Injury to your taste buds (as with a severe tongue burn). Its a chronic condition that can cause a burning sensation on the tongue or elsewhere in the mouth. Over-the-counter remedies can often relieve the pain of a sore tongue, but some underlying causes may need specialist treatment. If symptoms persist or get worse, schedule a visit with your healthcare provider. Screenings can also take place with an ear, nose, and throat (ENT) physician. If they think you may have something serious like tongue cancer, they may order a biopsy of the tongue. Increased inflammation causes the gums to recede, forming pockets between the teeth and gums. Although geographic tongue can sometimes cause tongue discomfort, it's otherwise a harmless condition. During the exam, your physician or dentist may: Geographic tongue typically doesn't require any medical treatment. (17)Photo courtesy of New Zealand Dermatological Society Incorporated /https://dermnetnz.org/. Theyre harmless, but you should gently brush your tongue to clear food and bacteria. (16) Image Source /Photolibrary Biomolecules. Conditions such as oral thrush or oral herpes viruses can cause the tongue to swell due to inflammation. Low levels of the following nutrients can lead to a sore tongue: Treatment involves eating a well-balanced diet, asking a doctor about supplements, and receiving vitamin injections, in some cases. These oral cancer screenings involve an examination of all the soft tissues in the mouth, including the tongue, floor of the mouth (under the tongue), palate (roof of the mouth), inside of the cheeks, and throat area. dental care resulting in improperly fitting dental fillings, crowns, or braces. When treating tongue cancer with surgery, the patient may experience the complication of numbness of the tongue. Treatment for aspirin burn is just as basic: Time. ("Hairy tongue" by itself can also be white or tan.) Oral thrush, syphilis, shingles, and chicken pox are all examples of infections that can affect the tongue. If you see hard, flat, white areas that cant be scraped away, it could be leukoplakia, which is linked to cancer. Ramalingam K, et al. There are many possible causes of tongue problems, ranging from harmless to serious. Causes can includeantibiotic use, poor oral hygiene, smoking, drinking a lot of tea or coffee, and not producing enough saliva. Should I go to a dentist or doctor? Ren J, et al. Canker sores are commonly found on the tongue and can be very painful. These bumps are inflamed taste buds. Merck Manual Professional Version. For this reason, it is important to seek medical advice if you have any ongoing problems with your tongue. Davis DMR (expert opinion). Schedule an appointment for an oral cancer screening if you: Have severe or unexplained tongue pain that persists for several days See red or white patches on your tongue Experience persistent pain and itchiness that doesn't improve or gets worse Notice hard sores, lumps or bumps on your tongue Burning mouth syndrome. It may be one area or several areas and may even vary from time to time. Burning your tongue can be painful and frustrating. Most tongue problems arent serious. fissures or cracks in the tongue. You might notice pain, sensitivity, swelling, or signs of infection, but you can also crack a tooth without any symptoms. But what if it doesn't? Oral Health Basics: Symptoms, Types, Causes & More A smooth tongue can also result from the use of dentures. A human tongue can have 2,000-8,000 taste buds, which are classified into three types. http://www.aaom.com/. The next stage of gum disease is periodontitis, or gum infection. In recent years, HPV has been found to contribute more to the incidence rate of oral cancers. Theyll look at the tongue as a whole, see how it functions, and examine the surface of the tongue. As the National Institutes of Health (NIH) points out, tongue problems can manifest in many different ways and show a variety of symptoms. Tongue Problems Tongue problems can happen because of poor oral care, many people may not be aware that they should brush the tongue as well as the teeth. A black tongue is usually a harmless condition that can be caused by medications, smoking, poor oral hygiene, a soft diet, or dry mouth. This can also develop from too much exposure to an irritating substance, like coffee or mouthwash, or if you smoke. No treatment is recommended. If your tongue feels like you scalded it with hot coffee and tastes metallic or bitter, you may have burning mouth syndrome. White lines or bumps may be an inflammation called oral lichen planus. (12) Copyright Phototake, Inc. /Phototake -- All rights reserved. Early detection and treatment usually provide the best chance for recovery and survival. These causes may be: BMS is also known as glossodynia, glossopyrosis, and stomatopyrosis. Causes include: Tongue problems include complete loss of taste (ageusia), partial loss of taste and a changing sense of taste. Leukoplakia is characterized