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Glossitis - Treatment

Alternative Names

Tongue inflammation; Tongue infection; Smooth tongue; Glossodynia; Burning tongue syndrome

Treatment:

The goal of treatment is to reduce inflammation. Most people do not need to go to the hospital for treatment unless tongue swelling is severe.

  • Good oral hygiene is important. Brush your teeth thoroughly at least twice a day and floss at least once a day.
  • Antibiotics, antifungal medications, or other antimicrobials may be prescribed if the glossitis is due to an infection.
  • Dietary changes and supplements are used to treat anemia and nutritional deficiencies.
  • Avoid irritants (such as hot or spicy foods, alcohol, and tobacco) to reduce any tongue discomfort.

Expectations (prognosis):

Glossitis usually responds well to treatment if the cause of inflammation is removed or treated. This disorder may be painless, or it may cause tongue and mouth discomfort. In some cases, glossitis may result in severe tongue swelling that blocks the airway.

Complications:

  • Airway blockage
  • Difficulties with speaking, chewing, or swallowing
  • Discomfort

Calling your health care provider:

Call your health care provider if:

  • Symptoms of glossitis last longer than 10 days
  • Tongue swelling is severe
  • Breathing, speaking, chewing, or swallowing is difficult

Blockage of the airway is an emergency situation that needs immediate medical attention.

  • Reviewed last on: 3/5/2011
  • Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; and Seth Schwartz, MD, MPH, Otolaryngologist, Virginia Mason Medical Center, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Reamy BV, Derby R, Bunt CW. Common tongue conditions in primary care. Am Fam Physician. 2010;81(5):627-634.

Mirowski GW, Mark LA. Oral disease and oral-cutaneous manifestations of gastrointestinal and liver disease. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger & Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa: Saunders Elsevier;2010:chap 22.

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