Throat Discomfort: Causes and Remedies for Tongue Sensations - Otolaryngology

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Hello doctor, a few days ago I started to feel a prickly sensation at the back of my tongue when swallowing saliva, particularly around the taste buds near the base of my tongue.
I haven't experienced this before.
Could you please explain why this is happening? I've been taking cold medication for the past few days; could this be related?

Beibei, 10~19 year old female. Ask Date: 2016/02/27

Dr. Zheng Jueyi reply Otolaryngology


Hello, inflammation of the tongue is often related to colds.
It is recommended to drink plenty of water and consider medication treatment, then monitor the situation.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/02/27

More Info


Throat discomfort, particularly the sensations you are experiencing at the back of your tongue, can be attributed to several potential causes. The symptoms you describe—feeling of raised taste buds or papillae at the base of your tongue, along with a prickly sensation when swallowing—could be linked to a variety of factors, including infections, allergies, irritants, or even medication side effects.

One common cause of discomfort in the throat and tongue area is viral infections, such as the common cold or flu. These infections can lead to inflammation in the throat and mouth, resulting in discomfort and changes in the sensation of the taste buds. If you have been taking cold medication, it is possible that some ingredients in these medications could also contribute to dryness in your mouth and throat, leading to a heightened sensitivity or discomfort.

Another possibility is that you may be experiencing an allergic reaction. Allergies can cause inflammation and irritation in the throat, which might make the taste buds feel more pronounced or sensitive. If you have recently been exposed to allergens, such as pollen, dust, or certain foods, this could be a contributing factor.

Additionally, certain medications, including some cold medications, can cause side effects such as dry mouth or altered taste sensations. Antihistamines, commonly found in cold medications, are known to cause dryness and may lead to discomfort in the throat and mouth. If you suspect that your medication might be the culprit, it would be wise to consult with your healthcare provider about alternative treatments or adjustments to your current regimen.

Another potential cause of the sensations you are experiencing could be a condition known as geographic tongue, which is characterized by irregular patches on the surface of the tongue that can sometimes cause discomfort or sensitivity. This condition is generally harmless and often resolves on its own, but it can cause temporary discomfort.

In terms of remedies, there are several approaches you can take to alleviate your symptoms. Staying well-hydrated is crucial, as it can help soothe irritation in the throat and mouth. Drinking warm fluids, such as herbal teas or broths, can provide relief. Additionally, using throat lozenges or sprays designed to numb the throat may help reduce discomfort.

If your symptoms persist or worsen, it is essential to seek medical advice. A healthcare professional can perform a thorough examination and may recommend further tests if necessary to rule out any underlying conditions. They can also provide guidance on appropriate treatments based on your specific situation.

In summary, the prickly sensation at the back of your tongue and throat discomfort could be due to a variety of factors, including viral infections, allergies, or side effects from medications. Staying hydrated, using soothing remedies, and consulting with a healthcare provider if symptoms persist are important steps to take.

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