Tongue Grooves: Causes and Concerns for Your Health - Otolaryngology

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The presence of grooves or indentations on the sides of your tongue, often described as resembling shark gills, can be concerning, especially when they appear suddenly or change in appearance. While I cannot provide a definitive diagnosis without a physical examination, I can offer some insights into potential causes and considerations regarding your health.

Firstly, the grooves on your tongue could be indicative of a condition known as "lingua plicata," or fissured tongue. This condition is characterized by deep grooves or fissures on the surface of the tongue and is generally considered benign. It can occur due to various factors, including genetic predisposition, nutritional deficiencies (such as vitamin B2, B3, or B12), dehydration, or even chronic irritation. The fact that you mentioned an increase in the grooves while experiencing a decrease in sleep could suggest that stress or fatigue may also play a role in the changes you're observing.

The appearance of red spots on your tongue, along with the grooves, could indicate a few different things. It might be related to irritation, inflammation, or even a mild infection. If the red spots are accompanied by pain or discomfort, it would be advisable to seek medical attention. Additionally, the presence of a thick coating on your tongue can be a sign of various conditions, including oral thrush, dehydration, or poor oral hygiene.

You mentioned that you have been experiencing increased "heat" in your body, which could be a reference to a traditional Chinese medicine perspective on health, where "heat" is often associated with inflammation or excess energy. This could manifest in various ways, including sweating, irritability, or even changes in your tongue's appearance. Stress and lack of sleep can exacerbate these symptoms, leading to a cycle of discomfort.

Given your age and the symptoms you've described, it's essential to consider lifestyle factors that may be contributing to your condition. A diet lacking in essential nutrients, inadequate hydration, and insufficient sleep can all impact your overall health and the condition of your tongue. It may be beneficial to focus on a balanced diet rich in fruits, vegetables, whole grains, and lean proteins, while also ensuring you stay well-hydrated. Additionally, practicing good oral hygiene, including regular brushing of your tongue, can help maintain oral health.

While your mother, as a nurse, may have her reasons for not wanting you to see a doctor, it is crucial to listen to your body and seek professional advice if your symptoms persist or worsen. A healthcare provider can conduct a thorough examination, possibly including blood tests to check for nutritional deficiencies or other underlying conditions. They can also provide tailored advice based on your specific situation.

In summary, while grooves on the tongue can often be benign, they can also indicate underlying health issues that may require attention. Prioritizing a healthy lifestyle, managing stress, and ensuring adequate sleep can positively impact your overall well-being. If your symptoms continue or you have concerns, please consider discussing them with a healthcare professional who can provide the necessary support and guidance.