Biting the tongue?
Hello, doctor.
About two weeks ago, I accidentally bit my tongue while eating.
At that moment, I didn't seek treatment and just applied pressure to stop the bleeding.
Now, there is a piece of tissue that seems to be separated, but the wound looks normal and doesn't hurt.
I can even lift it with my fingers, but the tissue is separated and has a bit of a white appearance.
I think the wound might be a bit large, and I didn't get it stitched initially.
What should I pay attention to now? Should I leave it alone? Since the wound has healed, I assume it can't be stitched now, right?
A-Kang, 40~49 year old female. Ask Date: 2019/10/23
Dr. Lin Jiayong reply Dentistry
Hello: Based on what you have described, I strongly recommend that you go to a hospital or clinic for further examination.
Regardless of whether it is a normal wound healing process, it is safer to have a doctor check the wound condition again.
Thank you!
Reply Date: 2019/10/23
More Info
Managing a tongue injury, especially after an incident like biting your tongue, can be a delicate process. It’s great to hear that your wound is healing and that you are seeking advice on how to ensure proper recovery. Here’s a comprehensive overview of what you should consider for managing your tongue injury.
Understanding Tongue Injuries
Tongue injuries, such as bites, can vary in severity. When you bite your tongue, the injury can range from minor abrasions to deeper lacerations. In your case, it sounds like you experienced a significant injury that has resulted in some tissue separation and a white appearance at the site of the injury. This white coloration could be due to a number of factors, including the formation of a fibrin clot, which is part of the healing process, or it could indicate necrotic tissue if the injury was severe.
Healing Process
The tongue is a highly vascular organ, meaning it has a rich blood supply, which aids in rapid healing. Most minor tongue injuries heal within a week or two without the need for stitches. Since you mentioned that the wound is not painful and appears to be healing, it’s a positive sign. However, it’s essential to monitor the injury for any signs of infection, such as increased redness, swelling, or pus.
What to Do Next
1. Maintain Oral Hygiene: Keeping your mouth clean is crucial to prevent infection. Rinse your mouth with a saline solution (a mixture of salt and warm water) several times a day, especially after meals. This will help keep the area clean and promote healing.
2. Avoid Irritants: Try to avoid spicy, acidic, or abrasive foods that can irritate the wound. Stick to soft foods that are easier to chew and swallow.
3. Pain Management: If you experience any discomfort, over-the-counter pain relievers like acetaminophen or ibuprofen can help manage pain and reduce inflammation.
4. Avoid Further Trauma: Be cautious while eating and speaking to avoid re-injuring the area. If the tissue is still fragile, it may be more susceptible to further damage.
5. Monitor for Complications: Keep an eye on the healing process. If you notice any signs of infection or if the wound does not seem to improve, it would be wise to consult a healthcare professional.
When to Seek Medical Attention
While many tongue injuries heal without intervention, there are circumstances where you should seek medical attention:
- If the wound shows signs of infection (increased redness, swelling, pus).
- If you experience persistent pain that does not improve with over-the-counter medications.
- If the tissue separation worsens or if you have concerns about the healing process.
Conclusion
In summary, it sounds like your tongue injury is on the path to healing. Continue to practice good oral hygiene, avoid irritants, and monitor the wound for any changes. If you have any concerns or if the situation does not improve, do not hesitate to reach out to a healthcare provider for further evaluation. Remember, while the tongue is resilient, it’s always better to err on the side of caution when it comes to injuries in the oral cavity.
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