Tongue Abnormalities: Causes and When to Seek Help

Q: Tongue Abnormalities: Causes and When to Seek Help

Hello： Based on your description, it may be due to decreased immunity combined with reduced saliva production, which causes the tongue to be marked by the lower jaw teeth. <br>If there is also a condition of nocturnal bruxism, it can further lead to glossitis. <br>It is recommend

Abnormalities of the tongue?

About four to five days ago, upon waking up in the morning, I suddenly noticed a condition where there is a horizontal raised area or sore located about half a centimeter from the tip of my tongue, measuring less than one centimeter in width.
This area is accompanied by mild pain and a burning sensation with numbness.
At that time, I also experienced muscle pain in my limbs, but after seeing a doctor the next day and taking anti-inflammatory medication, that has mostly improved.
However, the pain in my tongue has only slightly decreased, and the numbness persists.
Additionally, there are indentations on the outer edge of my tongue where it presses against my teeth, which I have not experienced before.
I am definitely planning to see a doctor, but I would like to inquire about possible conditions first.
Thank you!

Mr. Chen, 20~29 year old female. Ask Date: 2021/10/22

Dr. Lin Jiayong reply Dentistry

Hello: Based on your description, it may be due to decreased immunity combined with reduced saliva production, which causes the tongue to be marked by the lower jaw teeth.
If there is also a condition of nocturnal bruxism, it can further lead to glossitis.
It is recommended to maintain a regular lifestyle, keep a relaxed mood, and continue to seek medical observation.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/10/22

More Info

Understanding tongue abnormalities can be crucial for identifying underlying health issues. Based on your description, it sounds like you are experiencing a localized swelling or lesion on your tongue, accompanied by pain and a burning sensation. Additionally, you mentioned muscle pain in your limbs, which could suggest a systemic issue or an inflammatory response.

There are several potential causes for the symptoms you are experiencing:
1. Trauma or Injury: Sometimes, biting the tongue or irritation from dental appliances can lead to localized swelling or lesions. If you have been grinding your teeth or have a sharp edge on a tooth, this could explain the pressure marks and discomfort.

2. Infections: Oral infections, including viral infections like herpes simplex, can cause lesions on the tongue. Fungal infections, such as oral thrush, can also present with white patches and discomfort.

3. Allergic Reactions: Allergies to certain foods, medications, or dental products can lead to swelling and irritation of the tongue. If you have recently introduced a new food or medication, this could be a possibility.

4. Inflammatory Conditions: Conditions such as geographic tongue or oral lichen planus can cause changes in the appearance of the tongue and may be associated with discomfort. These conditions often require a diagnosis from a healthcare professional.

5. Nutritional Deficiencies: Deficiencies in vitamins, particularly B vitamins (like B12, folate, and riboflavin), can lead to changes in the tongue's appearance and function. This can also cause a burning sensation or pain.

6. Systemic Conditions: Conditions such as autoimmune diseases (like lupus or Sjögren's syndrome) can manifest with oral symptoms, including tongue abnormalities. The muscle pain you mentioned could also be related to a systemic inflammatory response.

Given that you have already consulted a physician and received anti-inflammatory medication, it is a positive step toward managing your symptoms. However, since the burning sensation and pressure marks on your tongue persist, it is essential to follow up with your healthcare provider for a thorough examination. They may consider additional tests, such as blood tests to check for nutritional deficiencies or autoimmune markers, or a referral to a specialist, such as an oral surgeon or an ENT (ear, nose, and throat) specialist.

In summary, while some tongue abnormalities can be benign and self-limiting, persistent symptoms warrant further investigation. It is crucial to monitor any changes in your symptoms, such as increased pain, swelling, or the development of new lesions, and to communicate these changes to your healthcare provider. Early intervention can lead to better outcomes and help address any underlying issues effectively.

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