Tongue Issues: When to See a Doctor for Symptoms

Tongue

Hello, doctor.
I have a question.
I visited the clinic two days ago due to a fever, and yesterday I went again because of throat pain, which was diagnosed as tonsillitis.
Today, I feel something unusual with my tongue.
When I looked in the mirror, I noticed that many of the taste buds on the left side of my tongue are swollen and larger than usual.
What could be the cause of this? Do I need to seek medical attention? Which department should I visit? Should I go to a dentist?

Xiao Ai, 20~29 year old female. Ask Date: 2001/02/10

Dr. Wu Jinjun reply Dentistry

Based on the symptoms you described, it is possible that you have "scarlet fever," which is caused by streptococcal bacteria.
The symptoms are very similar to pharyngitis or acute tonsillitis.
The taste buds on the surface of the tongue may become swollen, appearing as small raised bumps, giving it a somewhat "strawberry" appearance, clinically referred to as "strawberry tongue." Treatment typically involves the administration of antibiotics to control the complications, and symptoms usually improve gradually within seven to ten days.

Reply Date: 2001/02/10

More Info

When experiencing unusual symptoms related to the tongue, such as swelling of the taste buds, it is essential to understand the underlying causes and when to seek medical attention. In your case, the recent diagnosis of tonsillitis, accompanied by fever and throat pain, may be related to the changes you are observing on your tongue.
Swelling of the taste buds, also known as "enlarged papillae," can occur for several reasons. It may be a direct response to inflammation in the throat, particularly if the tonsils are infected. The body often reacts to infections by increasing blood flow to the affected areas, which can lead to swelling. Additionally, irritants such as spicy foods, alcohol, or tobacco can also cause similar symptoms. Allergic reactions or oral thrush (a fungal infection) could be other potential causes, especially if you have a compromised immune system or have recently taken antibiotics.

Given your recent health issues, it is advisable to monitor your symptoms closely. If the swelling persists, worsens, or is accompanied by other symptoms such as difficulty swallowing, persistent pain, or fever, you should seek medical attention. In this case, it would be appropriate to consult an Ear, Nose, and Throat (ENT) specialist. ENT doctors are well-equipped to handle issues related to the throat, mouth, and tongue, and they can provide a thorough examination to determine the cause of your symptoms.

If you are experiencing significant discomfort or if the swelling does not subside within a few days, it is prudent to make an appointment with your primary care physician or an ENT specialist. They can conduct a physical examination, possibly perform a throat culture, and recommend appropriate treatment, which may include medications to reduce inflammation or treat any underlying infection.

In summary, while some tongue issues can be benign and resolve on their own, given your recent tonsillitis diagnosis and the changes you are observing, it is wise to consult a healthcare professional if your symptoms persist or worsen. Early intervention can help prevent complications and ensure that you receive the appropriate care for your condition.

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