Persistent Tongue Discomfort: Symptoms and Causes

The right side of my tongue has been uncomfortable for two years, with symptoms that come and go. Upon visual inspection, there are no ulcers, and it feels normal to the touch without any hardness?

Hello, I would like to ask the doctor about discomfort on the right side of my tongue that has persisted for over two years.
It comes and goes, and visually there are no ulcers, and it feels normal to the touch, but sometimes it feels strange or has a tingling sensation.
I have attached images for your reference.
What could this be?

Yu Shengguang, 20~29 year old female. Ask Date: 2019/04/14

Dr. Zeng Guanghui reply Dentistry

It is recommended to consult an oral surgeon for a thorough examination.

Reply Date: 2019/04/14

More Info

Persistent tongue discomfort can be a perplexing and distressing symptom, especially when it lasts for an extended period, as in your case of over two years. Understanding the potential causes and symptoms associated with this condition is crucial for effective management and treatment.

Firstly, it’s important to recognize that tongue discomfort can arise from a variety of factors. Some common causes include:
1. Oral Conditions: Conditions such as geographic tongue, oral thrush, or oral lichen planus can lead to discomfort. Geographic tongue, for instance, presents as patches on the tongue that can feel sore or sensitive. Oral thrush, a fungal infection, may cause a burning sensation and white patches.

2. Nutritional Deficiencies: Deficiencies in vitamins, particularly B vitamins (like B12, folate, and riboflavin), iron, and zinc, can lead to symptoms such as a sore or burning tongue. These deficiencies can result from dietary insufficiencies or absorption issues.

3. Allergic Reactions: Allergies to certain foods, dental products, or medications can manifest as tongue discomfort. If you’ve recently changed your diet or started new medications, this could be a contributing factor.

4. Burning Mouth Syndrome: This condition is characterized by a burning sensation in the tongue and other areas of the mouth without an apparent cause. It can be associated with anxiety, hormonal changes, or other underlying health issues.

5. Neurological Conditions: In some cases, nerve damage or conditions affecting the nervous system can lead to altered sensations in the tongue, including discomfort or pain.

6. Infections: Viral infections, such as herpes simplex, can cause lesions and discomfort on the tongue. Bacterial infections can also lead to localized pain.

7. Systemic Conditions: Conditions such as diabetes, autoimmune diseases, or even certain cancers can manifest symptoms in the oral cavity, including the tongue.

Given the chronic nature of your symptoms, it is advisable to seek a thorough evaluation from a healthcare professional, preferably an oral specialist or an ENT (ear, nose, and throat) doctor. They can perform a comprehensive examination, possibly including blood tests to check for nutritional deficiencies, and may recommend imaging studies if necessary.

In the meantime, consider keeping a symptom diary. Note when the discomfort occurs, any potential triggers (such as certain foods or stress), and any other accompanying symptoms. This information can be invaluable for your healthcare provider in diagnosing the issue.

Additionally, maintaining good oral hygiene is essential. Regular brushing of the tongue, along with your teeth, can help reduce the risk of infections and irritation. Staying hydrated and avoiding irritants such as tobacco, alcohol, and spicy foods may also provide relief.

In conclusion, persistent tongue discomfort can stem from a variety of causes, ranging from benign oral conditions to systemic health issues. A thorough evaluation by a healthcare professional is essential for accurate diagnosis and appropriate treatment. Remember, while online resources can provide general information, they cannot replace personalized medical advice tailored to your specific situation.

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