Tongue Inflammation: Causes, Remedies, and Treatments

Tongue issues?

Hello doctor, I have some redness and swelling on the side of my tongue near the base.
It has been a month, and I have seen 2 or 3 doctors who all said it is normal inflammatory mucosa.
I did some research and feel like it resembles inflammation of the foliate papillae.
I have adjusted my habits by drinking more water, taking B vitamins, and getting more rest, but the redness and swelling still fluctuate between getting better and worse.
Is there any way to expedite the healing process? Although it doesn't hurt, I constantly feel like there is a foreign object in my mouth, which is quite uncomfortable.
Are there any medications I can take, injections I should receive, or topical treatments I can apply? Thank you for your response.
I really appreciate it.

Mr. Gu, 30~39 year old female. Ask Date: 2016/03/26

Dr. Zeng Guanghui reply Dentistry

It is likely caused by recurrent inflammation of the tongue mucosa.
Although increasing water intake and consuming B vitamins may help, there is still a sensation of a foreign body in the mouth.
It is recommended to consult an oral surgeon for further examination.

Reply Date: 2016/03/26

More Info

Dear Patient,
Thank you for reaching out regarding your concerns about tongue inflammation. It sounds like you are experiencing a frustrating and uncomfortable situation with the inflammation near the base of your tongue. Let's delve into the potential causes, remedies, and treatments for your condition.

Understanding Tongue Inflammation:
Tongue inflammation, or glossitis, can manifest in various ways, including redness, swelling, and changes in texture. The inflammation you are experiencing could be due to several factors, including:
1. Infections: Viral, bacterial, or fungal infections can lead to inflammation of the tongue. Conditions like oral thrush (a yeast infection) can cause white patches and inflammation.

2. Allergic Reactions: Allergies to certain foods, medications, or dental products can result in localized swelling and redness.

3. Nutritional Deficiencies: Deficiencies in vitamins, particularly B vitamins (like B12, B2, and folate), iron, and zinc, can contribute to tongue inflammation.

4. Irritation: Mechanical irritation from dental appliances, rough teeth, or certain foods (spicy, acidic, or hot) can lead to inflammation.

5. Autoimmune Conditions: Conditions like lichen planus or geographic tongue can cause changes in the tongue's appearance and inflammation.

6. Stress and Hormonal Changes: Stress can exacerbate inflammation and lead to changes in oral health.

Remedies and Treatments:
Given that you have already consulted multiple doctors and have made lifestyle adjustments (increased water intake, B vitamin supplementation, and rest), here are some additional steps you can consider:
1. Topical Treatments: Over-the-counter topical anesthetics or anti-inflammatory gels may help alleviate discomfort. Products containing benzocaine or lidocaine can numb the area temporarily.

2. Antihistamines: If you suspect an allergic reaction, over-the-counter antihistamines like diphenhydramine (Benadryl) may help reduce inflammation and discomfort.

3. Corticosteroids: If the inflammation persists, a healthcare provider may prescribe a topical corticosteroid to reduce inflammation. This should be done under medical supervision.

4. Oral Rinses: Saltwater rinses or baking soda rinses can help soothe the inflamed area. Mix a teaspoon of salt or baking soda in a glass of warm water and rinse several times a day.

5. Avoid Irritants: Identify and avoid any potential irritants, such as spicy foods, alcohol, and tobacco, which can exacerbate inflammation.

6. Dietary Adjustments: Incorporate soft, bland foods into your diet to minimize irritation. Foods rich in vitamins and minerals can support healing.

7. Regular Monitoring: Keep track of any changes in your symptoms. If the inflammation worsens or new symptoms develop, consult your healthcare provider for further evaluation.

8. Follow-Up Care: Since you have seen multiple doctors, consider seeking a specialist, such as an oral medicine or oral pathology expert, who can provide a more in-depth evaluation of your condition.

In conclusion, while tongue inflammation can be uncomfortable, there are various approaches to manage and treat it. It’s essential to continue monitoring your symptoms and maintain open communication with your healthcare providers. If you find that your symptoms persist despite these measures, further investigation may be warranted to rule out any underlying conditions.

Wishing you a speedy recovery and relief from your symptoms.

Best regards,
Doctor Q&A Teams

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