Persistent Tongue Pain After Burn: Symptoms and When to Seek Help - Dentistry

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A tongue burn that remains very painful after many days?


Hello Doctor: A few days ago, I experienced tongue pain after drinking hot soup, but I didn't pay much attention to it and continued to eat highly irritating foods.
Now, my tongue is abnormally painful, and upon looking in the mirror, I noticed some small, dark, grainy spots on the back part of my tongue, as shown in the image: https://imgur.com/gallery/25vkrYu.
What could this symptom be? Do I need to go to a major hospital for an examination?

Xuan Xuan, 20~29 year old female. Ask Date: 2024/01/10

Dr. Zeng Guanghui reply Dentistry


Hello Mr.
Hsuan-Hsuan: It is recommended to visit a hospital to see a dentist for further examination.
Dr.
Tseng Guang-Hui at Nantou Hospital, Department of Dentistry.

Reply Date: 2024/01/10

More Info


Persistent tongue pain following a burn can be a concerning symptom, especially when accompanied by additional changes in the appearance of the tongue. In your case, it sounds like you experienced a thermal injury from hot soup, which can lead to inflammation and pain in the affected area. The subsequent consumption of spicy or irritating foods may have exacerbated the initial injury, leading to persistent discomfort.

The appearance of "black spots" or "bumps" on the back of your tongue could indicate several possibilities. One common cause is the development of a condition known as "burning mouth syndrome," which can occur after an injury to the oral mucosa. This syndrome is characterized by a burning sensation in the mouth, including the tongue, and can sometimes be accompanied by changes in taste or dry mouth. The black spots you are observing could also be a sign of irritation or inflammation of the papillae on the tongue, which may occur after a burn. In some cases, they could represent a fungal infection, such as oral thrush, especially if your immune system is compromised or if you have been taking antibiotics.

Given the persistence of your symptoms and the changes in the appearance of your tongue, it is advisable to seek medical attention. A visit to a healthcare provider, preferably an ear, nose, and throat (ENT) specialist or a dentist, would be beneficial. They can perform a thorough examination of your mouth and tongue, assess the extent of the injury, and determine if there are any underlying conditions that need to be addressed.
In the meantime, here are some general recommendations to help manage your symptoms:
1. Avoid Irritating Foods: Steer clear of spicy, acidic, or very hot foods that can further irritate your tongue. Stick to bland, soft foods that are easier to tolerate.

2. Maintain Oral Hygiene: Continue to practice good oral hygiene by brushing your teeth and tongue gently with a soft-bristled toothbrush. This can help prevent infections and promote healing.

3. Stay Hydrated: Drink plenty of water to keep your mouth moist and help with the healing process.
4. Use Pain Relief: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and inflammation. However, consult with a healthcare provider before taking any medication, especially if you have underlying health conditions or are taking other medications.

5. Topical Treatments: Some topical anesthetics or mouth rinses may provide temporary relief from pain. Again, consult with a healthcare provider for recommendations.

6. Monitor Symptoms: Keep an eye on your symptoms. If you notice any signs of infection, such as increased redness, swelling, or discharge, or if your pain worsens, seek medical attention promptly.

In conclusion, while it is possible that your symptoms may resolve with time and conservative management, the presence of persistent pain and changes in the appearance of your tongue warrants a professional evaluation. Early intervention can help prevent complications and ensure proper healing.

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