One-Week Pain on the Right Side of the Tongue - Dentistry

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Pain on the right side of the tongue for one week?


Hello Doctor: I have been experiencing pain on the right side of my tongue for a week.
There are no wounds, and it is similar to the left side.
I have to be careful when eating and speaking, as it becomes more painful otherwise.
Basically, any contact with the surface of my tongue causes pain.
I do not smoke, drink alcohol, or chew betel nut, and I usually go to bed before midnight.
I visited a dentist two weeks ago, and there were no signs of cavities or other issues.
All four wisdom teeth have been extracted.
I would like to inquire about the possible causes of these symptoms.
Here is a photo of the affected area: https://upload.cc/i1/2020/05/24/fIkUbG.jpg Thank you.

Niming, 20~29 year old female. Ask Date: 2020/05/24

Dr. Lin Jiayong reply Dentistry


Hello: Superficial infections of the tongue (such as candidiasis or viral infections) can cause inflammation, redness, and pain of the tongue.
It is recommended to visit the oral diagnosis department of a medical center to determine the cause of the inflammation and receive appropriate treatment.
Thank you!

Reply Date: 2020/05/24

More Info


Experiencing pain on the right side of the tongue for over a week can be concerning, especially when it interferes with daily activities like eating and speaking. While I cannot view images, I can provide insights based on your description and general medical knowledge.

There are several potential causes for localized tongue pain, and understanding these can help determine whether you should seek further medical evaluation. Here are some possibilities:
1. Trauma or Irritation: Even if you don't recall injuring your tongue, minor trauma can occur from biting your tongue, aggressive brushing, or irritation from sharp food. This can lead to localized pain and sensitivity.

2. Infections: Oral infections, such as thrush (a fungal infection) or herpes simplex virus, can cause pain and discomfort in the mouth. These infections may not always present with visible sores, especially in the early stages.

3. Allergic Reactions: Allergies to certain foods, dental products, or medications can cause localized swelling and pain in the mouth. If you've recently changed any products or introduced new foods, consider this as a potential cause.

4. Nutritional Deficiencies: Deficiencies in vitamins, particularly B vitamins (like B12, folate, and riboflavin), can lead to glossitis, which is inflammation of the tongue. This condition can cause pain, swelling, and changes in color or texture.

5. Burning Mouth Syndrome: This condition is characterized by a burning sensation in the tongue or mouth without an obvious cause. It can be associated with anxiety, hormonal changes, or certain medications.

6. Neurological Issues: Although less common, conditions affecting the nerves that supply the tongue could lead to pain. This includes conditions like glossopharyngeal neuralgia, which can cause sharp, shooting pain in the tongue and throat.

7. Oral Cancer: While less likely, persistent pain in the mouth that does not resolve warrants consideration of more serious conditions, including oral cancer. This is particularly true if there are other concerning symptoms, such as lumps, difficulty swallowing, or changes in voice.

Given that you have already seen a dentist and ruled out cavities or other dental issues, it may be beneficial to consult with a healthcare provider, such as an oral surgeon or an ear, nose, and throat (ENT) specialist. They can conduct a thorough examination, possibly including imaging or lab tests, to determine the underlying cause of your symptoms.

In the meantime, here are some self-care tips that may help alleviate your discomfort:
- Avoid Irritants: Steer clear of spicy, acidic, or abrasive foods that may exacerbate the pain.

- Maintain Oral Hygiene: Continue to practice good oral hygiene, but be gentle when brushing your tongue.

- Stay Hydrated: Drink plenty of water to keep your mouth moist and help with healing.

- Use Pain Relief: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain, but consult with a healthcare provider before starting any medication.

- Saltwater Rinse: Rinsing your mouth with warm salt water can help reduce inflammation and promote healing.

In conclusion, while there are many potential causes for your tongue pain, a thorough evaluation by a healthcare professional is essential to determine the exact cause and appropriate treatment. Do not hesitate to seek medical advice, especially if the pain persists or worsens. Your health and comfort are important, and addressing these symptoms early can lead to better outcomes.

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