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Symptoms of oral sub-mucous fibrosis include the following: Progressive inability to open the mouth (trismus) due to oral fibrosis and scarring Oral pain and a burning sensation upon consumption of spicy foodstuffs Increased salivation Change of gustatory sensation Hearing loss due to stenosis of the eustachian tubes Dryness of the mouth Nasal tonality to the voice Dysphagia to solids (if the esophagus is involved) Impaired mouth movements (e.g, eating, whistling, blowing, sucking) Oral sub-mucous fibrosis is clinically divided into three stages and the physical findings vary accordingly: Stage 1 Stomatitis includes erythematous mucosa, vesicles, mucosal ulcers, melanotic mucosal pigmentation, and mucosal petechia