by white patches that cannot be scraped off and may be related to chronic irritation in the mouth, although the cause is not always known. The spots can change location, pattern, and size within minutes to hours. All rights reserved. The four common tastes are sweet, sour, bitter, and salty. After the sore forms, itll look either white or yellow. A tongue bump or sore can be caused by various conditions, ranging from enlarged papillae to mouth cancer. See a doctor if you experience tongue burning to determine the right cause and treatment. What are the treatments for tongue problems? Tongue Problems: Sores, Discoloration, and Tongue Bumps - WebMD Regarding growths on the tongue, the main concern is oral cancer. It can take up so much room that your doctor might find imprints of your teeth on its sides. Accessed Nov. 7, 2022. It may feel as if you have eaten hot foods and scalded your tongue. Symptoms of Tongue Problems Causes of. Mouth Problems: TMJ, Canker Sores, Painful Gums and More. Can I self-diagnose tongue problems? See additional information. atypically shaped or impacted teeth. This can result in angioedema on the tongue or difficulty breathing. If you have an underlying health condition, treating that can improve your symptoms. Is there a generic alternative to the medicine you're prescribing? The commonly described taste map of the tongue doesn't really exist. Neuropathic and psychogenic components of burning mouth syndrome: A systematic review. Health Conditions Your Dentist Can Spot Tiny chips or cracks may not be a bother. Oral lichen planus on the tongue is a chronic inflammatory condition caused by an autoimmune response (the body's immune system attacking its tissue). If you smoke, talk to your doctor about quitting. The tongue is a muscular organ in the mouth. You should make an appointment to see your doctor for diagnosis and treatment if your tongue problem is severe, unexplained, or persists for several days with no signs of improvement. Our providers specialize in head and neck surgery and oncology; facial plastic and reconstructive surgery; comprehensive otolaryngology; laryngology; otology, neurotology and lateral skull base disorders; pediatric otolaryngology; rhinology, sinus and skull base surgery; surgical sleep; dentistry and oral and maxillofacial surgery; and allied hearing, speech and balance services. Your doctor will also ask you several questions about your tongue and your symptoms. We avoid using tertiary references. Deep grooves can form on your tongue as you age. What, if anything, seems to make your symptoms worse? Treatment may involve rest, moist heat, a mouth guard, medication, or surgery. A small percentage of women experience a sore tongue while pregnant. These lesions usually resolve in two weeks, but oral herpes can also be treated with antiviral medications such as acyclovir (Zovirax) to shorten the duration of symptoms. It often occurs in people living with HIV but may also occur in people who arent. Some causes may need medical treatment. An excisional biopsy is usually performed to definitively diagnose the lesion and completely excise it from the tongue. Tongue Problems - All About The Tongue | Dentists In Edmonton & Area What should I do if my condition flares up again? Triggers include hypersensitivity, infection, hormones, stress, and not getting enough of some vitamins. Are there any printed materials that I can have? This condition is caused by the Epstein-Barr virus and is usually related to immunocompromised individuals. They can advise you on whether you need treatment or if you can manage the issue at home with lifestyle changes. They are usually minor irritations but may be more serious. If these symptoms last more than 2 weeks, see your doctor or dentist., American Academy of Oral Medicine: Hairy Tongue., American Family Physician: Common Tongue Conditions in Primary Care., American Academy of Family Physicians: Canker Sores., Canadian Cancer Society: Signs and symptoms of oral cavity cancer., Cancer Research UK: About tongue cancer., DermNet New Zealand: Transient lingual papillitis., Mayo Clinic: Canker Sores, Leukoplakia, Oral lichen planus, Geographic Tongue, Oral Thrush, Mouth Cancer., Merck Manual: Tongue Discoloration, Tongue Injury, Kawasaki Disease., UpToDate: Patient education: Intravenous immune globulin (IVIG) (Beyond the Basics).. Black hairy tongue syndrome. Diseases of the tongue. Policy Family physician Daniel Allan, MD, discusses why you should watch for changes that might need to be evaluated by a doctor or dentist. For toddlers and older children, sometimes the tongue can compensate for most oral functions, but speech may be affected. Jskelinen AK. It comes from an overgrowth of bacteria, dead cells, and other debris that get trapped on your tongue. For some people, it stains the tongue black when it mixes with saliva. Tongue swelling can also be a side effect of medication. 