Thickening Gums and Cheeks: Exploring Tongue Sensation Abnormalities - Dentistry

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Based on your description, it seems you are experiencing a complex set of symptoms involving your oral cavity, specifically the gums, cheeks, and tongue, along with some neurological concerns in your right arm and leg. Let's break down the potential causes and considerations regarding your symptoms.

Firstly, the thickening of the gums and cheeks, as well as the abnormal sensation in your tongue, could be related to several factors. The history of a salivary cyst (sialocele) and the presence of a lymph node enlargement are significant. Salivary cysts can sometimes lead to discomfort and swelling in the surrounding tissues, particularly if they become infected or inflamed. The fact that you have noted a hard area beneath your right molar and thickening of the gums could indicate a localized inflammatory response or a potential infection in the area, possibly related to the cyst or dental issues.

The abnormal sensation in your tongue, particularly on the right side, could be attributed to several factors, including nerve irritation or damage. The lingual nerve, which supplies sensation to the tongue, can be affected by dental procedures, infections, or even the presence of a cyst. If there is swelling or pressure on this nerve, it could lead to the sensations you are experiencing.

Your concerns about the right side of your body feeling weaker or less responsive than the left side are particularly important. This could indicate a neurological issue that requires further investigation. While anxiety and stress can certainly exacerbate physical symptoms, it is crucial to rule out any serious underlying conditions, such as a neurological disorder or a mass effect from the lymph node or cyst.

Given your symptoms, I recommend the following steps:
1. Follow-Up with an ENT Specialist: Since you have already seen an ENT specialist, it may be beneficial to return for a more comprehensive evaluation. They may consider imaging studies, such as an MRI, to assess the soft tissues of the neck and oral cavity more thoroughly.

2. Neurological Evaluation: Given the symptoms of weakness and altered sensation in your right arm and leg, it would be prudent to consult a neurologist. They can perform a detailed neurological examination and may recommend imaging studies like an MRI of the brain or cervical spine to rule out any central nervous system issues.

3. Dental Assessment: Since you have dental concerns, a thorough examination by a dentist or oral surgeon may be warranted. They can evaluate the integrity of your teeth, gums, and any potential infections or abscesses that may be contributing to your symptoms.

4. Monitor Symptoms: Keep a detailed record of your symptoms, including any changes in sensation, pain levels, and any new developments. This information can be invaluable for your healthcare providers in making an accurate diagnosis.

5. Manage Anxiety: While it is natural to feel anxious about your health, consider discussing your concerns with a mental health professional. They can provide strategies to manage anxiety, which may help alleviate some of the physical symptoms you are experiencing.

In conclusion, while your symptoms may be concerning, they can often be attributed to a combination of dental, ENT, and possibly neurological issues. It is essential to pursue further evaluations to ensure a comprehensive understanding of your health status and to rule out any serious conditions. Your proactive approach to seeking help is commendable, and I encourage you to continue advocating for your health.