Tongue Pain and Swelling: Common Causes and Remedies - Family Medicine

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Painful tip of the tongue, swelling under the tongue, swollen lips?


A few days ago, I woke up to find that the tip of my tongue was painful, feeling as if it had been burned, even though I hadn't eaten anything too hot in the past few days.
The next day, the pain at the tip did not improve, and I noticed some swelling where my tongue connects to my lower jaw.
There were also small bumps around my mouth, similar to those that appear when one has heatiness.
I thought it might be due to heatiness, so I started drinking a lot of water and taking multivitamins.
However, I didn't feel any improvement.
On the third day, I woke up to find that one side of my lower lip was also swollen.
I have poor sleep quality, and the night before, I had consumed alcohol.
I just arrived in Europe for travel last week, so I haven't been able to see a doctor...

Nana, 20~29 year old female. Ask Date: 2019/06/22

Dr. Liao Yaopan reply Family Medicine


Hello, regarding your question, it may be related to infection, allergies, or inflammation...
or even related to stress? Online consultations are not equivalent to in-person medical visits and cannot provide a diagnosis or treatment recommendations.
Changhua Hospital cares about you.

Reply Date: 2019/06/22

More Info


Understanding tongue pain and swelling can be quite complex, as there are numerous potential causes that can lead to these symptoms. Based on your description, it seems you are experiencing pain at the tip of your tongue, swelling under the tongue, and the presence of small bumps around your mouth. These symptoms can be indicative of several conditions, and I will outline some common causes and remedies.


Common Causes of Tongue Pain and Swelling
1. Trauma or Injury: Sometimes, minor injuries to the tongue can occur without you realizing it, especially if you accidentally bite your tongue or burn it with hot food or drinks. This can lead to localized pain and swelling.

2. Allergic Reactions: Allergies to certain foods, medications, or substances can cause swelling and pain in the tongue and surrounding areas. If you've recently tried new foods or products, this could be a possibility.

3. Infections: Viral infections, such as herpes simplex virus, can cause painful sores on the tongue and swelling. Bacterial infections can also lead to similar symptoms.
4. Canker Sores: These are small, painful ulcers that can develop on the tongue or inside the mouth, often triggered by stress, hormonal changes, or certain foods.

5. Geographic Tongue: This benign condition causes patches on the tongue that can be painful and may change location over time. It is often associated with sensitivity to certain foods.

6. Vitamin Deficiencies: Deficiencies in vitamins, particularly B vitamins (like B12) and iron, can lead to glossitis, which is inflammation of the tongue that can cause pain and swelling.

7. Oral Thrush: This fungal infection, caused by Candida, can lead to white patches on the tongue and may cause pain and swelling.

8. Angioedema: This is a severe allergic reaction that can cause swelling of the tongue and lips, often requiring immediate medical attention.


Remedies and Management
1. Oral Hygiene: Maintaining good oral hygiene is crucial. Brush your teeth and tongue gently and use an antibacterial mouthwash to help reduce bacteria in the mouth.

2. Avoid Irritants: Stay away from spicy, acidic, or hot foods that may exacerbate the pain. If you suspect an allergy, try to identify and avoid the offending substance.

3. Hydration: Continue to drink plenty of water, as staying hydrated can help soothe the tissues in your mouth.

4. Topical Treatments: Over-the-counter topical anesthetics can provide temporary relief from pain. Products containing benzocaine can numb the area.

5. Saltwater Rinse: Gargling with warm salt water can help reduce inflammation and promote healing.

6. Vitamins and Supplements: If you suspect a vitamin deficiency, consider taking a multivitamin or specific supplements after consulting with a healthcare provider.

7. Cold Compress: Applying a cold compress to the outside of your mouth can help reduce swelling and numb the pain.

8. Seek Medical Attention: If the symptoms persist for more than a few days, worsen, or are accompanied by other symptoms such as fever, difficulty swallowing, or breathing difficulties, it is essential to seek medical attention. A healthcare professional can provide a proper diagnosis and treatment plan.


Conclusion
In summary, tongue pain and swelling can arise from various causes, including trauma, infections, allergies, and deficiencies. While some home remedies may provide relief, it is crucial to monitor your symptoms and consult a healthcare professional if they persist or worsen. Given your recent travel and changes in lifestyle, it is advisable to be vigilant about your health and seek medical advice if necessary.

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