Tongue Problems Symptoms, Treatment, Causes - White tongue. White tongue. Color changes related to the tongue can range from a benign concern to one that requires medical attention. Often, a white tongue could be caused by a removable coating of food debris or bacterial plaque. Otherwise, the following are some common causes of white tongue - - a fungal infection referred to as oral thrush, leukoplakia, oral lichen planus, hairy leukoplakia, and linea alba. Oral thrush (or candidiasis) is a caused by an overgrowth of yeast in the mouth. The white patches can be scraped off to expose a red surface on the tongue. Illnesses, medications, stress, and antibiotic treatment can cause oral thrush by throwing off the balance of natural bacteria in the mouth. Lozenges, tablets, or liquid antifungals are used for treatment. 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. Tobacco use is the most common factor that contributes to leukoplakia. The condition may resolve after smoking cessation. Sometimes the patches are on the sides of the tongue and could be related to constant rubbing next to the lower teeth. Although leukoplakia is usually benign, it can be the precursor to oral cancer. The risk of cancer increases with the age of the individual, size of the lesion, and number of lesions present. A biopsy may be recommended after clinical evaluation by the doctor. Sometimes, the area can be monitored for changes by the doctor. Monitoring is usually performed during routine dental visits or during visits with an ear, nose, and throat (ENT) specialist. Oral lichen planus on the tongue is a chronic inflammatory condition caused by an autoimmune response (the body's immune system attacking its own tissue). It is characterized by a white lace- like pattern called reticular lichen planus. A biopsy may be recommended. Hairy leukoplakia is a white patch on the side of the tongue that appears hairy or rough. This condition is caused by the Epstein- Barr virus and is usually related to immunocompromised individuals. HIV testing should be considered if hairy leukoplakia appears without a known immunocompromising condition. Antiviral medications such as acyclovir (Zovirax) may be used. Recurrence of hairy leukoplakia is common. Linea alba is a benign condition that is characterized by a thin white line at the lateral borders of the tongue. It is caused by the thickening of the epithelium due to trauma or irritation from chewing. A Answers (1) Follow Following Unfollow Pending Disabled A RealAge answered A smooth spot on the tongue can have several causes, but it may be linked to a general condition With glossitis. No treatment is necessary for linea alba. Red tongue. There are obvious causes of red color change, such as something you ate (strawberries or red- colored foods). Some acidic foods can cause temporary redness and discomfort. However, a red tongue can be a sign of an underlying medical condition. Some red color changes on the tongue (. A lesion with a combined white and red appearance is called erythroleukoplakia. These lesions are all considered to have premalignant potential.
Question - Smooth, red patch on tongue, no pain. Ask a Doctor about diagnosis, treatment and medication for Canker sore, Ask a Dentist Are you a Doctor? Smooth, red, sore patch on side of tongue, what could it be? I'm generally not someone who worries too much about health issues unless they're sudden and unusual. I've googled the symptoms and nothing I find really matches. The closest was geography tongue. MEDIAN RHOMBOID GLOSSITIS Median rhomboid glossitis is characterized by a smooth, shiny, erythematous, sharply circumscribed, asymptomatic, plaque-like lesion on the dorsal midline of the tongue (). Men are affected three times more often than women.2 Most persons with the condition are asymptomatic, but burning or itching is possible. Images in Clinical Medicine from The New England Journal of Medicine — A Smooth Patch on the Tongue Welcome Guest Renew, Subscribe or Create Account Sign In. Erythroplakia and erythroleukoplakia have an increased risk of premalignancy compared to leukoplakia. In addition to appearance, cause for concern can be if the lesion or sore does not go away or grows in size. A biopsy is recommended by an oral surgeon or an ENT specialist to rule out oral cancer. Black tongue. A black tongue is usually a harmless condition that can be caused by medications, smoking, poor oral hygiene, soft diet, or dry mouth. A black tongue is usually associated with elongated tongue papillae and thus, it is called . The cause is thought to be a change in the normal bacteria in the mouth after antibiotic treatment or use of products that contain bismuth such as Pepto- Bismol. Glossitis - Wikipedia, the free encyclopedia. Glossitis can mean soreness of the tongue, or more usually inflammation with depapillation of the dorsal surface of the tongue (loss of the lingual papillae), leaving a smooth and erythematous (reddened) surface. In a wider sense, glossitis can mean inflammation of the tongue generally. Glossitis usually responds well to treatment if the cause is identified and corrected. Tongue soreness caused by glossitis is differentiated from burning mouth syndrome, where there is no identifiable change in the appearance of