The tongue hurts whenever it moves?
There is a white patch on the left side of my tongue, and it hurts when I move my tongue too vigorously, making it difficult to eat.
This has been alternating for a long time; either the left side hurts or the right side hurts.
When I sleep on my stomach, regardless of the direction, I experience pain under the masseter muscle.
The pain only subsides when I sleep on my back, where there is no pressure.
Previously, I opened my mouth for a doctor to examine, and they noted that one side of my tongue appeared larger than the other, which seemed unusual.
Could this be related?
Bunny, 20~29 year old female. Ask Date: 2016/12/25
Dr. Zeng Guanghui reply Dentistry
If there is a white patch on the tongue and moving the tongue causes pain, it may indicate damage to the tongue mucosa or inflammation of the tongue mucosa due to other factors.
It is advisable to consult a dentist for further evaluation and treatment as soon as possible.
Reply Date: 2016/12/25
More Info
Painful tongue movement and discomfort in the jaw can be indicative of several dental issues, and it’s essential to understand the underlying causes to address them effectively. Based on your description, it seems you are experiencing pain on the left side of your tongue, which worsens with movement and pressure, particularly when chewing or sleeping in certain positions. Additionally, you mentioned that your jaw muscles are also painful, especially when pressure is applied.
Possible Causes of Your Symptoms
1. Oral Lesions or Candidiasis: The white patch on your tongue could be a sign of oral thrush (candidiasis), which is a fungal infection that can cause discomfort and pain. It can lead to sensitivity, especially when the tongue is moved or when eating. Other lesions, such as leukoplakia or lichen planus, could also present as white patches and cause pain.
2. Muscle Strain or TMJ Disorders: The discomfort in your jaw muscles could be related to temporomandibular joint (TMJ) disorders. These conditions can cause pain in the jaw, face, and even the neck, especially when chewing or applying pressure. If you are clenching or grinding your teeth (a condition known as bruxism), this could lead to muscle fatigue and pain.
3. Dental Issues: If there are underlying dental problems such as cavities, gum disease, or misaligned teeth, these can contribute to pain in the jaw and tongue. The discomfort you feel when chewing could be related to dental sensitivity or issues with your bite.
4. Nerve Irritation: Conditions affecting the nerves in the jaw or tongue can also lead to pain. For example, neuralgia or nerve entrapment can cause sharp, shooting pain in the affected areas.
Recommendations for Management
1. Consult a Dentist or Oral Specialist: It’s crucial to have a thorough examination by a dentist or an oral specialist. They can assess the white patch on your tongue and determine if it requires treatment. They can also evaluate your jaw and teeth for any signs of TMJ disorders or other dental issues.
2. Maintain Oral Hygiene: Good oral hygiene is essential. Brush your teeth and tongue gently twice a day and consider using an antibacterial mouthwash to help reduce any potential infections.
3. Avoid Irritants: If you notice that certain foods or drinks exacerbate your symptoms, try to avoid them. Spicy, acidic, or very hot foods can irritate the tongue and exacerbate pain.
4. Pain Management: Over-the-counter pain relievers such as acetaminophen or ibuprofen can help alleviate discomfort. However, consult with a healthcare provider before starting any medication, especially if you have underlying health conditions.
5. Stress Management: If you suspect that stress or anxiety is contributing to muscle tension and pain, consider stress-reduction techniques such as mindfulness, yoga, or therapy.
6. Dietary Adjustments: Eating soft foods that require less chewing can help minimize discomfort while you are experiencing pain.
7. Physical Therapy: If TMJ disorders are diagnosed, physical therapy may be beneficial. A physical therapist can provide exercises to strengthen the jaw muscles and improve mobility.
Conclusion
Your symptoms warrant a comprehensive evaluation to determine the exact cause and appropriate treatment. Painful tongue movement and jaw discomfort can significantly impact your quality of life, so seeking professional help is crucial. By addressing the underlying issues, you can work towards alleviating your pain and improving your oral health. Remember, early intervention can often lead to better outcomes, so don’t hesitate to reach out to a dental professional.
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