Tongue Inflammation: Causes, Symptoms, and Treatments

Q: Tongue Inflammation: Causes, Symptoms, and Treatments

Hello： If there is no improvement, it is recommended to continue follow-up visits for examination. <br>Sometimes, the color of the ulcer may temporarily change after the physician applies medication, but it usually improves gradually within a week. <br>Wishing you peace and good

Tongue issues?

Hello doctor, regarding my last issue, I mentioned that there was a small red area just underneath my tongue that felt like a burn but was completely painless.
This started on August 15 and seemed to be improving by the 23rd.
However, on the night of the 24th, I visited an ENT clinic, and the doctor diagnosed me with glossitis and applied medication, which was quite painful.
After brushing my teeth that night, I noticed that the previously red area had lost its mucosal layer and looked like a burn, with the area where the skin had peeled off appearing even redder.
After seeing the doctor, I didn't eat anything, and it really startled me.

Today, on the 28th, the red area looks much better this morning, and the mucosal layer seems to be healing and is closer to the color of my tongue, although it is still slightly red.
I thought I would go see the doctor again this morning, and the doctor said it looked much better than on the 24th and applied medication that was less painful.
However, when I checked my tongue just now, I was shocked to see that the mucosal layer had broken again.
I want to know what is happening to my tongue; I haven't been eating anything hot.
In July, my tongue was also red, but after applying medication, there was no mucosal layer breakdown.
Why does it seem that after both times I received treatment, the mucosal layer of my tongue appears to be damaged?
I have been taking daily photos and videos of the red area on my tongue and observing it closely.
I am really anxious about this; if this continues, I might end up worrying myself into a real illness.
Doctor, please help me.

Wenwen, 40~49 year old female. Ask Date: 2018/08/28

Dr. Zheng Jueyi reply Otolaryngology

Hello: If there is no improvement, it is recommended to continue follow-up visits for examination.
Sometimes, the color of the ulcer may temporarily change after the physician applies medication, but it usually improves gradually within a week.
Wishing you peace and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2018/08/28

More Info

Understanding tongue inflammation can be quite complex, as it involves various potential causes, symptoms, and treatment options. Based on your description, it seems you are experiencing a form of glossitis, which is inflammation of the tongue. This condition can manifest in various ways, including redness, swelling, and changes in texture or surface appearance.

Causes of Tongue Inflammation
1. Infections: Viral, bacterial, or fungal infections can lead to inflammation. For instance, oral thrush (a fungal infection) can cause white patches and redness.

2. Irritation: Physical irritation from hot foods, spicy foods, or even dental appliances can cause localized inflammation. You mentioned that you haven't eaten anything hot, but sometimes even acidic foods can irritate the tongue.

3. Allergic Reactions: Allergies to certain foods, medications, or dental products can lead to inflammation and swelling of the tongue.

4. Nutritional Deficiencies: Deficiencies in vitamins such as B12, folate, or iron can lead to glossitis.

5. Autoimmune Conditions: Conditions like lichen planus or pemphigus can cause inflammation of the tongue and other oral tissues.

6. Stress and Hormonal Changes: Stress can exacerbate oral health issues, including inflammation.

Symptoms
The symptoms of tongue inflammation can vary but often include:
- Redness and swelling of the tongue
- Pain or tenderness, especially when eating or speaking
- Changes in texture, such as a smooth or swollen appearance
- Possible peeling or loss of the outer layer of the tongue

Treatment Options
1. Topical Medications: As you have experienced, topical treatments can help reduce inflammation and pain. However, if these treatments seem to exacerbate the condition, it may be worth discussing with your doctor to explore alternatives.

2. Oral Hygiene: Maintaining good oral hygiene is crucial. This includes brushing your teeth and tongue gently and using a mild mouthwash.

3. Dietary Adjustments: Avoiding spicy, acidic, or hot foods can help reduce irritation. Soft foods may be easier to consume during this time.

4. Hydration: Staying well-hydrated can help maintain oral health and support healing.

5. Nutritional Supplements: If a deficiency is suspected, taking vitamin supplements may help. Consult with your healthcare provider for appropriate testing and recommendations.

6. Stress Management: If stress is a contributing factor, exploring stress-reduction techniques such as mindfulness, yoga, or counseling may be beneficial.

Monitoring Your Condition
Given your experience of the mucosal layer breaking down after treatment, it is essential to keep a close eye on your symptoms. Documenting changes, as you have been doing, can provide valuable information for your healthcare provider. If the condition persists or worsens, further evaluation may be necessary, including blood tests to check for nutritional deficiencies or other underlying conditions.

When to Seek Further Help
If you notice persistent symptoms, significant pain, or if the inflammation does not improve with treatment, it is crucial to follow up with your healthcare provider. They may refer you to a specialist, such as an oral surgeon or a dermatologist, for a more comprehensive evaluation.

In conclusion, while tongue inflammation can be alarming, understanding its potential causes and treatment options can help you manage the condition effectively. Always communicate openly with your healthcare provider about your symptoms and any changes you observe, as this will aid in determining the best course of action for your oral health.

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