Our body may exhibit malfunctioning of the most unpredictable symptoms. Sometimes they can occur where there is no direct focus of pathology. Vivid manifestations of disorders in the body is damage to the mucous membrane of any part of the gastrointestinal tract, including the oral cavity. Usually it looks like an outwardly noticeable change in the surface of the tongue, cheeks, gums. The affected area hurts and blushes.
A very interesting symptom requiring careful diagnosis is pain in the mouth, in particular when the tongue is sore on the sides. The pain is strong, constant, aggravated by eating, smoking, talking, and passes for a very long time. The process itself may be chronic or acute. This symptom can be observed in a number of diseases of different organs and systems, or it may not be associated with the disease at all. First things first.
What it looks like
In the diagnosis of great importance attached to the appearance of the affected organ. The language, the pathological process in which is accompanied by pain, also changes its appearance depending on the cause.
If the lesion is traumatic or due to impaired gastric secretion, erosion can occur – small sores with a red border and white center. The tongue is very sore and extremely difficult to heal. This is especially true of secretory erosions – they will not go away until stomach activity is normalized.
If there is an abnormality in the pancreas, for example, pancreatitis or diabetes, the tongue is too dry, cracks may form and even swelling may appear.
In diseases of the liver, in which the tongue hurts, such a phenomenon as the imprint of the teeth on the lateral surfaces of the tongue may appear.
In addition, with a number of infectious pathologies, the tongue may seem “polished” – it becomes bright and shiny, along the edge of these red zones a white border appears – a frequent occurrence in endocrine disorders.
Many infectious diseases are accompanied by an increase in the papillae of the tongue and its redness. These phenomena disappear gradually. The pain is not strong, but obsessive.
If allergic pain occurs, the sensations usually resemble itching and swelling. This is eliminated by taking antihistamines.
Of course, appearance alone is not enough – it is necessary to find out the real cause of this problem and complete a full course of treatment.
The most common reason why a tongue hurts is a traumatic injury. But the reasons may be different. For convenience of understanding, it is worthwhile to divide the reasons causing such pain into two groups:
- caused by diseases;
- caused by external influence.
The first group includes:
- inflammation of the oral mucosa (stomatitis, gingivitis);
- dental diseases (caries, pulpitis);
- diseases of the gastrointestinal tract (gastritis, gastroduodenitis);
- blockage of the salivary glands;
- viral or bacterial glossitis (inflammation of the tongue);
- allergic reactions (mainly food allergies);
- oncology of the oral cavity;
The second group implies the presence of such factors:
- frequent smoking;
- mechanical lesion with sharp edge of caries-affected teeth;
- eating garlic, onions, spicy and sour dishes.
A special feature of lesions on the tongue, whatever the reason, is a very long healing process. This is due to the fact that the oral cavity has a particularly high enzymatic activity and is constantly subjected to irritation – during speaking, eating, even breathing. It is especially difficult to restore its integrity under such loads. The lateral surfaces of the tongue are constantly in contact with the teeth, which makes the healing process even longer, and the pain – intense.
Where to go
Begin the search for the reasons why the tongue hurts, it is worth going to the doctor, of course. Self-treatment of pain in the tongue can be either ineffectual or lead to serious complications. It is better to spend a few hours on your health and be sure that it is in the hands of a specialist.
For this purpose, experts of the following medical fields will do:
- dentist – it is worth starting with him;
Pathology from the field of each of these doctors may be the root cause or consequence of the disease of the tongue.
The doctor, hearing such a complaint, should carefully examine the patient’s mouth, determine if there is a source of damage in it in the form of sharp edges of the tooth or stomatitis. If no such pathology was found, the doctor should prescribe a number of mandatory clinical studies to find out the causes of the pathology in the language:
- general and biochemical blood test;
- Analysis of urine;
- level of gastric secretion;
- fibroesophagogastroduodenoscopy (FEGDS);
- hormogram (in particular, pancreatic hormones);
- Ultrasound of the abdominal organs;
- X-ray of the stomach with contrast.
If it is necessary to exclude oncopathology, the doctor should prescribe tomography – computer or magnetic resonance.
Based on the results of research, the doctor can set the correct diagnosis. Treatment of the manifestations in the form of pain does not solve the problem – it is necessary to cure the very cause.
How to treat
If you see a doctor in the near future is not possible, you can try to relieve symptoms on your own on the tongue. The key word here is symptoms. This does not relieve the tongue of the pain for good, but only helps to “live” before going to the doctor.
So, you should try the following:
- rinsing the mouth with a decoction of chamomile and oak bark;
- rinsing with Stomatidin type solutions;
- rinsing with soda solution;
- oral irrigation with lidocaine antiseptic solutions;
- use of anesthetic stomatitis ointment.
Unfortunately, the temporary relief effect on the language passes. And there comes a time when it is time to go to the doctor. Depending on the causes of pain in the language, you need to properly construct a treatment regimen.
If the cause was damage, it is imperative to treat caries, undergo a course of anti-inflammatory therapy and use gentle methods of cleansing the oral cavity.
When it hurts on the side of the tongue because of the defeat of any organ or organ system, it is necessary to carry out a thorough treatment of the main disease, at the same time eliminating the symptom in the oral cavity. When it comes to the digestive tract, it may be necessary to take drugs against Helicobacter, enzymes, antacids and sorbents.
If the root of the evil in the endocrine system, for example, then you may need hormone therapy. An important disease that causes erosion in the tongue and mucous membrane of the cheeks and gums is diabetes.
In treatment it is very important to influence both the general level of the organism and the local one. If it is an infection, prescribe systemic antibacterial and antiviral drugs, without neglecting the rinses and applications of ointments.
Treatment can last from two weeks to three months. This process must be treated with the highest responsibility, and then the pain on the edges of the tongue will not become a chronic problem.