Lingual Discomfort: Causes and Concerns for Your Tongue - Dentistry

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The left edge of my tongue feels prickly, especially on the innermost part of the tongue's edge?


Hello Dr.
Huang: I have been experiencing a tingling and dull sensation on the left side of my tongue for about two weeks at times, but sometimes it goes away.
Recently, since the end of August, I have been feeling this tingling and dullness continuously.
I have seen an ENT specialist, but they did not provide any specific diagnosis.
I am very worried that there might be some lesions or changes in my tongue or oral cavity.
Additionally, I have missing teeth and have been suffering from long-term sleep deprivation due to staying up late, as well as the stress of taking care of my children.
I recently gave birth to my second daughter, who is now just over seven months old, and I am experiencing postpartum depression, which leads to a lot of anxious thoughts.
I am really concerned about my health and whether I will be able to be there for my children.
I am very worried.
Furthermore, I do not feel the tingling sensation when I eat.
What could be wrong with my tongue?

Huang Xiaoqi, 30~39 year old female. Ask Date: 2017/09/19

Dr. Huang Tingfang reply Dentistry


Dear Ms.
Huang Hsiao-Chi,
Hello! It may require clinical observation to understand, but we often encounter women over the age of 50 who experience tongue pain due to irregular lifestyles and excessive stress.
Additionally, some may also suffer from xerostomia, which can contribute to this condition.
I hope you can maintain a regular lifestyle, which includes eating, sleeping, and having bowel movements on time, as well as drinking plenty of water and consuming more vegetables and fruits.
I believe this will lead to improvement! Wishing you everlasting peace and health! Please communicate frequently with your physician.
Thank you! Wishing you safety!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2017/09/19

More Info


Hello,
It sounds like you are experiencing some discomfort on the left side of your tongue, which has been persistent for a couple of weeks. I understand your concerns, especially given your history of dental issues, lack of sleep, and the stress of caring for a young child. It's important to address these symptoms comprehensively, considering both physical and psychological factors.

Firstly, the sensation of tingling or discomfort in the tongue can arise from various causes. Some common reasons include:
1. Nutritional Deficiencies: Deficiencies in vitamins, particularly B vitamins (such as B12, B6, and folate), can lead to glossitis (inflammation of the tongue) and cause sensations like tingling or burning. Given your situation, it might be beneficial to evaluate your diet and consider a multivitamin supplement if necessary.

2. Oral Health Issues: Since you mentioned having missing teeth, this could contribute to uneven pressure while chewing, leading to irritation of the tongue. Additionally, oral infections, such as thrush or herpes simplex virus, can cause discomfort. A thorough examination by a dentist or oral specialist might be warranted.

3. Stress and Anxiety: The stress of parenting, especially with postpartum depression, can manifest physically. Anxiety can lead to muscle tension, which might affect your jaw and tongue, causing discomfort. It’s crucial to address mental health as it can significantly impact physical health.

4. Neurological Factors: Although less common, neurological conditions can cause abnormal sensations in the tongue. If your symptoms persist, it might be worth consulting a neurologist to rule out any underlying issues.

5. Allergic Reactions or Irritants: Sometimes, certain foods, medications, or oral hygiene products can cause allergic reactions or irritation, leading to discomfort. Keeping a food diary might help identify any potential triggers.

Given that you have already seen an ENT specialist without a definitive diagnosis, it may be beneficial to seek a second opinion or consult with a dentist who specializes in oral medicine. They can provide a more focused examination of your oral health and any potential underlying issues.

In the meantime, here are some suggestions to help manage your symptoms:
- Maintain Good Oral Hygiene: Brush your teeth and tongue gently twice a day and consider using a mouthwash that is alcohol-free to avoid further irritation.


- Stay Hydrated: Drink plenty of water to keep your mouth moist, which can help alleviate discomfort.

- Manage Stress: Engage in relaxation techniques such as deep breathing, meditation, or gentle exercise. These can help reduce stress and improve your overall well-being.

- Monitor Your Diet: Ensure you are consuming a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. If you suspect a deficiency, consult with a healthcare provider about appropriate supplements.

- Seek Support: If you are experiencing postpartum depression, consider reaching out to a mental health professional. Support groups for new parents can also provide a sense of community and understanding.

It’s understandable to feel anxious about your health, especially when caring for young children. Remember that taking care of your physical and mental health is crucial not just for you, but also for your ability to care for your family. If your symptoms persist or worsen, do not hesitate to seek further medical advice. Your health is important, and addressing these concerns can lead to a better quality of life for both you and your children.
Take care, and I hope you find relief soon.

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