Taste Disorders: When to See an ENT Specialist - Otolaryngology

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Taste disorders can be quite distressing, and your symptoms suggest that you may be experiencing a condition known as dysgeusia, which is characterized by an altered sense of taste. The fact that you have been noticing a salty taste on the back and middle of your tongue, along with a thick coating on your tongue, indicates that there may be an underlying issue that needs to be addressed.

Given your symptoms, it would be advisable to see an Ear, Nose, and Throat (ENT) specialist. ENT specialists are trained to diagnose and treat conditions related to the head and neck, including taste disorders. They can perform a thorough examination of your oral cavity, throat, and nasal passages to identify any potential causes of your taste abnormalities.
In your case, the presence of a thick tongue coating could suggest several possibilities, including oral thrush (a fungal infection), dehydration, or even a systemic condition that may be affecting your taste perception. The stones you mentioned near your throat could be tonsil stones or salivary stones, which can also contribute to taste changes and may require removal or treatment.

When you visit the ENT specialist, they may recommend several diagnostic tests, including:
1. Physical Examination: A thorough examination of your mouth, throat, and nasal passages to check for any abnormalities, infections, or obstructions.

2. Taste Tests: These tests can help determine the extent and nature of your taste disorder by exposing you to different taste stimuli and assessing your responses.

3. Blood Tests: To check for any underlying systemic issues, such as thyroid function or nutritional deficiencies, which can affect taste perception.

4. Imaging Studies: If necessary, imaging studies such as a CT scan or MRI may be performed to visualize any structural abnormalities in the head and neck region.

5. Salivary Gland Function Tests: If there are concerns about your salivary glands, tests may be conducted to assess their function.

In addition to seeing an ENT specialist, it’s important to address your fluctuating blood pressure. While you mentioned that you do not feel any discomfort, high blood pressure can have significant health implications if left untreated. It may be beneficial to consult with a primary care physician or a cardiologist to evaluate your blood pressure and determine if medication or lifestyle changes are necessary.

In summary, your symptoms warrant a visit to an ENT specialist who can provide a comprehensive evaluation and appropriate treatment options. Additionally, monitoring your blood pressure and seeking guidance from a healthcare provider regarding its management is crucial. Remember, early intervention can often lead to better outcomes, so don’t hesitate to seek medical advice.