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Tongue problems - Treatment

Alternative Names

Dark tongue; Burning tongue syndrome

Home Care:

Practice good oral hygiene for hairy tongue and black tongue. Be sure to eat a well-balanced diet.

Canker sores will heal on their own.

See your dentist if you have a tongue problem caused by dentures.

Antihistamines can help relieve a swollen tongue caused by allergies. You should avoid the food or drug that causes the tongue swelling. Seek medical attention right away if swelling is starting to make breathing difficult.

Call your health care provider if:

Make an appointment with your doctor if your tongue problem persists.

What to expect at your health care provider's office:

The doctor will perform a physical examination, look closely at the tongue, and ask questions such as:

  • When did you first notice the problem?
  • Have you had similar symptoms before?
  • Do you have pain, swelling, breathing problems, or difficulty swallowing?
  • Do you have a tongue tremor?
  • What makes the problem worse (eating, drinking, swallowing, talking)?
  • Do you wear dentures?
  • What have you tried that helps?
  • Are there problems with the teeth, gums, lips, or throat?
  • Does the tongue bleed?
  • Do you have a rash or fever?
  • Do you have allergies?
  • Are there problems with speaking or moving the tongue?
  • Have you noticed changes in taste?
  • What medications do you take?
  • Do you smoke cigarettes, cigars, or a pipe?
  • Do you use alcohol excessively?

Blood tests may be done to check for conditions, including systemic causes of tongue disorders. A tongue biopsy may be needed in some cases.

Treatment depends on the cause of the tongue problem.

  • If nerve damage has caused a tongue movement problem, the condition must be treated. Therapy may be needed to improve speech and swallowing.
  • Ankyloglossia may not need to be treated, unless you have speech or swallowing problems. Surgery to release the tongue can relieve the problem.
  • Medicine may be prescribed for mouth ulcers, leukoplakia, oral cancer, and other mouth sores.
  • Anti-inflammatory medicines may be prescribed for glossititis and geographic tongue.

This list does not include every treatment.

  • 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.

Pfeiffer RF. Neurogenic dysphagia. In: Bradley WG, Daroff RB, Fenichel GM, Jankovic J, eds. Neurology in Clinical Practice. 5th ed. Philadelphia, Pa: Butterworth-Heinemann; 2008:chap 13.

Finelli PF, Mair RG. Disturbances of smell and taste. In: Bradley WG, Daroff Rb, Fenichel GM, Jankovic J, eds. Neurology in Clinical Practice. 5th ed. Philadelphia, Pa: Butterworth-Heinemann; 2008:chap 19.

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