For many tongue conditions that can be cancer, a special dye called toluidine blue has been helpful to help during the initial evaluation. Toluidine blue staining can help in the early identification of precancerous or cancerous lesions. A more definitive diagnosis requires a biopsy. A biopsy is a procedure in which a sample of cells or tissue is evaluated under a microscope. Optimal treatment requires an accurate diagnosis.
Treatment: Medical treatments: Antibiotics: Bacterial infections, such as syphilis, can lead to sores in the mouth. Be sure to take the full course of antibiotics, even if you felt better. Antifungals: Antifungals, such as fluconazole Diflucan and clotrimazole Mycelex Troche , are prescribed to treat oral yeast infection. Prescription mouthwash: A prescription mouthwash or antimicrobial mouthwash can help prevent infection as a sore tongue heals.
Steroids: A doctor may prescribe a corticosteroid to reduce inflammation caused by mouth sores or another inflammatory condition, such as lichen planus. Vitamin supplements: You may need a prescription vitamin supplement, such as an injection of B, folic acid, or iron to help treat a vitamin deficiency.
Medications to increase saliva production: If you have a dry mouth, there are recipes available to help increase saliva production. Cancer treatments: Oral cancer therapy normally comprises surgery, chemotherapy, or radiation.
Topical gel: Topical gels can ease mouth pain by numbing the area. This medication is available without a prescription, but stronger topical gels may require a prescription Pain medication: Over-the-counter pain relievers can reduce the discomfort of tongue pain. Nonsteroidal anti-inflammatory drugs, such as ibuprofen, may help reduce swelling. The type of pain associated with this condition is intense, like an electric shock.
You may feel it on your tongue or in your throat, tonsils, or ears. It may be triggered by swallowing and can occur in people who have throat or neck cancer. If you end up having this condition, you may need to take medications to help with nerve pain or discuss surgery with your doctor. Lichen planus is a chronic skin issue that causes anything from an itchy rash on your skin to white lacy patches and pain on your tongue.
More mild cases of this disorder may not cause any discomfort at all. Other symptoms include red or white patches in your mouth or burning while eating or drinking. You may even develop painful red gums with this condition. Treatment may be ongoing. These sores begin as round, raised areas of irritation.
They may last anywhere from one to three weeks and may return with time. This condition is a type of inflammation of the tongue. It can cause pain, irritation, or a burning sensation. Your tongue may become smooth and even glossy in appearance because your taste buds have atrophied.
This condition is usually related to nutritional deficiencies, like vitamin B deficiency or anemia, or even celiac disease. Do you take nonsteroidal anti-inflammatory drugs, like naproxen Aleve , or beta-blockers? Some studies have suggested that these medications may make your tongue sore by causing ulcers. Mouthwashes may also irritate your tongue and make it sore.
Though rare, pemphigus vulgaris is a disorder that can cause painful sores in your mouth or on your genitals. These sores may show up as blisters in your mouth. They may rupture and ooze and become infected. You may even find it difficult to eat or swallow.
Treatment usually involves different medications or therapies like those that are used to treat severe burns. Another rare cause of tongue pain is oral cancer. Again, there are many reasons you may have a sore tongue — cancer is only a remote possibility. In people with chronic dry mouth, the tongue can become dry and fissured, and can easily develop ulcers and infections.
Call your doctor or dentist if you notice any changes in your tongue that concern you. Acute glossitis has a sudden onset, usually stemming from an allergic reaction.
Chronic glossitis, on the other hand, is recurring and generally signals an underlying health issue. Allergic reactions or irritation from food or medication, low iron levels, mouth trauma, dental appliances like braces or dentures, dry mouth, and certain diseases are all potential causes of different types of glossitis.
There are many reasons people may experience pain on the underside of the tongue Most of them are not serious and will go away within a few days or, at most, a few weeks.
Tongue pain, however, can be the sign of a serious underlying medical issue. Reach out to us today to find out what may be causing pain on the underside of your tongue! Tags: bite tongue , braces , burnt tongue , canker sore , dentures , glossitis , inflamed tongue , pain reliever , salt water , sores , sores on tongue , spicy food , strained tongue , tongue , tongue inflamation , tongue irritation , tongue pain , tongue sores.
Median rhomboid glossitis is a condition that can affect your tongue if you have oral thrush. It causes a red, smooth patch or lump to develop in the middle of the top part of your tongue.
This can be sore. See your GP if you think you have oral thrush. If it's left untreated, the symptoms will continue and your mouth will continue to be uncomfortable. Oral thrush is treated with antifungal medicines. This is often in the form of a gel or liquid that you apply directly to the inside of your mouth. Aphthous mouth ulcers are painful round or oval sores.
They can occur anywhere in the mouth. They are common on the underside of the tongue. Mouth ulcers are sometimes caused by damage to the mouth. This can be due to accidentally biting your tongue or eating something hard and sharp. Most mouth ulcers heal within a week or two without treatment. In the meantime, you may be able to manage the pain by taking over-the-counter painkillers, or treatments speak to your pharmacist.
You should also avoid anything that makes it worse, such as eating spicy foods. See your dentist or GP if you:. We will not reply to your feedback. Don't include any personal or financial information, for example National Insurance, credit card numbers, or phone numbers.
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