Tongue Issues: When to Seek ENT Care - Otolaryngology

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Tongue issues?


Hello, I had an issue with mouth ulcers around mid-April, approximately 8 to 9 of them, which were extremely painful.
I consulted a doctor who said it was due to excessive heat in my body, and after taking medication, I saw significant improvement.
However, in mid-May, the ulcers started to reappear.
While the sores have healed, my tongue now feels numb and dry, and there are small spots on the sides that are not painful.
Given that this situation has persisted for about two weeks, do I need to seek medical attention?

Elaine, 20~29 year old female. Ask Date: 2021/06/09

Dr. Li Jiaxuan reply Otolaryngology


It is somewhat difficult to assess based on this description; generally, ulcers lasting longer than two weeks are recommended to be evaluated by an otolaryngology clinic.
Wishing you good health.

Reply Date: 2021/06/09

More Info


When it comes to tongue issues, especially those involving pain, discomfort, or unusual sensations, it is essential to understand when to seek care from an Ear, Nose, and Throat (ENT) specialist. Based on your description, it seems you have experienced recurrent mouth ulcers and now have a tingling and dry sensation on your tongue, along with some small spots on the side.
Firstly, recurrent mouth ulcers can be caused by various factors, including stress, dietary deficiencies (such as vitamin B12, folic acid, or iron), hormonal changes, or even certain medical conditions like autoimmune diseases. The fact that you experienced significant pain from these ulcers and that they have recurred suggests that there may be an underlying issue that needs to be addressed.

The tingling and dryness you are experiencing on your tongue could be indicative of several conditions. For instance, dry mouth (xerostomia) can result from dehydration, certain medications, or salivary gland dysfunction. This condition can lead to discomfort and increase the risk of developing oral infections or further ulcers. The small spots on the side of your tongue could be a sign of irritation, inflammation, or even a benign condition such as geographic tongue, which is characterized by patches on the tongue that can change over time.

Given that your symptoms have persisted for about two weeks, it would be advisable to seek medical attention. While your initial visit to the doctor provided some relief, the recurrence of symptoms and the new sensations you are experiencing warrant further evaluation. An ENT specialist can perform a thorough examination of your oral cavity and tongue, assess your symptoms in the context of your medical history, and potentially order tests if necessary.

In addition to seeking care, there are some self-care measures you can take to alleviate your symptoms. Staying hydrated is crucial, as it can help combat dryness. Additionally, avoiding spicy, acidic, or abrasive foods may reduce irritation. Maintaining good oral hygiene is also important; gentle brushing of the tongue and regular dental check-ups can help prevent further issues.

In summary, while your initial treatment provided relief, the persistence of your symptoms, particularly the tingling and dryness, suggests that a follow-up with an ENT specialist is warranted. They can provide a comprehensive evaluation and determine if further treatment or investigation is necessary. Remember, early intervention can often lead to better outcomes, especially when it comes to oral health issues.

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