Sores on the tongue are diseases that can be both independent and symptoms of other diseases. Most often, these pathologies do not pose a serious threat to health, but sometimes they may be the first symptoms of serious diseases.
What it is? ↑
Sores on the tongue – a concept that means a set of diseases that can affect the language.
Sores may have the appearance of ulcers, blisters, vesicles, cysts, etc.
Photo: Sores on the tongue
Pathological formations on the tongue can bring pain and discomfort, which leads to difficulty in eating. But even if the sore does not bother, do not ignore it.
Causes of appearance ↑
Stomatitis is an inflammatory disease of the mouth that is common among children and adults.
It is characterized by the appearance of sores and bubbles not only on the tongue, but also on the gums, lips, and mucous membrane.
Photo: Stomatitis – herpetic and aphthous
The most common causes of the development of stomatitis are:
- reduced immunity;
- radiation therapy;
- pathology in the work of internal organs;
- damage to the tongue by biting, prickly teeth, improperly installed dentures;
- traumatizing the tongue by chemical, thermal, radiation exposure;
- infection during dental procedures;
- metabolic disease;
- non-compliance with oral hygiene.
Stomatitis has local and common manifestations. In the oral cavity, a pathological focus is formed in the form of an ulcer, a bubble or plaque, which is accompanied by pain and burning.
When a white sore is located under the tongue, it is painful for the patient to talk, there is discomfort in the mouth. On the side of the tongue, the sore interferes with normal eating, chewing, talking.
General symptoms manifest weakness, decreased appetite, fever.
The tongue is constantly exposed to irritants. But since the oral mucosa is prone to rapid regeneration, minor injuries heal quickly.
Injuries to the tongue are mechanical, physical, and chemical.
Mechanical occur due to:
- biting the tongue;
- damage to dentures;
- dental manipulations;
- hitting the face;
- damage by bone, fork, knife.
Mechanical ulcer or surface erosion is most often formed from mechanical damage to the tongue.
Photo: Sore in traumatic language
Chemical damage is formed as a result of ingress into the oral cavity of aggressive chemicals that corrode the mucous membrane.
Deep chemical burns are accompanied by blistering and ulceration, followed by cicatricial process, which leads to dysfunction of the tongue.
Physical injuries occur when hot tongue, steam, electric current, fire, and ionizing radiation are applied to the tongue.
Deep lesions of the tongue are dangerous infection with the subsequent development of abscesses and phlegmon. The clinical manifestation of a tongue injury is pain and swelling. In severe cases, the pain is exacerbated by drinking, eating, during a conversation.
Cysts of the tongue are quite rare. They are congenital and acquired.
Congenital cysts occur due to atresia of the submandibular duct of the salivary gland. Acquired cysts are often preceded by acute and chronic injuries, inflammatory diseases of the tongue.
The cyst has the form of a round or oval formation, soft, painless on palpation, with a diameter from a few millimeters to 3 or more centimeters. The mucous membrane over them is thinned.
Photo: Cyst language
Volumetric cysts make it difficult for small children to suck, swallow, rarely breathing. In older children and in adults, cysts can impair speech.
Tuberculosis of the tongue occurs infrequently, very weak people get sick.
Primary lesion of the tongue by tuberculosis is possible upon contact with a patient with an open form of the disease (through dishes, a kiss). Secondary tuberculosis of the tongue, which develops against the background of pulmonary tuberculosis and other organs, is more common.
The destruction of the tongue contributes to the violation of the integrity of the mucous membrane, the injury of the tongue. In addition, the infection can be spread in a hematogenous and lymphogenous way.
The defeat of the tongue by tuberculosis can be symmetrical and one-sided, single and multiple. Pathological focus has the form of a rounded ulcer with saped edges. The bottom of the ulcer is covered with granulations that bleed easily when touched.
Clinically, a tubercular ulcer is manifested by pain, which is exacerbated during a conversation and during a meal.
Hard chancre (primary syphiloma) occurs at the site of infection and is an erosion or round sore with raised
The diameter of the chancre is on average 5–10 mm, however, there are dwarf chancre with a diameter of 1 to 3 mm, and giant chancre with a diameter
Most often syphiloma is localized on the back of the tongue. Less often on the tip of the tongue and on the side surfaces. It can be single and multiple. 5–7 days after the onset of primary syphilis, regional lymphadenitis occurs.
Cancer of the tongue is a malignant formation of squamous epithelial cells.
In men, the disease occurs 6–7 times more often than in women. The factors provoking the disease are smoking, alcohol consumption, chronic mechanical trauma of the tongue, carriage of the herpes virus and human papilloma virus.
There are 3 clinical forms of tongue cancer:
In the infiltrative form, pain syndrome comes first. The tongue is palpable dense, without clear boundaries, hilly infiltrate. For ulcerative forms of the formation of ulcers, with uneven and bleeding edges.
In the papillary form of cancer, the formation appears above the surface of the mucous membrane.
Cancer most often affects the lateral surfaces of the tongue. Less commonly, the root, lower surface and back are affected.
