Tongue Pain: Possible Causes and Remedies

A growth on the underside of the side of the tongue?

Hello Doctor, about a week ago, I experienced a sharp pain on the lower left side of my tongue.
I initially thought it was just a common canker sore, as I frequently get sores in my mouth or on my tongue.
The doctor mentioned it might be related to my constitution.
I often eat fruits and take B vitamins, but I don't feel much improvement; however, I continue to take them and still get mouth sores.
This time, the sore on my tongue has lasted quite a while, and there is a noticeable texture that feels like some kind of growth.
In the past, the sores on my tongue were just white marks, but this time I can clearly see a distinct white ulcer.
I'm a bit worried that it might be related to my lifestyle, as I have been staying up late studying for exams.
Mouth sores have become a habit for me, occurring every few weeks, but I've never encountered a situation like this before.

Haohao, 10~19 year old female. Ask Date: 2016/01/04

Dr. Qiu Qiongyao reply Dentistry

High stress can lead to a rapid depletion of B vitamins.
Even with supplementation, the amount may not be sufficient.
Increasing the dosage of B vitamins and adding probiotics can enhance gastrointestinal absorption and improve nutrient uptake, which may help boost energy levels to cope with the physical demands of staying up late.
However, it is still recommended to maintain a regular sleep schedule for overall health.

Reply Date: 2016/01/04

More Info

Understanding tongue pain can be a complex issue, as it can arise from various causes, ranging from minor irritations to more serious underlying conditions. Based on your description, it seems that you are experiencing pain in the left lower side of your tongue, which you initially attributed to a common mouth ulcer. However, the persistence of the pain and the presence of a noticeable white area have raised your concerns.

Mouth ulcers, also known as canker sores, are indeed common and can be triggered by several factors, including stress, nutritional deficiencies (like vitamin B12, folate, or iron), hormonal changes, or even certain food sensitivities. Given that you mentioned you often consume fruits and take B vitamins without much relief, it might be worth considering other dietary factors or stress management techniques, especially since you are currently preparing for exams and may be experiencing increased stress levels.

The white area you described could indicate a few possibilities. One common condition is oral thrush, a fungal infection caused by an overgrowth of Candida yeast. This condition often presents as white patches in the mouth and can cause discomfort. Another possibility is leukoplakia, which appears as white patches on the tongue and can sometimes be a sign of irritation or, in rare cases, precancerous changes. Given that you have a history of recurrent mouth ulcers, it’s essential to monitor any changes in your oral health closely.

Additionally, your lifestyle factors, such as late-night studying and potential sleep deprivation, can contribute to a weakened immune system, making you more susceptible to infections and ulcers. Stress can also lead to bruxism (teeth grinding), which may irritate the tongue and surrounding tissues.

To address your concerns, here are some recommendations:
1. Consult a Healthcare Professional: Since the pain has persisted and you have observed changes in the appearance of your tongue, it is crucial to consult a dentist or an oral health specialist. They can perform a thorough examination and may recommend a biopsy if there are any suspicious lesions.

2. Maintain Oral Hygiene: Ensure you are practicing good oral hygiene by brushing your teeth and tongue regularly and using an antibacterial mouthwash to help reduce the risk of infections.

3. Manage Stress: Incorporate stress-reducing techniques into your routine, such as mindfulness, meditation, or regular physical activity. These can help improve your overall well-being and may reduce the frequency of mouth ulcers.

4. Dietary Adjustments: Consider keeping a food diary to identify any potential triggers for your mouth ulcers. Ensure you are getting a balanced diet rich in vitamins and minerals. If necessary, consult a nutritionist for personalized advice.

5. Stay Hydrated: Drink plenty of water to keep your mouth moist and help with healing.

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

In conclusion, while it’s possible that your symptoms are related to stress and dietary factors, the persistence of the pain and the appearance of the white area warrant a professional evaluation. Early diagnosis and treatment can help alleviate your discomfort and address any underlying issues effectively.

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