: Heart Burn Basics for Your Benefit[7]
There are many causes of GERD and these include:
Heavy eating
Acidic food
Fatty food
Regular consumption of caffeine
Alcohol abuse
Regular smoking
Pregnancy
Obesity
#2 – Medications
Medications being taken for other ailments can leave residual medicine in the mouth, or affect the taste receptors in the brain or tongue. These can cause a sour taste in the mouth. The Canadian Family Physician, a popular medical journal, had published an article which states that there are over 250 different drugs that can cause a sour taste in the mouth. These can be classified as:
Antibiotics: These are the most common culprit. Examples include sulfamethoxazole, tetracycline, trimethoprim, ampicillin, metronidazole, etc.
Drugs that are given as part of chemotherapy such as etoposide, cyclophosphamide, and cisplatin
Also Read: Chemotherapy and its role in cancer treatment[8]
Drugs are given for neurological conditions such as Parkinson’s disease, migraine[9], etc. and some muscle relaxants
Drugs are given for cardiovascular conditions such as high BP, irregular heartbeat, diuretics, statins, etc
Prescription and over-the-counter drugs such as antihistamines, bronchodilators and those for inflammation, smoking de-addiction, fungal and viral infections
Drugs are given for psychological conditions such as depression, anxiety, bipolar disorder, as well as mood stabilizers and hypnotics.
#3 – Zinc Deficiency
Zinc is one of those minerals that the body needs in small quantities for good health. These come from the food we consume such as:
Red meat
Shellfish
Dairy
Nuts
Beans
Oysters
Legumes
Certain vegetables
Zinc deficiency can occur due to the following reasons:
If the person is not getting enough zinc from the diet.
The zinc is not being absorbed properly by the intestines.
The person is on medications that interfere with zinc absorption.
Medications that inhibit zinc absorption include:
thiazide diuretics
captopril (an ACE inhibitor)
penicillamine
These drugs are used to treat a wide range of ailments such as cancer, diabetes, liver disease[10], celiac disease, chronic kidney disease, pancreatitis, sickle-cell disease, Crohn’s disease, and ulcerative colitis.
One of the symptoms of zinc deficiency is a sour taste in the mouth.
Also Read: The Terrific Two – Vitamin D and Zinc[11]
#4 – Causes for the sour and bitter taste in the mouth
There are innumerable other conditions or causes for the sour and bitter taste in the mouth, some of them being:
Smoking[12] or chewing tobacco can affect the taste buds over time and make the food less tasty
Some people suffer from decreased saliva production which creates wrong perceptions of taste. Also called Xerostomia or dry mouth syndrome
Xerostomia can be caused by dehydration[13], which makes dehydration also a cause for sour taste in the mouth.
Anxiety and stress can trigger the dry mouth syndrome
Various infections or illnesses cause inflammation which can heighten the sense of sour or bitter taste, or create wrong perceptions of taste
Fungal infections in the mouth such as oral candidiasis
Similarly, not brushing regularly or maintaining poor dental hygiene can create a sour or bitter taste in the mouth
In women, pregnancy and menopause are known to trigger a sour taste in the mouth., due to hormonal changes
Menopause, which, like pregnancy, may cause a sour taste in the mouth. due to changes in hormone levels
Injuries or surgery of the brain can affect the region that controls the perception of taste and create wrong perceptions of taste
Neurologic disorders such as dementia, Bell’s palsy, epilepsy, multiple sclerosis[14] as well as tumors in the brain
Radiation therapy given for treating cancers of the head and neck can damage salivary tissues and cause a sour taste in the mouth.
Lead poisoning comes from water or air excessively contaminated with lead
Syndromes that are not fully understood such as pine nut syndrome or burning mouth syndrome
Seek Expert Help
As you can infer from the above, recurring incidents of a sour taste in the mouth is not a simple condition that can be relieved by home remedies or antacids. Consult a gastroenterologist in a reputed hospital[15] for the same. He/she will diagnose the underlying condition carefully and then prescribe the right course of treatment for the best results.
Frequently Asked Questions
1. What causes a sour taste in my mouth?
A sour taste can be caused by conditions like GERD, certain medications, or zinc deficiency.
2. Is a bitter taste in the mouth serious?
Frequent bitter tastes may indicate underlying health issues and should not be ignored.
3. Can medications affect taste?
Yes, over 250 medications, including antibiotics and some psychiatric drugs, can lead to a sour taste.
4. How does zinc deficiency relate to taste?
Zinc deficiency can affect taste perception, leading to a sour or bitter taste in the mouth.
5. When should I see a doctor for taste issues?
If the sour or bitter taste persists, it’s best to consult a gastroenterologist for diagnosis and treatment.
6. Can stress or anxiety cause a sour taste?
Yes, anxiety and stress can lead to dry mouth, which may contribute to a sour taste sensation.
Kauvery Hospital is globally known for its multidisciplinary services at all its Centers of Excellence, and for its comprehensive, Avant-Grade technology, especially in diagnostics and remedial care in heart diseases, transplantation, vascular and neurosciences medicine. Located in the heart of Trichy (Tennur, Royal Road and Alexandria Road (Cantonment), Chennai, Hosur, Salem, Tirunelveli and Bengaluru, the hospital also renders adult and pediatric trauma care.
Causes for the sour and bitter taste in the mouth: https://kauveryhospital.com/blog/gastroenterology/do-not-ignore-that-sour-taste-in-your-mouth/#q6
Heart Burn Basics for Your Benefit: https://www.kauveryhospital.com/blog/k-way-health/heart-burn-basics-for-your-benefit/
Chemotherapy and its role in cancer treatment: https://www.kauveryhospital.com/blog/k-way-health/oncology/chemotherapy-and-its-role-in-cancer-treatment/