How to Treat a Bitten Tongue: Tips for Managing Pain and Healing

Q: How to Treat a Bitten Tongue: Tips for Managing Pain and Healing

Hello： 1. <br>It is recommended that you do not puncture it; you can apply an oral ointment. <br>Observe for about 2 weeks, and if it has not resolved, please visit a hospital or clinic for treatment. <br>2. <br>For special medications that promote fibrosis on the wound surface,

Biting the tongue?

Hello, Dr.
Lin.
I have two questions to ask.
When I was eating fruit, I accidentally bit the underside of my tongue on the right side.
After looking in the mirror, I noticed it seems to have formed a small blood blister, which is dark in color.
I would like to know how to manage this without bleeding.
I'm hesitant to puncture it, and I only have the oral ointment that my doctor prescribed before.
Would it be too irritating to use diluted mouthwash to rinse?
The second question is about a cold I had last Thursday.
I visited an ENT specialist who noticed a small ulcer on the left side of my tongue and applied a very painful medication that helps to cauterize the surface.
It was indeed effective, and the pain has decreased significantly.
However, just now, when I bit my tongue, I noticed a small dark spot in that area that wasn't there before.
I'm wondering if this could be a scab.
Do oral ulcers typically scab over when healing? In the past, when I used the oral ointment, I didn't experience this.
How long does it usually take to heal, and should I continue applying the oral ointment? Thank you!

Cheng, 20~29 year old female. Ask Date: 2020/04/08

Dr. Lin Jiayong reply Dentistry

Hello: 1.
It is recommended that you do not puncture it; you can apply an oral ointment.
Observe for about 2 weeks, and if it has not resolved, please visit a hospital or clinic for treatment.
2.
For special medications that promote fibrosis on the wound surface, it is best to have a doctor apply it, as using too much can cause harm.
Thank you!

Reply Date: 2020/04/08

More Info

When it comes to treating a bitten tongue, especially when you notice a small blood blister or dark spot, there are several important considerations to keep in mind for effective management and healing.
First and foremost, it’s essential to understand that biting your tongue can lead to various injuries, including bruising, swelling, and in some cases, the formation of blood blisters. These blisters are typically filled with fluid and can appear dark due to the presence of blood. If you have not experienced any significant bleeding, this is generally a good sign, as it indicates that the injury may not be severe.

Immediate Care for a Bitten Tongue
1. Rinse with Salt Water: While you mentioned concerns about using mouthwash, a gentle saltwater rinse can be beneficial. Mix about half a teaspoon of salt in a glass of warm water and swish it around your mouth. This can help reduce inflammation and prevent infection. Avoid using mouthwash that contains alcohol, as it can be too harsh and irritating for the sensitive tissue of the tongue.

2. Avoid Irritants: For the next few days, try to avoid spicy, acidic, or very hot foods that could further irritate the area. Stick to soft foods that are easier to chew and swallow.

3. Pain Management: Over-the-counter pain relievers such as acetaminophen or ibuprofen can help manage any discomfort you may experience. Always follow the recommended dosage on the packaging.

4. Topical Treatments: If you have a prescription oral ointment, such as a topical corticosteroid or a numbing gel, you can apply it as directed. These treatments can help soothe the pain and promote healing.

Observing Changes
Regarding the small black dot you noticed, it could indeed be a scab forming as part of the healing process. When the mucosal tissue of the tongue is injured, it can sometimes develop a protective layer as it heals. This is a normal part of the healing process.

Healing Time
Typically, minor tongue injuries heal within a week or two. If the blister or dark spot does not improve or if you notice increased pain, swelling, or signs of infection (such as pus or fever), it is crucial to seek medical attention.

When to Seek Help
If you experience persistent pain, difficulty swallowing, or if the injury does not seem to improve after a week, it would be wise to consult with a healthcare professional. They can assess the injury more thoroughly and provide additional treatment options if necessary.

Conclusion
In summary, treating a bitten tongue involves gentle care, avoiding irritants, and managing pain effectively. While minor injuries typically heal well on their own, keeping an eye on the healing process is essential. If you have any concerns about the injury or if it worsens, do not hesitate to reach out to a healthcare provider for further evaluation and treatment. Remember, your oral health is important, and taking the right steps can ensure a smooth recovery.

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