Can Weight Gain Cause Tongue Enlargement and Pain? - Otolaryngology

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Tongue issues?


Hello Doctor: My weight has increased by about 10 kilograms over the past two years, and the fat on my face has noticeably increased.
I would like to ask if this could also cause my tongue to become enlarged? Recently, I have been experiencing pain on both sides of my tongue, and I wonder if it is due to the excess weight and friction with my teeth.
Additionally, I have cavities and broken teeth; could this potentially injure my tongue without me realizing it?

Xiao Ke, 30~39 year old female. Ask Date: 2014/04/08

Dr. Zheng Jueyi reply Otolaryngology


Hi Xiao Ke: Hello, it is possible that inflammation of the tongue may be caused by friction between the tongue and teeth or other chronic irritations.
It is advisable to reduce the intake of irritating foods, drink plenty of water, and rinse your mouth.
If there are wounds that have not improved after two weeks, it is necessary to seek medical attention from an otolaryngologist or a dentist for examination.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2014/04/08

More Info


Weight gain can indeed lead to various changes in the body, including potential enlargement of the tongue, a condition known as macroglossia. This enlargement can be attributed to several factors, including fat deposition, inflammation, or even hormonal changes associated with weight gain. When the body accumulates excess fat, it can affect various tissues, including those in the oral cavity, leading to a larger tongue.

In your case, the pain you are experiencing on the sides of your tongue could be related to several factors. First, if your tongue has indeed enlarged due to weight gain, it may be pressing against your teeth, especially if there are dental issues such as cavities or broken teeth. This constant friction can lead to irritation and pain on the sides of the tongue. Additionally, if you have cavities or broken teeth, they can create sharp edges that might inadvertently cut or irritate your tongue, leading to discomfort.

Another possibility is that the pain could be related to a condition known as geographic tongue, which is characterized by patches on the tongue that can be sensitive or painful. This condition can be exacerbated by factors such as stress, hormonal changes, or even dietary choices.
It's also worth considering that weight gain can sometimes be associated with other health issues, such as sleep apnea, which can lead to oral health problems due to changes in breathing patterns during sleep. This can cause dry mouth, leading to further irritation of the tongue and surrounding tissues.

If you suspect that your dental issues are contributing to your tongue pain, it is crucial to address these problems with a dentist. They can evaluate the condition of your teeth and provide appropriate treatment, such as fillings for cavities or other necessary dental work.
In terms of managing the pain and discomfort, here are a few suggestions:
1. Maintain Oral Hygiene: Ensure that you are brushing and flossing regularly to minimize the risk of further dental issues. This can help reduce irritation and potential infections.

2. Stay Hydrated: Drinking plenty of water can help keep your mouth moist and reduce irritation on your tongue.

3. Avoid Irritants: Try to avoid spicy, acidic, or abrasive foods that may further irritate your tongue.

4. Consult a Healthcare Professional: Since you are experiencing persistent pain, it is advisable to consult both a dentist and a healthcare provider. They can help determine the underlying cause of your symptoms and recommend appropriate treatments.

5. Weight Management: If weight gain is a concern, consider discussing a weight management plan with a healthcare provider or a nutritionist. Losing weight can help alleviate some of the pressure on your body and may reduce the size of your tongue if it is indeed enlarged due to fat deposition.

In conclusion, while weight gain can contribute to tongue enlargement and pain, it is essential to consider other factors such as dental health and oral hygiene. Addressing these issues with the help of healthcare professionals can lead to improved comfort and overall health.

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