4 common tongue problems: Treatment and when to worry - Healthily Here's what may be causing it and when to see, Burning your tongue can be painful and frustrating. Median rhomboid glossitis is a lesion at the midline of the dorsum of the tongue. In some cases, the tumor will be present at the base of the tongue and will be difficult to detect until it reaches its late stage of development. Lip Frenulum: Causes, Symptoms, and Treatment - WebMD (2019). Tests for oral cavity and oropharyngeal cancers. Fissured tongue has been. Orliaguet M, et al. See a healthcare provider to get your tongue checked out if youre having severe symptoms that last longer than a few weeks. Your tongue provides clues about your dental health, and even about your overall health. Dentists and Other Oral Health Care Providers - WebMD The most obvious sign is a tight lip attachment. Other symptoms include genital sores. (2021). Fetal rhabdomyoma of the tongue in a newborn. A spike in cavities can also. Burning Mouth Syndrome | National Institute of Dental and Craniofacial An allergic reaction to food or medicine. Sores . Signs of a Tongue Problem. Your health care provider or dentist is likely to ask you several questions, such as: Your health care provider or dentist may ask other questions based on your answers, symptoms and needs. A white, yellow or black tongue is usually a sign of poor hygiene. (1) Dr. P. Marazzi /Photo Researchers, Inc. Dentists often diagnose halitosis. Possible causes include: Though troubling in appearance, a black, hairy tongue is typically nothing serious. People think this occurs due to an abnormal immune response that may occur from an underlying condition, like hepatitis C or allergies. These white or red bumps are sometimes called lie bumps or transient lingual papillitis. Or they can refer you to another health care professional for further evaluation and treatment. (2021). It can make it hard to speak or eat. Lichen planus can also affect skin, scalp, nails, and genitals. Therefore, the prognosis is generally very good. Ulcers usually disappear after a week or two, but some may take weeks or months to heal. A lesion with a combined white and red appearance is called erythroleukoplakia. Causes can include smoking cigarettes and using smokeless tobacco, drinking heavily, overexposure to the sun, and a family history of cancer. Some medical conditions are linked to the fissured tongue and include Sjgren's syndrome, psoriasis, Down syndrome, and acromegaly. Oral manifestations of thyroid disorders and its management They may: Your experience and the tests you receive depend on whats most likely causing your tongue problems. It is a benign condition that appears as bare or smooth areas on the dorsum of the tongue. A biopsy may be recommended after clinical evaluation by the doctor. If it causes pain or ulcers, it can be treated with oral and topical medication. Tongue Problems: Types, Symptoms & Treatment - Cleveland Clinic Prepare questions ahead of time to make the most of your appointment. According to an old wives' tale, telling a lie causes a bump on the tongue. Preventing aspirin burn is simple -- swallow those pain relievers! Additionally, leukoplakia and erythroplakia can cause white or red patches on the tongue that can be precursors to cancer. Stress and dental plaque can worsen symptoms. Cleveland Clinic is a non-profit academic medical center. Healthy tongues are uniformly pink and covered in tiny bumps. 2020; doi:10.17219/dmp/120991. Be sure to eat a well-balanced diet. In addition to medical treatment and prescription medicines, these self-help measures may reduce your symptoms: Coping with burning mouth syndrome can be challenging. Persistent bad breath or a bad taste in your mouth may be from continuous breathing through your mouth, dry mouth, tooth decay, a sign of gum disease, or even diabetes. From choosing baby's name to helping a teenager choose a college, you'll make . Often, the clues are pretty straightforward. Last reviewed by a Cleveland Clinic medical professional on 02/14/2023. Oral cancer has also been linked to the human papillomavirus, or HPV. Paresthesia of the tongue can occur with damage to the lingual nerve, the nerve of sensation for the tongue. (4) Copyright ISM /Phototake -- All rights reserved. 