Sour Taste on Both Sides of Tongue: Causes and Solutions - Otolaryngology

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A sour taste on both sides of the tongue?


Hello, doctor.
I've been experiencing a sour taste on both sides of my tongue for over half a month, and sometimes it is accompanied by a slight burning sensation.
Could you please explain the possible causes? I have seen a doctor who mentioned it might be glossitis, but it hasn't improved.

A Tai, 30~39 year old female. Ask Date: 2016/04/25

Dr. Zheng Jueyi reply Otolaryngology


Hello: It is common to experience tongue inflammation.
It is recommended to maintain a regular routine and reduce the intake of spicy foods, as most cases will gradually improve.
If there is no improvement, you may consider visiting a neurologist for a neurological evaluation.
Wishing you peace and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/04/25

More Info


Dear Patient,
Thank you for reaching out with your concerns regarding the sour taste on both sides of your tongue, which has persisted for over half a month and is occasionally accompanied by a tingling sensation. It’s understandable to feel worried about these symptoms, especially when previous medical consultations have not provided a satisfactory resolution.

Based on your description, it seems that you may be experiencing a condition known as glossitis, which is inflammation of the tongue. This condition can manifest in various ways, including changes in taste, swelling, redness, and discomfort. The sour taste you are experiencing could be attributed to several factors, including:
1. Infection or Inflammation: As you mentioned, your doctor has indicated that your tongue is inflamed. This inflammation can be caused by various factors, including viral or bacterial infections, irritants (such as spicy or acidic foods), or even allergic reactions. The inflammation can alter your taste perception, leading to a sour or metallic taste.

2. Oral Hygiene: Poor oral hygiene can lead to the buildup of bacteria and plaque, which can irritate the tongue and contribute to inflammation. Ensuring that you maintain good oral hygiene by brushing your teeth and tongue regularly, as well as using mouthwash, can help alleviate some of these symptoms.

3. Nutritional Deficiencies: Deficiencies in certain vitamins and minerals, particularly B vitamins (such as B12) and iron, can lead to changes in the tongue's appearance and function. If your diet lacks these essential nutrients, it may be beneficial to consult with a healthcare provider about dietary changes or supplementation.

4. Gastroesophageal Reflux Disease (GERD): If you have a history of acid reflux, the acid from your stomach can irritate your throat and tongue, leading to a sour taste. Managing GERD through dietary changes, lifestyle modifications, and possibly medications can help alleviate this symptom.

5. Stress and Anxiety: Stress can also play a significant role in oral health. It can lead to habits such as teeth grinding or clenching, which can cause discomfort in the mouth and may contribute to inflammation of the tongue.

Given that your symptoms have persisted for an extended period, I recommend the following steps:
- Consult a Specialist: Since you have already seen a doctor without improvement, consider consulting an Ear, Nose, and Throat (ENT) specialist or a dentist who specializes in oral health. They can perform a thorough examination and may suggest further tests to determine the underlying cause of your symptoms.

- Maintain Oral Hygiene: Continue to practice good oral hygiene. Use a soft-bristled toothbrush and consider using a tongue scraper to help remove bacteria and debris from the surface of your tongue.

- Monitor Your Diet: Pay attention to your diet and try to avoid foods that may irritate your tongue, such as spicy, acidic, or very hot foods. Incorporate a balanced diet rich in fruits, vegetables, whole grains, and lean proteins to ensure you are getting the necessary nutrients.

- Stay Hydrated: Drink plenty of water throughout the day to keep your mouth moist and help wash away any irritants.

- Manage Stress: If you suspect that stress may be contributing to your symptoms, consider stress management techniques such as mindfulness, meditation, or yoga.

In conclusion, while the sour taste and discomfort you are experiencing can be concerning, there are several potential causes and solutions. It is essential to work closely with healthcare professionals to identify the underlying issue and develop an appropriate treatment plan. I hope this information helps you understand your symptoms better and guides you toward finding relief.

Best wishes for your health and recovery!

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