Burning Sensation and Oral Mucosa.

Hello, Based on your history (burning sensation for 1 year, worse in evening, white line/patch-like changes, sensitivity to spicy food, normal blood reports), the possibilities include: • Oral Lichen Planus (OLP) • Oral lichenoid reaction • Early Burning Mouth Syndrome (if no significant clinical lesion) Since symptoms are persistent for 1 year and not responding to routine treatment, this should not be ignored. I would strongly recommend: • A detailed clinical examination by an Oral Medicine specialist • If required, an incisional biopsy to confirm diagnosis • Evaluation for any local irritants (sharp teeth, restorations, tobacco history) Avoid spicy food, alcohol-based mouthwash, and stress triggers. Please upload a clear close-up picture of the affected area for better guidance. Proper diagnosis is essential before further treatment.