2005 - 2023 WebMD LLC, an Internet Brands company. Erythroplakia and erythroleukoplakia have an increased risk of premalignancy compared to leukoplakia. "Good bacteria" is killed off allowing for an overgrowth of yeast. Although leukoplakia is usually benign, it can also be the precursor to oral cancer. The top part contains tiny papillae, the small dots that provide the tongue with its rough texture. Accessed Nov. 7, 2022. Treatment depends on what symptoms you have and is aimed at controlling them. . But its good to know the signs that might point to cancer: Sores that dont heal, lumps, tongue pain, and trouble chewing or swallowing. Swallowing problems can accompany Parkinson's. Temporomandibular disorders (TMDs) are a group of more than 30 conditions that cause pain and dysfunction in the jaw joint and muscles that control jaw movement. Poor oral and dental health A tongue-tie can diminish a person's ability to brush food debris off their teeth, and to swallow completely. Hairy tongue is the third most common tongue condition and is considered harmless. Aetna, Inc. Aslanova M, (2021). Macroglossia involves having an atypically large tongue. As previously mentioned, the hairy tongue is the hypergrowth of the tongue's papillae and is usually associated with white, tan, or black discoloration. The tongue has many nerves that help detect and transmit taste signals to the brain. Macroglossia refers to when your tongue is larger than what it should be. Solid research on the most effective methods is lacking. Lozenges, tablets, or liquid antifungals are used for treatment. Do you have symptoms all the time, or do they come and go? Mouth cancer - Diagnosis and treatment - Mayo Clinic For example, a painful tongue may be a sign that you drank a hot cup of coffee too fast. An allergic reaction to gluten can also cause this. Get useful, helpful and relevant health + wellness information. During an examination with a physician or dentist, information based on symptoms and clinical appearance is collected. It is a systematic process of weighing the probability of one disease versus that of other diseases that may account for the tongue problem. Your health care provider or dentist likely will: Also, your health care provider will likely do a medical exam, looking for signs of other conditions. Persistent, severe canker sores can be treated with numbing creams, prescription drugs, or dental lasers. The treatment will depend on the cause. This may make your tongue look black and hairy, though the color can also be brown, yellow, green, blue, or normal color. Dermatologic Clinics. They may appear smooth instead of bumpy. . It should go away when you brush or scrape your tongue. Diseased tongues may be dark red, white, yellow or even black. Clenching, tooth grinding, or injury can all cause TMJ syndrome, but the results are often the same: pain, headaches, dizziness, even trouble swallowing. Unfortunately, the overall prognosis for oral cancer is generally poor. Tongue Problems . Geographic tongue. Oral cancer screenings should always take place during routine dental visits. Frequent sores may require a prescription. Gator Dental Associates. The linea alba is a benign condition that is characterized by a thin white line at the lateral (side) borders of the tongue. Clinical trials of a new treatment may be a possible option for advanced cancers. Is there anything I can do at home to relieve discomfort? See your dentist to treat receding gums. For some tongue problems, no treatment is necessary whereas, for other conditions, medications, surgery, or radiation may be needed. See your dentist as soon as possible if your tooth aches or if you have a fever, earache, or pain when you open your mouth wide. This is called oral lichen planus. Damage to taste buds through radiation therapy may require time for healing to occur. Ultimately, your long-term . You should also see your doctor if you have: During your appointment, your doctor will thoroughly examine your tongue. HIV testing is important in determining if HIV treatment and care are needed. Cold sores are a top mouth problem. These are whitish in appearance or sometimes red, yellow, or gray. Atrophic glossitis: Etiology, serum autoantibodies, anemia, hematinic deficiencies, hyperhomocysteinemia, and management. Symptoms usually improve on their own in time. General Dentistry. Common symptoms that may affect your tongue include: Tongue problems or changes in your tongue may be a sign of short-term or long-term (chronic) conditions. (2020). If you have sores or other conditions that cause pain, it may help to avoid spicy or acidic foods. Paresthesia is an abnormal or altered sensation. You may experience tongue pain alongside other symptoms affecting your tongue, like a swollen tongue or color changes as with anemia, geographic tongue and glossitis. Simple burns should heal in about two weeks. Radiation and chemotherapy treatment may also cause decreased saliva flow and changes in taste that may take time to improve or not improve at all. Bruxism | Johns Hopkins Medicine It is usually painless; however, the smooth areas may have sensitivity to spicy or acidic foods for some individuals. It often happens after an illness or medications throw off the balance of bacteria in your mouth. Illnesses, medications, stress, and antibiotic treatment can cause oral thrush by throwing off the balance of natural bacteria in the mouth. Malocclusion of the Teeth: Causes, Symptoms, and Diagnosis - Healthline It's attached to the jaw,. Their cause is a mystery -- it could be a reaction to a food or a minor trauma like biting the tongue. See additional information. Periodontitis is common but can usually be prevented. It