Sores on the tongue

Introduction Mouth sore: oral disease with sore or ulcerated mouth and local pain. Some patients often have recurrent episodes, and even the ulcer does not heal for a long time. More by the heart and spleen heat, exogenous heat evil, or spleen and stomach damp heat, yin deficiency and impotence. In ancient literature, it was also called the mouth broken, mouth sputum, mouth ulcers, which occurred in the tongue. It is equivalent to oral ulcers in Western medicine. Sore is a fire, but there is a difference between real fire and virtual fire, such as due to the lack of tobacco and alcohol, or more fat and sweet taste, leaving stagnation of heat, or the feeling of wind heat, damp heat, into the fire, or Emotional stagnation, long time and fire, mostly real fire; physical yin deficiency, fever, yin, or lack of sleep, long-term fatigue and debilitation.

Cause

Oral sores, which are oral ulcers, are common ulcerative lesions in oral mucosal diseases and have periodic recurrence. Gastrointestinal dysfunction, emotional stress, mental stimulation, allergic reactions, endocrine disorders, acute infectious diseases, etc. are common causes of this disease. In addition, oral mucosal damage or eating spicy and spicy foods can also cause oral ulcers.

an examination

Related inspection

Oral X-ray examination of oral endoscope

It happens in young adults, more women than men. In the onset of the lips, sputum, tongue edge, gums, etc., an isolated circle forms an ellipse to form a shallow small ulcer, and some occur at the same time. The pain is as intense as burning. It can recur with the weather, mood, fatigue and other factors. The disease can be prolonged for several years and has not healed for decades. Chinese medicine will divide the disease into two types: real cold, fever, headache, constipation, yellowing, yellow thick and dry tongue, sometimes with large pain in the submandibular lymph nodes, the latter without obvious systemic symptoms or low fever. . Some people are accompanied by dry mouth, dry throat, hot heart, insomnia, multiple dreams, peeling off the tongue and so on.

Differential diagnosis

Tongue painful miliary to blister:

Hand, foot and mouth disease incubation period of 3 to 5 days, there are low fever, general malaise, abdominal pain and other prodromal. In 1 to 2 days, painful miliary to mung bean-sized blisters appear in the mouth, throat, soft palate, buccal mucosa, tongue, and gums. The circumference is surrounded by redness, which is broken into small ulcers. Because of pain, it often flows and refuses to eat.

There is a long time unhealed ulcer on the tongue:

If the same mouth ulcers, the wound has not improved for more than three weeks, it is important to note that such difficult to heal ulcers or prominent ulcer wounds are likely to be early signs of oral cancer. Tongue cancer is the most common oral cancer, more men than women. Most of the tongue cancers are squamous cell carcinoma, especially in the 2/3 front part of the tongue. Adenocarcinoma is rare, mostly located in the base of the tongue. Lymphatic epithelial cancer and undifferentiated carcinoma can sometimes occur in the base of the tongue. Tongue cancer occurs mostly at the edge of the tongue, followed by the tip of the tongue, the back of the tongue and the base of the tongue. It is often ulcerated or infiltrated. Generally, the degree of malignancy is high, the growth is fast, the infiltration is strong, and the tongue muscle is often spread, resulting in limited movement of the tongue, which makes it difficult to speak, eat and swallow. Tongue cancer can invade the lingual arch and tonsil in the posterior, and the advanced tongue cancer can spread to the bottom of the mouth and the jaw bone, so that the whole tongue is fixed. Secondary infections or tongue cancer at the base of the tongue often cause severe pain and are radiated to the ipsilateral head and face.

Recurrent tongue ulcers:

It refers to the appearance of round or oval ulcers in the mucous membranes of the mouth, tongue, cheeks and sputum. Traditional Chinese medicine is commonly known as ulcer on the tongue. It is a common and frequently-occurring disease in the population. It is common in any age, but it is more common in young years. Long-term recurrent attacks affect work. Learning, endangering human health. Oral ulcers are common symptoms in daily life and are more or less likely to be encountered in a person's life.

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