the tongue, and there are no identifiable causes. It is treated with antifungal medication. Predisposing factors include use of corticosteroid sprays or inhalers or immunosuppression. Benign migratory glossitis. It is characterized by patches of depapillation and erythema bordered by a whitish peripheral zone. These patches give the tongue the appearance of a map, hence the name. Unlike glossitis due to nutritional deficiencies and anemia, the lesions of geographic tongue move around the tongue over time. Rarely are there any symptoms associated with the lesions, but occasionally a burning sensation may be present, which is exacerbated by eating hot, spicy or acidic foodstuffs. Some consider geographic tongue to be an early stage of fissured tongue, since the two conditions often occur in combination. Similar fissured lesions which are not associated with HSV, as may occur in fissured tongue, do not tend to be painful. However, the association between herpes simplex and geometric glossitis is disputed by some due to a lack of gold standard techniques for diagnosis of intraoral herpetic lesions, and the high prevalence of asymptomatic viral shedding in immunocompromized individuals. White strawberry tongue is where there is a white coating on the tongue through which the hyperplastic fungiform papillae protrude. Red strawberry tongue is where the white coating is lost and a dark red, erythematous surface is revealed, interspaced with the hyperplastic fungiform papillae. White strawberry tongue is seen in early scarlet fever (a systemic infection of group A . This often results in a depapilled, atrophic glossitis, giving the tongue a bald and shiny appearance, along with pallor (paleness) of the lips and other mucous membranes a tendency towards recurrent oral ulceration. Parietal cells secrete intrinsic factor which is required for the absorption of vitamin B1. Vitamin B1. 2 deficiency results in megaloblastic anemia and may present as glossitis. The appearance of the tongue in vitamin B1. Candida species are involved in median rhomboid glossitis. Candida species also may be involved in creating a more generalized glossitis with erythema, burning, and atrophy. Treatment usually does not require hospitalization unless tongue swelling is severe. Good oral hygiene is necessary, including thorough tooth brushing at least twice a day, and flossing at least daily. Corticosteroids such as prednisone may be given to reduce the inflammation of glossitis. For mild cases, topical applications (such as a prednisone mouth rinse that is not swallowed) may be recommended to avoid the side effects of swallowed or injected corticosteroids. Antibiotics, antifungal medications, or other antimicrobials may be prescribed if the cause of glossitis is an infection. Anemia and nutritional deficiencies (such as a deficiency in niacin, riboflavin, iron, or Vitamin E) must be treated, often by dietary changes or other supplements. Avoid irritants (such as hot or spicy foods, alcohol, and tobacco) to minimize the discomfort. In some cases, tongue swelling may threaten the airway, a medical emergency that needs immediate attention. Prevention. Drinking plenty of water and the production of enough saliva, aid in the reduction of bacterial growth. Minimizing irritants or injury in the mouth when possible can aid in the prevention of glossitis. Avoiding excessive use of any food or substance that irritates the mouth or tongue may also help. Epidemiology. Oral and maxillofacial medicine : the basis of diagnosis and treatment (2nd ed.). Edinburgh: Churchill Livingstone. The digestive system (1st ed.). New York, NY: Britannica Educational Pub., in association with Rosen Educational Services. Domino (editor- in- chief); Robert A. Baldor (, associate editors); et al. The 5- minute clinical consult 2. Philadelphia, Pa.: Wolters Kluwer Health/Lippincott Williams & Wilkins. The Cochrane Database of Systematic Reviews (1): CD0. Dermatology (2nd ed.). Andrews' Diseases of the Skin: Clinical Dermatology (1. American Family Physician. Am Fam Physician (Review). J Can Dent Assoc (Review). National Institute of Health (NIH). Retrieved Mar 7, 2. Tooth defects that result from celiac disease may resemble those caused by too much fluoride or a maternal or early childhood illness. Dentists mostly say it. Minerva Stomatol (Review). There are enough evidence making the correlation between CD and oral defects scientifically sustainable. This recognition should lead dentists to play more significant roles in screening for CD, as otherwise, if not properly diagnosed and not treated with a gluten- free diet, may eventually cause some malignancies. Indian Journal of Dental Research. American Family Physician. Burket's oral medicine (1. Hamilton, Ont.: BC Decker. Southern Medical Journal. Oral & maxillofacial pathology (2nd ed.). The New England Journal of Medicine. Mosby's dental dictionary. The National Medical Journal of India. Primary Care Dermatology Module (University of Wisconsin Madison). Clinical oral medicine and pathology. New York: Humana Press. ISBN 9. 78- 1- 6. Textbook of gastroenterology (5th ed.). Chichester, West Sussex: Blackwell Pub. ISBN 9. 78- 1- 4. Journal of Clinical Gastroenterology.
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