Unusual Tongue Symptoms: Causes and Concerns - Otolaryngology

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My tongue has been feeling strange for the past few days?


Hello Doctor: Three days ago, I started to feel a sensation on the surface of my tongue that resembles a burn or dry, broken skin, but I haven't burned it with food.
My mouth is also very dry, and I have bad breath.
Two days ago, I accidentally bit the tip of my tongue.
Is this just a result of excessive heat in my body, or is my tongue inflamed? What should I pay attention to in terms of appearance? (I don't see anything unusual right now).
Since I haven't experienced this before, I'm unsure if something is developing on my tongue.
Thank you for your response.

OOO, 40~49 year old female. Ask Date: 2015/10/09

Dr. Zheng Jueyi reply Otolaryngology


Hello: The most common issue is inflammation of the tongue.
It is recommended to drink plenty of water and avoid spicy foods.
If the condition persists without improvement or if the pain worsens, it is necessary to seek medical evaluation or consider medication treatment.
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: 2015/10/09

More Info


Hello! Thank you for reaching out with your concerns regarding your tongue symptoms. Based on your description, it sounds like you are experiencing some discomfort on the surface of your tongue, which could be attributed to several factors.

Firstly, the sensation of your tongue feeling "burnt" or dry, along with bad breath, can be indicative of a few conditions. One common cause is dehydration or dry mouth (xerostomia), which can occur due to various reasons, including medication side effects, mouth breathing, or insufficient saliva production. Saliva plays a crucial role in maintaining oral health, as it helps wash away food particles and bacteria, thus preventing bad breath and oral infections.

The fact that you mentioned biting your tongue could also contribute to the discomfort you are feeling. Tongue injuries, even minor ones, can lead to localized inflammation and sensitivity. If the area where you bit your tongue is healing, it may feel tender and could also contribute to a dry sensation in your mouth.

Regarding your concern about whether this is simply due to "heat" in your body or an inflammation of the tongue (glossitis), it is essential to consider other symptoms. Glossitis can present with swelling, changes in color, and a smooth appearance of the tongue. If you do not observe any significant changes in the appearance of your tongue, it may not be glossitis. However, if you notice any swelling, discoloration, or persistent pain, it would be advisable to consult a healthcare professional for a thorough examination.

In terms of what to look for, pay attention to any changes in the color of your tongue (such as redness or a white coating), any swelling, or the development of sores or lesions. These could indicate an underlying condition that may require medical attention. Additionally, if you experience persistent pain, difficulty swallowing, or if the symptoms worsen, it is crucial to seek medical advice.

For now, here are some recommendations to help alleviate your symptoms:
1. Stay Hydrated: Ensure you are drinking plenty of water throughout the day to combat dryness in your mouth and throat.

2. Oral Hygiene: Maintain good oral hygiene by brushing your teeth and tongue gently and using mouthwash to help reduce bad breath.

3. Avoid Irritants: Try to avoid spicy, acidic, or very hot foods that could further irritate your tongue.

4. Use Saline Rinse: A saline mouth rinse can help soothe irritation and promote healing.

5. Monitor Symptoms: Keep track of your symptoms and any changes in your oral health. If the discomfort persists or worsens, consider visiting a dentist or an ear, nose, and throat (ENT) specialist.

In conclusion, while your symptoms may be related to minor issues such as dehydration or a tongue injury, it is essential to monitor them closely. If you notice any concerning changes or if the symptoms do not improve, seeking professional medical advice would be the best course of action. Thank you for your question, and I hope you find relief soon!

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