Unusual Sensations at the Base of the Tongue: What to Do? - Otolaryngology

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When experiencing unusual sensations at the base of the tongue, such as tingling, prickling, or a feeling of fullness, it is important to approach the situation methodically. Given your symptoms, which have persisted for about a month and a half, it is advisable to consult with an Ear, Nose, and Throat (ENT) specialist first. The ENT specialist is well-equipped to evaluate issues related to the oral cavity, throat, and neck, and they can conduct a thorough examination to determine the underlying cause of your discomfort.

The sensations you describe could be attributed to several potential causes. One possibility is irritation or inflammation of the taste buds or mucous membranes in that area, which can occur due to various factors, including infections, allergies, or even gastroesophageal reflux disease (GERD). GERD can lead to acid reflux, which may irritate the throat and tongue, causing discomfort and increased salivation.
Another potential cause could be a condition known as glossitis, which is inflammation of the tongue that can result from nutritional deficiencies (such as vitamin B12, folate, or iron), allergic reactions, or irritants like certain foods or dental products. Additionally, the presence of a cyst or other growth at the base of the tongue could also lead to similar sensations, although these are less common.

Given the complexity of the symptoms, it is essential to undergo a thorough evaluation. The ENT specialist may perform a physical examination, possibly including a laryngoscopy, to visualize the throat and tongue more clearly. They may also recommend imaging studies, such as an MRI or CT scan, if they suspect any structural abnormalities.

If the ENT specialist rules out any significant issues, they may refer you to a dentist or oral surgeon for further evaluation, particularly if they suspect that dental issues or oral lesions could be contributing to your symptoms.
In the meantime, it may be helpful to keep track of any additional symptoms you experience, such as changes in taste, difficulty swallowing, or any visible changes in the tongue or surrounding areas. This information can be valuable for your healthcare provider in determining the cause of your discomfort.

Lastly, while it is understandable to feel anxious about these sensations, it is important to remember that many conditions affecting the tongue and throat are treatable. Seeking medical advice promptly can help alleviate your concerns and lead to an appropriate treatment plan.
In summary, I recommend scheduling an appointment with an ENT specialist to discuss your symptoms in detail. They will be able to provide a comprehensive evaluation and guide you on the next steps for diagnosis and treatment.