Nutritional Counseling
Recently, I have been experiencing issues with glossitis that haven't improved, and I suspect it may be due to malnutrition.
I hardly eat red meat, rarely consume nuts, and do not eat seafood.
The most I have is cheese, an egg, and a hamburger bun from I-Mei.
Could this lead to a deficiency in zinc or similar nutrients?
Nìmíng, 30~39 year old female. Ask Date: 2018/05/08
Dr. Cai Xiuwen reply Nutrition
Vitamin B2 deficiency can lead to glossitis, and it also affects the skin and oral cavity (lips, tongue).
Foods rich in vitamin B2 include pork, beef, liver, eggs, and yeast.
As for zinc deficiency, it can cause fatigue, muscle loss, loss of appetite, and poor wound healing.
Foods high in zinc include agar, oysters, seaweed, chicken liver, and milk.
According to the nutrient intake guidelines in Taiwan, it is recommended to limit zinc intake to 15 mg for men and 12 mg for women, which is equivalent to about 10-12 shelled oysters or 20-25 grams of agar.
A diverse diet should be adopted to ensure a varied intake of nutrients, and it is also important to consume a variety of fruits and vegetables to ensure an adequate supply of various antioxidant nutrients.
This information is provided by Dietitian Tsai Hsiu-Wen from Nantou Hospital, Ministry of Health and Welfare.
Wishing you peace and good health.
Reply Date: 2018/05/08
More Info
Nutritional deficiencies can indeed lead to various health issues, including tongue inflammation, also known as glossitis. Your concerns about not consuming red meat, nuts, and seafood while primarily eating cheese, eggs, and hamburger buns are valid. These dietary choices may result in deficiencies in essential nutrients, particularly zinc and vitamin B2 (riboflavin), which are crucial for maintaining oral health.
Zinc is an essential trace mineral that plays a vital role in numerous biological functions, including immune response, protein synthesis, wound healing, and DNA synthesis. It is also important for maintaining the health of the mucosal membranes, including those in the mouth. A deficiency in zinc can lead to symptoms such as fatigue, loss of appetite, impaired immune function, and poor wound healing. In terms of dietary sources, zinc is abundantly found in red meat, shellfish, legumes, seeds, nuts, dairy products, and whole grains. Since your diet lacks red meat, nuts, and seafood, you may not be meeting the recommended dietary allowance (RDA) for zinc, which is 11 mg for men and 8 mg for women.
Vitamin B2, or riboflavin, is another nutrient that is crucial for maintaining healthy skin and mucous membranes. A deficiency in riboflavin can lead to symptoms such as sore throat, cracks or sores on the outsides of the lips (cheilosis), inflammation and redness of the lining of the mouth and tongue (glossitis), and a swollen, sore throat. Foods rich in riboflavin include dairy products, eggs, green leafy vegetables, nuts, and enriched cereals. Given your limited intake of these foods, you may also be at risk for riboflavin deficiency.
In addition to zinc and vitamin B2, other vitamins and minerals, such as vitamin B12, folate, and iron, are also important for maintaining oral health. A deficiency in any of these nutrients can lead to various oral health issues, including inflammation of the tongue. For instance, vitamin B12 deficiency can cause glossitis and other neurological symptoms, while iron deficiency can lead to a condition known as angular cheilitis, which presents as cracks at the corners of the mouth.
Given your current dietary habits, it would be advisable to consider diversifying your food intake to include a wider variety of nutrient-dense foods. Incorporating foods such as lean meats, fish, legumes, nuts, seeds, whole grains, and a variety of fruits and vegetables can help ensure that you are getting adequate amounts of essential vitamins and minerals. If you are vegetarian or have specific dietary restrictions, consider consulting with a registered dietitian who can help you create a balanced meal plan that meets your nutritional needs.
In conclusion, your suspicion that nutritional deficiencies may be contributing to your tongue inflammation is well-founded. It is essential to assess your dietary intake and consider making adjustments to include a broader range of foods that provide the necessary nutrients for maintaining oral health. If your symptoms persist, it is also advisable to consult with a healthcare professional for further evaluation and potential supplementation.
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