Experiencing Bitter Taste on Tongue: When to See an ENT Specialist?

The area of the tongue that was licked has a bitter sensation?

Hello Dr.
Chi, two days ago I noticed a bitter taste on my tongue when I pressed my lips together.
At first, I thought it might be due to accidentally ingesting some skincare products on my face, so I didn't think much of it.
However, over the past two days, whenever I press my lips together, my tongue has a bitter taste, and even when I lick the back of my hand or my arm, I experience the same issue.
Interestingly, eating does not seem to be affected; there is no bitterness or any abnormal taste during meals.
I would like to know which specialty I should consult for this condition.
Thank you!

Miss Zheng, 20~29 year old female. Ask Date: 2022/05/14

Dr. Ji Zhaoyun reply Otolaryngology

Hello, based on the symptoms you described, it may be acute glossitis.
It is recommended to supplement with vitamins B and C.
Daily life precautions include: do not lie down for two hours after eating.
Please avoid coffee, tea, cigarettes, alcohol, fried foods, and spicy foods, as they may help improve symptoms.
However, if the symptoms persist, it is advisable to consult an otolaryngologist.

Reply Date: 2022/05/14

More Info

Dear Patient,
Experiencing a persistent bitter taste on the tongue can be concerning, and it’s understandable that you want to seek a proper diagnosis. The sensation of a bitter taste, known as dysgeusia, can arise from various causes, and it’s important to consider the context of your symptoms.

Possible Causes of Bitter Taste
1. Medication Side Effects: Certain medications can lead to a bitter or metallic taste in the mouth. If you are currently taking any medications, it would be wise to review them with your healthcare provider to see if this could be a potential side effect.

2. Oral Hygiene Issues: Poor oral hygiene can lead to the buildup of bacteria and plaque, which can cause an unpleasant taste. Regular brushing, flossing, and dental check-ups are essential to maintaining oral health.

3. Gastroesophageal Reflux Disease (GERD): GERD can cause stomach acids to flow back into the esophagus, leading to a bitter taste in the mouth. If you have a history of heartburn or acid reflux, this could be a contributing factor.

4. Infections: Oral infections, such as thrush (a fungal infection), can alter taste sensations. If you notice any white patches or discomfort in your mouth, it may warrant further investigation.

5. Neurological Conditions: In rare cases, neurological conditions can affect taste perception. If you have other symptoms such as changes in smell, numbness, or tingling, it’s important to discuss these with your doctor.

6. Dietary Factors: Certain foods or beverages, especially those that are bitter or acidic, can temporarily alter taste perception. However, since you mentioned that eating does not affect the bitter taste, this may not be the primary cause.

When to See an ENT Specialist
Given that your symptoms have persisted for two days and are not linked to eating, it would be advisable to consult an Ear, Nose, and Throat (ENT) specialist. Here are some reasons to seek an ENT evaluation:
- Persistent Symptoms: If the bitter taste continues beyond a few days, it’s important to get a professional opinion.

- Associated Symptoms: If you experience other symptoms such as pain, swelling, or changes in your ability to taste or smell, these could indicate a more serious condition that requires evaluation.

- Impact on Quality of Life: If the bitter taste is affecting your daily life or causing you distress, it’s worth seeking help.

What to Expect During the Visit
During your visit to the ENT specialist, they will likely conduct a thorough examination, which may include:
- Medical History Review: Discussing your symptoms, medical history, and any medications you are taking.

- Physical Examination: A physical examination of your mouth, throat, and possibly nasal passages to check for any abnormalities.

- Taste Tests: In some cases, the doctor may perform taste tests to assess your taste perception.

Conclusion
In summary, while a bitter taste on the tongue can be caused by various factors, it’s important to monitor your symptoms and seek medical advice if they persist. An ENT specialist can provide a comprehensive evaluation and help determine the underlying cause of your symptoms. Don’t hesitate to reach out for help, as early intervention can lead to better outcomes.

Best wishes for your health, and I hope you find relief soon.

Sincerely,
Doctor Q&A Teams

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