Persistent Foreign Body Sensation in Tongue: When to Seek Help? - Otolaryngology

More Info

---

When experiencing a persistent foreign body sensation in the tongue for over two weeks, it is essential to consider various factors before deciding on the next steps. The sensation you describe, along with the feeling of having a "big tongue," can be quite distressing and may indicate an underlying issue that requires further evaluation.

Firstly, it is important to note that the sensation of a foreign body in the tongue can arise from several causes. These may include allergic reactions, irritation from dental appliances, infections, or even psychological factors such as anxiety or stress, particularly if you have a history of autonomic nervous system disorders. The fact that you have already consulted an ENT specialist who found no significant abnormalities is a positive sign, but it does not rule out other potential causes.

Given your symptoms and the duration of discomfort, it may be beneficial to seek further evaluation. Here are some considerations:
1. Dental Evaluation: Since the tongue is closely related to dental health, visiting a dentist could be a good next step. Dentists can assess for any dental issues, such as misaligned teeth, gum disease, or oral infections that could contribute to your symptoms. They can also check for any lesions or abnormalities in the oral cavity that may not have been visible during your ENT visit.

2. Neurological Assessment: If the sensation persists and is accompanied by changes in speech or other neurological symptoms, it may be worth consulting a neurologist. They can evaluate for any neurological conditions that could be causing these sensations, especially considering your history of autonomic nervous system issues.

3. Psychological Factors: If there is a possibility that anxiety or stress is contributing to your symptoms, speaking with a mental health professional may also be beneficial. They can provide strategies to manage anxiety, which may help alleviate the sensation.

4. Follow-Up with ENT: If your symptoms do not improve or worsen, returning to the ENT specialist for a follow-up is advisable. They may consider additional diagnostic tests, such as imaging studies or referrals to other specialists, to rule out less common causes.

5. Symptom Management: In the meantime, continue to follow any recommendations provided by your healthcare providers, such as taking vitamin B2 and any other prescribed medications. Staying hydrated and maintaining good oral hygiene can also help alleviate some discomfort.

In summary, while your initial visit to the ENT was reassuring, the persistence of your symptoms warrants further investigation. A multidisciplinary approach involving dental, neurological, and possibly psychological evaluations may provide a comprehensive understanding of your condition and lead to effective management. If you experience any new symptoms, such as swelling, pain, or difficulty swallowing, seek medical attention promptly.