Pain Under the Tongue: Causes and When to Seek Help - Dentistry

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Understanding pain under the tongue can be quite concerning, especially when it is accompanied by symptoms such as difficulty swallowing and increased pain when food or water comes into contact with the affected area. Based on your description, there are several potential causes for the pain you are experiencing, and it is important to consider these before determining the next steps.

1. Trauma or Irritation: Since you mentioned that the pain started after a visit to the dentist, it is possible that the discomfort is related to some form of trauma or irritation caused during the dental procedure. This could include minor injuries to the soft tissues under the tongue or irritation from dental instruments. If the dentist performed any procedures that involved the lower jaw or tongue, this could explain the pain.

2. Infection or Inflammation: Another possibility is that there may be an underlying infection or inflammation in the area. Conditions such as sialadenitis (inflammation of the salivary glands) or a blocked salivary duct can cause pain and discomfort under the tongue. If there is swelling or redness, or if you notice any discharge, this could indicate an infection that may require medical attention.

3. Nerve Irritation: The pain could also be related to nerve irritation or neuropathy. The lingual nerve, which runs under the tongue, can become irritated due to various reasons, including dental procedures, leading to sharp or stabbing pain.

4. Oral Lesions: While you mentioned that there are no visible lesions, it is still important to consider the possibility of oral lesions or ulcers that may not be immediately apparent. Conditions like aphthous ulcers (canker sores) can cause localized pain and discomfort.

5. Systemic Conditions: Certain systemic conditions, such as vitamin deficiencies (e.g., vitamin B12 or folate), can lead to oral pain and discomfort. If you suspect that your diet may be lacking in essential nutrients, it might be worth discussing this with a healthcare provider.

6. Oral Cancer: While your concerns about oral cancer are valid, especially given the symptoms you describe, it is important to note that oral cancer typically presents with additional symptoms such as persistent sores, lumps, or changes in the texture of the oral tissues. Given your age, lack of significant risk factors (such as smoking or heavy alcohol use), and family history, the likelihood of oral cancer may be lower, but it is not impossible.


When to Seek Help
Given that your symptoms have persisted for a week and are affecting your ability to swallow, it is advisable to seek medical attention. A healthcare provider, preferably an oral surgeon or an ear, nose, and throat (ENT) specialist, can perform a thorough examination to determine the underlying cause of your pain. They may recommend imaging studies or further tests if necessary.


Conclusion
In summary, while there are several potential causes for the pain under your tongue, it is crucial to seek professional evaluation to rule out any serious conditions and to receive appropriate treatment. In the meantime, you may find relief by avoiding irritants, maintaining good oral hygiene, and possibly using over-the-counter pain relief medications as needed. If you notice any worsening of symptoms or the development of new symptoms, do not hesitate to seek immediate medical attention. Your health and well-being are paramount, and addressing these concerns early can lead to better outcomes.