### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have a burning type peppery tingling taste in my mouth, with a feeling of swelling in tounge. I am waiting for a mouth clearance as abscesses with sarcoidosis has destroyed my teeth. I have purulent discharge wicch smells and taste like infection would do. Last year I was diagnosed with aortic heart value endocarditis, with septominia. I also have an enlarged spleen from this and under going tests for a deranged liver.? I also have severe asthma, copd and altered nerve sensation in my feet. Medication. MST 20 mg twice daily Ventolin nebulisers 5mg in 2.5 ml Atrovent 5mg in 2.5ml Saline NEB s Frusimide 10mg daily Ramipril 1.25mg daily Gabapentin 300mg 2 tablets 3 x daily Carbocisteine 375mg 2 tablets 3 x daily Paracetamol 1000mg x4 daily Or a morph 5ml as and when needed. Usually once a day twice at most and can be intermittent.

### output:

Hello, I passed carefully through your question and would explain that your symptoms could be related to different possible causes: a local infection, nerve damage like the neuropathy in your lower limbs, vitamin B12 deficiency, etc. Coming to this point, I would recommend consulting with your dentist for a physical exam and checking vitamin B12 and blood electrolytes plasma levels for possible imbalances.  You are already taking Gabapentin, which can help. Another option would be amitriptyline or duloxetine.  You should discuss with your doctor on the above options.  Hope I have answered your query. Let me know if I can assist you further. 