Sore and Swollen Side of Tongue: Causes and Solutions - Dentistry

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Swelling and pain on the side of the tongue?


In the past three to four days, I've been experiencing pain on the left side of my tongue.
At first, I didn't pay much attention to it, but later it started to rub against the lower left molars, and the pain has been increasing.
Today, I noticed that the left side of my tongue is red and swollen.
Initially, when I touched it, the surface felt a bit uneven, but as the pain worsened, it started to feel somewhat hard.
I'm not sure if this hardness is due to the swelling and pain or if it indicates a more serious condition (I do not smoke, drink alcohol, or chew betel nut).

Tuo Er, 20~29 year old female. Ask Date: 2010/10/17

Dr. Zeng Guanghui reply Dentistry


Hello, sir: Thank you for your inquiry.
I appreciate your question and would like to offer the following suggestions: The left side of your tongue is very painful, and the discomfort is increasing as it rubs against the lower left molars.
The surface of your tongue appears red, swollen, and uneven, and feels somewhat hard.
This may be indicative of oral ulcers or inflammation of the tongue mucosa, potentially leading to an infection.
I recommend consulting a dentist for further evaluation and treatment.
Lastly, I wish you peace and happiness!

Reply Date: 2010/10/17

More Info


The symptoms you're experiencing with the sore and swollen side of your tongue can be concerning, and it's important to consider various potential causes and solutions. Based on your description, it seems that you have developed pain, redness, and swelling on the left side of your tongue, which has worsened over the past few days. Here are some possible causes and recommendations for addressing your symptoms.


Possible Causes
1. Trauma or Irritation: One of the most common reasons for localized pain and swelling on the tongue is trauma. This could be due to accidental biting, friction from sharp teeth, or irritation from dental appliances. If you've noticed that the pain worsens when your tongue rubs against your teeth, this could be a significant factor.

2. Infection: Oral infections, such as oral thrush (a fungal infection) or bacterial infections, can lead to swelling and pain in the tongue. These infections may cause changes in the texture of the tongue, leading to a rough or uneven surface.

3. Allergic Reactions: Allergies to certain foods, medications, or dental products can cause localized swelling and discomfort. If you've recently introduced new foods or products, consider whether they could be the cause.

4. Vitamin Deficiencies: Deficiencies in certain vitamins, particularly B vitamins (like B12) and iron, can lead to changes in the tongue's appearance and cause pain. This is often accompanied by other symptoms, such as fatigue or changes in skin color.

5. Geographic Tongue: This benign condition is characterized by irregular patches on the tongue's surface, which can sometimes become sore. The exact cause is unknown, but it is often associated with stress, hormonal changes, or certain food sensitivities.

6. Oral Cancer: While less common, persistent pain and changes in the tongue's texture can be a sign of oral cancer, especially if the symptoms do not improve over time. Factors such as tobacco use, alcohol consumption, and HPV infection can increase risk.


Recommendations
1. Avoid Irritation: If you suspect that your teeth are causing irritation, consider visiting a dentist for an evaluation. They may recommend dental adjustments or treatments to prevent further trauma to your tongue.

2. Maintain Oral Hygiene: Good oral hygiene is crucial. Brush your teeth gently and consider using a soft-bristled toothbrush. Rinse your mouth with warm salt water to help reduce inflammation and promote healing.

3. Monitor Symptoms: Keep an eye on your symptoms. If the swelling and pain persist for more than a week, or if you notice additional symptoms such as fever, difficulty swallowing, or significant changes in your tongue's appearance, seek medical attention.

4. Consider Dietary Changes: If you suspect an allergy or deficiency, try to identify any new foods or products you've introduced. A balanced diet rich in vitamins and minerals can help support oral health.

5. Consult a Healthcare Professional: If your symptoms do not improve or worsen, it is essential to consult a healthcare professional. They may perform a physical examination, recommend blood tests to check for deficiencies, or refer you to a specialist if necessary.

In summary, while there are several potential causes for the sore and swollen side of your tongue, many can be addressed with proper care and attention. However, if your symptoms persist or worsen, it is crucial to seek medical advice to rule out any serious conditions.

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