can. . Rathee M, et al. Fortunately, most tongue problems are benign and treatable. However, if there isn't a unique sign or symptom to distinguish the tongue problem, a differential diagnosis is reviewed. More commonly, theyll use a flexible, fiberoptic endoscope for the procedure. Called amalgam tattoos, they occur when a tiny piece of amalgam filling gets embedded in your cheek or gum. While you may hope this relieves pain faster, instead the acid in the aspirin burns a white, rough lesion into your gums or cheek. University of Maryland Medical Center: "Tongue Problems,"Oral Cancer. There are many possible causes of a sore tongue, ranging from grinding the teeth to pemphigus vulgaris, a rare disorder that causes blisters. Tongue Tie in Adults: Symptoms, Side Effects, and Treatment Its unclear why some people develop Sjgrens syndrome. Learn about the types, causes, and diagnosis of tongue problems. (2018). You may reduce discomfort associated with geographic tongue by avoiding or limiting substances that commonly aggravate sensitive oral tissues, such as spicy or acidic foods or beverages, as well as alcohol and tobacco. A fifth taste, called umami, results from tasting glutamate (present in some foods and in MSG). These ulcerations are thought to be caused by local injury, stress, or genetic predisposition; however, no definitive cause has been found. Some medications that have this side effect are ACE inhibitors (to treat high blood pressure) and NSAIDs (nonsteroidal anti-inflammatory drugs) such as Aleve, Advil, and aspirin. But your tongue can also go dark after you take an antacid with an ingredient called bismuth. Tobacco use is the most common factor that contributes to leukoplakia. All rights reserved. Bumps, patches, and spots in your mouth can be harmless. For many tongue conditions that might be cancer, a special dye called toluidine blue has been useful to aid during the initial evaluation. Diagnosis. A black tongue is usually associated with elongated tongue papillae and thus, it is called "black hairy tongue" (lingua villosa nigra). 2021; doi:10.3390/biom11081237. (2023). Symptoms that dont improve may signal an underlying condition that requires treatment. Symptoms include a small white or yellow oval-shaped ulcer, and a painful or tingling area in the mouth. The goal of oral cancer screening is to identify mouth cancer early, when there is a greater chance for a cure. Whether its the side, the tip, or the back of your tongue, a sore tongue can be hard to ignore. Clinics in Dermatology. Oral cancer can sometimes cause a sore tongue. Cheung D, et al. The feeling can appear suddenly or develop over time. Call your doctor or dentist if you notice any changes in your tongue that concern you, such as: A doctor can prescribe medication to manage oral thrush, an infection, and any challenging symptoms. WebMD does not provide medical advice, diagnosis or treatment. All rights reserved. They can be painful but usually resolve without treatment in a few days. Cognitive behavioral therapy to develop practical skills to address anxiety and depression, deal with stress, and cope with ongoing pain. Tongue problems include a variety of symptoms, from pain to changes in color and texture, that can have many different causes. The use of various medications can sometimes lead to a sore tongue. Unexplained numbness in the face, mouth, or neck. Diagnosis. Often, a physical exam is all it takes for a diagnosis. Radiation therapy can damage taste buds and salivary glands. Delmar's Dental Assisting. It mostly results from a sensitivity or allergy to substances in raw fruits, vegetables, and certain tree nuts. Other medical conditions include tumorous cancer, acromegaly (giantism), amyloidosis, sarcoidosis, hypothyroidism, and Kawasaki disease. Several underlying causes can potentially cause atrophic glossitis. What is the prognosis for tongue problems? Our website services, content, and products are for informational purposes only. The sensation of "pins and needles" similar to being numb during a dental procedure may persist. In addition, you may also experience pain, burning, and numbness in the tongue. Leukoplakia is a reaction to an irritant, like rough teeth, badly fitting dentures, smoking, and smokeless tobacco. Consider talking to a mental health provider to learn strategies that can help you cope. Oral Health Evaluator - Take the WebMD Oral Health Evaluation, Discoloration, ranging from white to black. Topical pain relief can help manage discomfort, especially when eating. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Ask you to describe your symptoms. A very serious symptom of tongue inflammation is when you experience severe swelling. Reyad AA, et al. Cold sores: signs and symptoms. Though often hailed as "the strongest muscle in the body," the tongue is made up of a group of muscles that allow us to taste food, swallow, and talk. You might have: There are a variety of causes for common tongue symptoms.