Tongue issues - sticky with blisters?
Dear Doctor, my mother's tongue has sticky saliva (very thick) that produces a lot of bubbles, causing her discomfort, although there is no pain.
She has seen a doctor, but there hasn't been much improvement.
Could you please advise what the problem might be?
Yin Yin, 30~39 year old female. Ask Date: 2017/11/17
Dr. Zheng Jueyi reply Otolaryngology
Hello, it is recommended to drink more water.
If the dry mouth persists, you may want to consult a rheumatologist to check if it is related to decreased saliva secretion due to Sjögren's syndrome.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2017/11/17
More Info
Thick saliva and the presence of bubbles on the tongue can be quite uncomfortable and may indicate several underlying issues. In the case of your mother, the symptoms of thick, sticky saliva accompanied by bubbles can be attributed to a variety of factors, including dehydration, medication side effects, or underlying health conditions.
Firstly, dehydration is a common cause of thick saliva. When the body is not adequately hydrated, the salivary glands may produce less saliva, leading to a thicker consistency. This can also result in the formation of bubbles, as the saliva may not flow as smoothly. Encouraging your mother to drink more fluids throughout the day can help alleviate this issue. Water is the best option, but other fluids, such as herbal teas or broths, can also contribute to hydration.
Secondly, certain medications can lead to dry mouth (xerostomia), which can cause saliva to become thick and sticky. Common medications that may cause this side effect include antihistamines, antidepressants, and medications for high blood pressure. If your mother is taking any medications, it would be wise to consult with her healthcare provider to determine if her symptoms could be related to her medications. In some cases, a doctor may be able to adjust the dosage or switch to a different medication that does not have this side effect.
Additionally, underlying health conditions such as Sjögren's syndrome, diabetes, or even respiratory infections can lead to changes in saliva production. Sjögren's syndrome is an autoimmune disorder that primarily affects the glands that produce saliva and tears, leading to dry mouth and dry eyes. If your mother has other symptoms, such as joint pain or fatigue, it may be worth discussing these with her doctor for further evaluation.
Oral hygiene is another important factor to consider. Poor oral hygiene can lead to the accumulation of bacteria and debris on the tongue, which can contribute to the sensation of thick saliva and the formation of bubbles. Regular brushing of the tongue, along with maintaining good oral hygiene practices, can help reduce these symptoms.
Lastly, if the symptoms persist despite hydration and good oral hygiene, it may be beneficial for your mother to see an ear, nose, and throat (ENT) specialist or a dentist who specializes in oral medicine. They can perform a thorough examination and may recommend treatments such as saliva substitutes, oral rinses, or other therapies to help manage the symptoms.
In summary, thick saliva and bubbles on the tongue can stem from dehydration, medication side effects, underlying health conditions, or poor oral hygiene. Encouraging hydration, reviewing medications with a healthcare provider, maintaining good oral hygiene, and seeking further evaluation from a specialist can help address these symptoms and improve your mother's comfort.
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