The first symptoms of a cancer are a feeling of discomfort in the mouth, an ulcer or an education. Then there is pain, itching, burning, swelling of the face, neck, bad breath. In advanced stages, patients find it difficult to talk, swallow saliva and food, and there are bleeding from the tongue.
Cancer of the tongue is characterized by rapid growth and metastasis.
Video: Cancer in the mouth
How to treat ↑
If a sore leaps up in the tongue, it requires attention, even if it does not hurt. Some formations may turn out to be a precancer, and if they are started, cancer can develop – a deadly disease.
Treatment of pathologies of the language should be comprehensive and aimed at combating the etiological factor, symptomatic manifestations, as well as improving immunity.
Most sores are treated with the use of antiseptics, which are appointed in the form of gargles, ointments, sprays.
In the treatment of certain diseases of the oral cavity can not do without surgical intervention. Such diseases include cysts, phlegmon, cancer and other neoplasms.
The treatment of tuberculous ulcers of the tongue consists in the complex anti-tuberculosis chemotherapy, the observance of the sanitary and hygienic regime, and vitamin therapy. Syphilitic chancre is treated medically.
What are the causes of abundant salivation in children? The answer is here.
Traditional recipes in some cases will help alleviate the symptoms before receiving a doctor, but will not replace the treatment with a specialist. The most effective means of traditional medicine are infusions, lotions and decoctions of herbs, plants, flowers.
Powerful antiseptics are: chamomile, sage, St. John’s wort, yarrow, fruits of viburnum.
Photo: Broth of yarrow and hypericum
Photo: Sage and chamomile broths
Healing properties are: calendula, aloe juice, sea buckthorn oil and rosehip.
Photo: Aloe juice and sea buckthorn oil
Also healing effects in the treatment of diseases of the oral cavity have the bark of oak, the color of tea rose, propolis, honey, onions.
Photo: Honey and Propolis
Widespread in folk medicine mouthwash iodine, soda and salt solutions.
From medicines for the treatment of tongue sores, different groups of drugs are used, depending on the causes and pathogens of the disease.
First of all, these are antiseptics and local antibacterial preparations. Available in the form of solutions for rinsing, candy and sprays. Hepilor, Miramistin, Rotokan, Hlogeksedin, Chlorfillipt, Furacilin, Rivanol, Strepsils, Givalex, Angilex, and Orasept are popular drugs.
Photo: Chlorhexidine and Miramistin antiseptic preparations
In more severe cases, when sores are caused by bacteria, general antibacterial drugs are used. These are antibiotics – Penicillins, Erythromycin, Fluoroquinolones, Tetracyclines, Macrolides.
Photo: Fluoroquinolone antibiotic – Tsiprolet and pennicillins – Amoxicillin
Antiviral drugs can deal with herpes sores. These include Acyclovir and Zovirax.
Photo: Acyclovir and Zovirax
Nonsteroidal anti-inflammatory drugs help to relieve irritation – Voltaren, Ketoprofen, Holisal, Lornoxicam.
Photo: Voltaren and Ketoprofen
It is possible to get rid of pain with the help of anesthetic preparations, for example, Strepsils plus, Lidocaine, Kamistad.
Photo: Medications for pain relief Lidocaine Asept and Kamistad
It is better to increase the body resistance with the help of Immunostimulants — Methyluracil, Pyrogenal, Timalid, and complex vitamin preparations.
For the treatment of tuberculous lesions of the tongue, specific chemotherapy drugs are used – rifampicin, streptomycin, isoniazid, pyrazinamide.
When to go to the doctor
Seek medical attention immediately after the formation of a tongue is detected, or if an unknown feeling of discomfort appears in the mouth. How to cure a sore in a particular case, only the doctor knows.
Treatment is prescribed taking into account many factors, such as: patient’s age, etiology of the disease, comorbidities, neglect of the process, complications.
Treatment in a child
Of the many sores of the tongue, children are most susceptible to stomatitis and mechanical injuries. For their treatment, rinses or treatment of wounds with antiseptic solutions, decoctions of medicinal herbs are prescribed.
Photo: Stomatitis in the tongue of a child
Cyst of the hypoglossal gland is also common. These cysts disappear on their own by the end of the first year of the child’s life and the contents of the cyst dissolve.
In the presence of large cysts that interfere with sucking and breathing, with suppuration of the cysts, it is recommended to perform the operation by dissection, excision or shelling.
Video: how to treat stomatitis in a child
Nutrition of patients with sores in the language should be balanced in qualitative and quantitative composition. The diet should be rich in vegetables, fruits, dairy and dairy products. It is necessary to refrain from eating sweets, alcohol, hard coarse food.
Prevention of diseases of the tongue and mouth means:
- regular check-ups at the dentist and other specialists;
- regular examination with a photofluorograph;
- maintaining oral hygiene;
- timely treatment of caries, injuries of the tongue, formations;
- quitting smoking and drinking alcohol;
- balanced, vitamin-rich food;
- maintaining immunity at a high level.
Photos of sores on the tongue
Sores of the tongue, there are many types, respectively, they have different causes and appearance. The pathological focus can be localized in any part of the tongue: on the back, on the tip, on the lateral surfaces, under the tongue.