Tongue Pain: Causes, Symptoms, and Remedies

My tongue seems to be a bit painful?

Hello, doctor.
Yesterday, I suddenly noticed a small blister on the upper right side of my tongue.
Although I'm not sure if it has burst, today I feel a slight pain in that area when I touch it with my teeth or roll my tongue, similar to the sensation of an impending mouth sore.
I'm wondering if this is related to my habit of staying up late and waking up early.
Previously, I also had a small white spot near my tonsils, which made me a bit worried about whether it could be something serious.
The doctor examined my tongue and said it looked normal, and that I shouldn't worry about it.

Could you please tell me if it's normal to feel slight pain if the blister bursts, or if discomfort is also common when a mouth sore is forming? Would improving my sleep schedule or taking vitamins be effective? I've been staying up late recently to work on a building model.
Additionally, I've noticed small red bumps on the surface and sides of my tongue; are these normal anatomical structures? I apologize for disturbing your rest at night, and thank you for your help.

Li, 20~29 year old female. Ask Date: 2020/10/17

Dr. Hong Yuanbin reply Internal Medicine

Hello,
1.
Based on your description, having a small sore on the tongue is indeed a common occurrence.
Sometimes it happens when you accidentally bite your tongue, and other times it may be due to a decline in your overall health.
Typically, it will improve within a few days, so there is no need to worry unless the symptoms persist for more than a week, in which case you should seek medical attention again.
2.
Maintaining a regular routine, exercising regularly, and increasing your vitamin intake can certainly help with your symptoms.
3.
The small reddish bumps you see are likely taste buds, which are a normal structure on the tongue.
Thank you for your question.

Reply Date: 2020/10/17

More Info

Hello! It sounds like you're experiencing some discomfort with your tongue, particularly with a small blood blister and some pain when you touch it or roll your tongue. Let's break down the potential causes, symptoms, and remedies for tongue pain, as well as address your specific concerns.

Causes of Tongue Pain
1. Trauma or Injury: Biting your tongue, rubbing it against your teeth, or even aggressive brushing can lead to small injuries, resulting in pain or the formation of blisters.

2. Canker Sores: These are small, painful ulcers that can develop on the tongue or inside the mouth. They can be triggered by stress, hormonal changes, or certain foods.

3. Allergic Reactions: Sometimes, certain foods or dental products can cause an allergic reaction, leading to swelling or pain in the tongue.

4. Infections: Viral infections, such as herpes simplex, can cause blisters on the tongue. Fungal infections like oral thrush can also lead to discomfort.

5. Nutritional Deficiencies: Deficiencies in vitamins, particularly B vitamins, iron, and folic acid, can lead to tongue pain and changes in its appearance.

6. Geographic Tongue: This is a benign condition characterized by irregular patches on the tongue's surface, which can sometimes be sensitive or painful.

Symptoms
- Pain or Discomfort: This can range from mild irritation to severe pain, especially when eating or speaking.

- Swelling or Redness: The affected area may appear swollen or red.

- Blisters or Ulcers: You may notice small blisters or sores on the tongue.

- Changes in Taste: Some individuals report changes in their ability to taste.

Remedies and Management
1. Avoid Irritants: If you suspect that certain foods or dental products are causing irritation, try to avoid them. Spicy, acidic, or abrasive foods can exacerbate pain.

2. Good Oral Hygiene: Maintain good oral hygiene by brushing your teeth and tongue gently and using mouthwash to reduce bacteria.

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

4. Over-the-Counter Pain Relief: Medications like acetaminophen or ibuprofen can help alleviate pain. However, consult with a healthcare provider before taking any medication, especially if you have underlying health conditions.

5. Stay Hydrated: Drinking plenty of water can help keep your mouth moist and aid in healing.

6. Nutritional Support: If you suspect a deficiency, consider taking a multivitamin or specific supplements after consulting with a healthcare professional.

7. Rest and Stress Management: Since you mentioned that you’ve been staying up late and working on architectural models, try to prioritize sleep and manage stress, as both can impact your overall health and immune function.

When to See a Doctor
If the pain persists for more than a week, worsens, or if you notice any other concerning symptoms (such as fever, difficulty swallowing, or significant swelling), it’s essential to consult a healthcare provider. They may perform a thorough examination and possibly recommend further tests to rule out any underlying conditions.

Conclusion
In summary, while a small blood blister on the tongue can be concerning, it is often a benign issue related to minor trauma or irritation. The pain you’re experiencing, especially if it feels like a canker sore forming, is not uncommon. By taking care of your oral hygiene, avoiding irritants, and managing stress, you can help alleviate the discomfort. If symptoms persist, don’t hesitate to seek medical advice for a more thorough evaluation.

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